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Case Report | Open Access

Dual‐Dimensional Laboratory–Ecological Assessment and Synergistic Intervention of Post‐Stroke Unilateral Spatial Neglect: A Case Report

Shengnan Hu1, Bingyan Liu1, Bo Jing1, Wu Jing1, Yayu Xu1, Heming Huang1, Yingzhi He1, Chunhua Zhan2 ( )
Department of Rehabilitation Therapy, Hunan Provincial Rehabilitation Hospital, Changsha, China
School of Public Health, Hengyang Medical School, University of South China, Hengyang, China
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Abstract

Unilateral spatial neglect is a frequent post‐stroke complication associated with long‐term disability and reduced quality of life. We report a case of post‐stroke unilateral spatial neglect, illustrating a dual‐dimensional assessment that integrates standardized laboratory tests with ecological evaluations in daily contexts to guide individualized rehabilitation. The primary aim is to promote patient autonomy and reintegration into family and society. This case underscores the clinical value of combining structured and real‐world assessments to optimize rehabilitation strategies. Future applications of intelligent technologies (e.g., ecological momentary assessment, virtual reality‐based training) may enable real‐time recovery monitoring while reducing healthcare burdens and improving patient safety.

Graphical Abstract

Dual‐dimensional assessment and home‐based ecological intervention for post‐stroke unilateral spatial neglect. A 53‐year‐old male patient three months after stroke presented with unilateral spatial neglect and severe motor impairment. Laboratory‐based assessment included the Fugl–Meyer Assessment, Berg Balance Scale, and Behavioral Inattention Test, while ecological assessment evaluated real‐world home‐environment barriers, including physical space, item arrangement, assistive facilities, and informational cues. Based on the combined assessment, individualized occupational and physical therapy, home adaptations, and family support were implemented. After intervention, the patient showed improved motor function, balance, activities of daily living, spatial neglect performance, and home‐environment task completion, indicating that laboratory assessment combined with ecological evaluation can guide targeted home‐based intervention and enhance real‐world functional recovery.

Keywords

activities of daily livinglaboratory–ecological assessmentoccupational therapystrokeunilateral spatial neglect

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Medicine Advances
Volume 4 Issue 2,
June 2026
Pages 253-259
DOI: 10.1002/med4.70068

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Cite this article:
Hu S, Liu B, Jing B, et al. Dual‐Dimensional Laboratory–Ecological Assessment and Synergistic Intervention of Post‐Stroke Unilateral Spatial Neglect: A Case Report. Medicine Advances, 2026, 4(2): 253-259. https://doi.org/10.1002/med4.70068

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Received: 28 November 2025
Revised: 03 January 2026
Accepted: 26 March 2026
Published: 06 June 2026
© 2026 The Author(s). Tsinghua University Press.

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.