Influence of right versus left unilateral spatial neglect on the functional recovery after rehabilitation in sub-acute stroke patients
| Autor: | Meigen Liu, Tomomi Yoshida, Katsuhiro Mizuno, Kunitsugu Kondo, Anna Miyamoto |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Rehabilitation hospital
030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Lateralization of brain function Functional Laterality Perceptual Disorders 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Arts and Humanities (miscellaneous) Medicine Humans Stroke Applied Psychology Retrospective Studies Rehabilitation business.industry Medical record Stroke Rehabilitation Hemispatial neglect Cognition Recovery of Function medicine.disease Functional Independence Measure Neuropsychology and Physiological Psychology medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Neuropsychological rehabilitation. 32(5) |
| ISSN: | 1464-0694 |
| Popis: | Unilateral spatial neglect (USN) may lead to poor functional rehabilitation outcomes. However, studies investigating the rehabilitation outcomes of right-sided USN are lacking. We aimed to investigate (1) the clinical impacts of USN, including right-sided USN, for stroke patients in sub-acute rehabilitation, and (2) evaluate the differences in clinical characteristics and rehabilitation outcomes between right- and left-sided USN patients. We retrospectively screened the medical records of 297 inpatients at the Tokyo-Bay Rehabilitation Hospital who experienced a cerebrovascular accident with supratentorial lesions between January 1st, 2014 and December 31st, 2016. We performed independent multiple regression analysis in patients with left and right hemisphere damage. The Behavioral Inattention Test was a significant independent variable for predicting the motor, cognitive, and total functional independence measure (FIM), compared to the Stroke Impairment Assessment Set and Mini-Mental State Examination. USN affects motor FIM recovery more than cognitive FIM recovery regardless of the damaged hemisphere. Our study results confirm that both right- and left-sided USN influence the functional recovery of stroke patients. USN occurs, slightly less frequently, following a left hemisphere stroke. However, USN negatively affected rehabilitation outcomes, regardless of the neglected side. Therefore, USN treatment is necessary for patients with left and right hemisphere damage. |
| Databáze: | OpenAIRE |
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