Clinical and functional differences between right and left stroke with and without contralateral spatial neglect
Objective: To examine the clinical and functional characteristics associated with contralateral spatial neglect in right compared with left subacute stroke, and to investigate the correlations between neglect severity and stroke severity, functional ability and outcome. Methods: Cross-sectional stu...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2020-06-01
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| Series: | Journal of Rehabilitation Medicine |
| Subjects: | |
| Online Access: |
https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2699
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| _version_ | 1828142530583068672 |
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| author | Sinikka Tarvonen-Schröder Tuuli Niemi Mari Koivisto |
| author_facet | Sinikka Tarvonen-Schröder Tuuli Niemi Mari Koivisto |
| author_sort | Sinikka Tarvonen-Schröder |
| collection | DOAJ |
| description | Objective: To examine the clinical and functional characteristics associated with contralateral spatial neglect in right compared with left subacute stroke, and to investigate the correlations between neglect severity and stroke severity, functional ability and outcome.
Methods: Cross-sectional study comparing neurological impairment and disability. The same data-set was used in part 2 of this study.
Results: Contralateral neglect was present in 79.7% of right stroke and 68.3% of left stroke rehabilitants, and was, on average, equally mild. Left stroke rehabilitants with neglect had higher stroke severity, cognitive and total disability and dependence level and more impaired sphincter control than right stroke rehabilitants with neglect, while the occurrence of depression, motor and sensory impairment was similar. Rehabilitants with neglect, irrespective of stroke side, had higher stroke severity, cognitive, motor and total disability and dependence level than rehabilitants without neglect.
Conclusion: In left and right stroke rehabilitants with equally mild neglect, those with left stroke had higher stroke severity, cognitive and total disability and dependence level. Neglect severity correlated with right or left stroke severity and functional ability, moderate to severe neglect correlated significantly more with functioning. Neglect severity was independently associated with functional outcome in right stroke. |
| first_indexed | 2024-04-11T19:42:38Z |
| format | Article |
| id | doaj.art-4bb0cfc6e0ea493c85bc5209822ccce9 |
| institution | Directory Open Access Journal |
| issn | 1650-1977 1651-2081 |
| language | English |
| last_indexed | 2024-04-11T19:42:38Z |
| publishDate | 2020-06-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj.art-4bb0cfc6e0ea493c85bc5209822ccce92022-12-22T04:06:39ZengMedical Journals SwedenJournal of Rehabilitation Medicine1650-19771651-20812020-06-01526jrm0007210.2340/16501977-26992667Clinical and functional differences between right and left stroke with and without contralateral spatial neglectSinikka Tarvonen-Schröder0Tuuli NiemiMari Koivisto Department of Rehabilitation and Brain Trauma, Turku University Hospital, PO Box 52, FI-20521 Turku, Finland. E-mail: sinikka.tarvonen-schroder@tyks.fi. Objective: To examine the clinical and functional characteristics associated with contralateral spatial neglect in right compared with left subacute stroke, and to investigate the correlations between neglect severity and stroke severity, functional ability and outcome. Methods: Cross-sectional study comparing neurological impairment and disability. The same data-set was used in part 2 of this study. Results: Contralateral neglect was present in 79.7% of right stroke and 68.3% of left stroke rehabilitants, and was, on average, equally mild. Left stroke rehabilitants with neglect had higher stroke severity, cognitive and total disability and dependence level and more impaired sphincter control than right stroke rehabilitants with neglect, while the occurrence of depression, motor and sensory impairment was similar. Rehabilitants with neglect, irrespective of stroke side, had higher stroke severity, cognitive, motor and total disability and dependence level than rehabilitants without neglect. Conclusion: In left and right stroke rehabilitants with equally mild neglect, those with left stroke had higher stroke severity, cognitive and total disability and dependence level. Neglect severity correlated with right or left stroke severity and functional ability, moderate to severe neglect correlated significantly more with functioning. Neglect severity was independently associated with functional outcome in right stroke. https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2699 clinical characteristics functioning inpatient outcome subacute rehabilitation severity spatial neglect stroke laterality |
| spellingShingle | Sinikka Tarvonen-Schröder Tuuli Niemi Mari Koivisto Clinical and functional differences between right and left stroke with and without contralateral spatial neglect Journal of Rehabilitation Medicine clinical characteristics functioning inpatient outcome subacute rehabilitation severity spatial neglect stroke laterality |
| title | Clinical and functional differences between right and left stroke with and without contralateral spatial neglect |
| title_full | Clinical and functional differences between right and left stroke with and without contralateral spatial neglect |
| title_fullStr | Clinical and functional differences between right and left stroke with and without contralateral spatial neglect |
| title_full_unstemmed | Clinical and functional differences between right and left stroke with and without contralateral spatial neglect |
| title_short | Clinical and functional differences between right and left stroke with and without contralateral spatial neglect |
| title_sort | clinical and functional differences between right and left stroke with and without contralateral spatial neglect |
| topic | clinical characteristics functioning inpatient outcome subacute rehabilitation severity spatial neglect stroke laterality |
| url |
https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2699
|
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