{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T01:44:43Z","timestamp":1785635083167,"version":"3.56.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neurorehabil Neural Repair"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aim:<\/jats:title>\n                    <jats:p>Unilateral spatial neglect (UN) impairs patients\u2019 ability to detect and respond to stimuli on the contralesional side, severely limiting functional recovery after right-hemispheric stroke. Neck muscle vibration (NMV) has been shown to be a bottom-up, proprioceptive intervention to modulate spatial neglect. Although preliminary studies found promising effects, the isolated efficacy of NMV for neglect rehabilitation has not yet been tested in a randomized, blinded controlled trial. This study aimed to evaluate whether NMV alone improves neglect symptoms and activities of daily living (ADL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Twenty patients with right-hemispheric stroke and UN were randomly assigned to receive either active or placebo NMV (combined, but not simultaneously with computer-based training) over 2\u2009weeks (5 sessions\/week, 20\u2009minutes\/day). In the computer training, the placebo NMV group completed neglect-specific modules (standard neglect therapy [SNT], e.g., visual exploration training), while the active NMV group performed only general cognitive tasks unrelated to neglect. This allowed the isolated effect of NMV to be examined. Assessments included standard neglect diagnostics (e.g., Letter Cancellation), the Free Exploration Test (FET), and 2 ADL-based measures (NET, CBS), conducted before, immediately after, and (NMV group only) 1\u2009month post-treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The active NMV group showed significant improvements in 3 of 4 standard neglect tests, exploration behavior (FET), and ADL performance, with effects remaining stable at 1-month follow-up. The SNT group with placebo NMV showed comparable gains in ADL outcomes but improved in 1 standard neglect test only. Between-group analyses revealed no statistically significant differences, suggesting similar efficacy of both interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>NMV alone yields clinically meaningful and lasting improvements in neglect symptoms and ADL, comparable to SNT. Its passive nature makes it a promising tool, particularly for early rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15459683251412287","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T01:57:31Z","timestamp":1769479051000},"page":"347-356","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Blinded, Controlled Randomized Clinical Trial on the Efficacy of Neck Muscle Vibration in Patients with Post-Stroke Spatial Neglect"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6841-8524","authenticated-orcid":false,"given":"Britta","family":"Stammler","sequence":"first","affiliation":[{"name":"Center for Neurology, Division of Neuropsychology, Hertie-Institute for Clinical Brain Research, T\u00fcbingen, Germany"},{"name":"Center for Neurology, Department for Neurovascular Diseases, Hertie-Institute for Clinical Brain Research, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carina","family":"Thiel","sequence":"additional","affiliation":[{"name":"Schmieder-Klinik, Stuttgart-Gerlingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Lieb","sequence":"additional","affiliation":[{"name":"Center for Neurology, Department for Neurovascular Diseases, Hertie-Institute for Clinical Brain Research, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heike","family":"Mei\u00dfner","sequence":"additional","affiliation":[{"name":"Neurologisches Rehabilitationszentrum Quellenhof, Sana-Kliniken AG, Bad Wildbad, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Otto","family":"Karnath","sequence":"additional","affiliation":[{"name":"Center for Neurology, Division of Neuropsychology, Hertie-Institute for Clinical Brain Research, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2020.10.010"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuropsychologia.2011.06.027"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0100584"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnhum.2013.00182"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2010.02.018"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003586.pub3"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2016.10.006"},{"key":"e_1_3_3_9_2","unstructured":"Karnath HO Schenk T. S2k guideline: [Diagnosis and treatment of neglect and other disorders of spatial cognition]. In: German Society for Neurology ed. Guidelines for Diagnosis and Treatment in Neurology. 2023. AWMF Registry No. 030-126: 11-23. Accessed March 5 2025. https:\/\/register.awmf.org\/assets\/guidelines\/030-126l_S2k_Diagnostik-Therapie-Neglect-andere-Stoerungen-der-Raumkognition_2023-03.pdf"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/13803395.2024.2432663"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2006.03.001"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/111.6.1405"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/117.5.1001"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00221-001-0996-2"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.73.4.412"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/bf00231791"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00221-024-06994-6"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/116.2.383"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00240969"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/16501970310009972"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2011.570411"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2018.1430178"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2020.03.013"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1987.00520180043014"},{"key":"e_1_3_3_25_2","first-page":"49","article-title":"The bells test: a quantitative and qualitative test for visual neglect","volume":"11","author":"Gauthier L","year":"1989","unstructured":"Gauthier L, Dehaut F, Joanette Y. 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