Recovery process of vertical perception and activities of daily living in stroke patients: A retrospective cohort study

Abstract Introduction Clarifications regarding the recovery process of the subjective postural vertical (SPV) and activities of daily living in stroke patients are required to help clinicians determine treatment plans. Therefore, we aimed to investigate the characteristics of the longitudinal recove...

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Main Authors: Kota Sawa, Kazu Amimoto, Keisuke Ishigami, Takuya Miyamoto, Chika Ishii, Rikuya Suzuki, Miko Tamura, Akira Morizane, Chikashi Komatsu, Mitsusuke Miyagami
Format: Article
Language:English
Published: Wiley 2023-05-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.3001
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author Kota Sawa
Kazu Amimoto
Keisuke Ishigami
Takuya Miyamoto
Chika Ishii
Rikuya Suzuki
Miko Tamura
Akira Morizane
Chikashi Komatsu
Mitsusuke Miyagami
author_facet Kota Sawa
Kazu Amimoto
Keisuke Ishigami
Takuya Miyamoto
Chika Ishii
Rikuya Suzuki
Miko Tamura
Akira Morizane
Chikashi Komatsu
Mitsusuke Miyagami
author_sort Kota Sawa
collection DOAJ
description Abstract Introduction Clarifications regarding the recovery process of the subjective postural vertical (SPV) and activities of daily living in stroke patients are required to help clinicians determine treatment plans. Therefore, we aimed to investigate the characteristics of the longitudinal recovery process of SPV and activities of daily living after stroke. Methods Overall, 109 patients with stroke were enrolled. Clinical assessments included the SPV and total functional independence measure (FIM), initially and after 1 month. The mean and standard deviation of SPV indicated the directional and variability errors, respectively. Participants were categorized as follows: nondeviation group comprised directional and variability errors within the standard values, deviation of variability errors group comprised directional errors within the standard value and variability errors greater than the standard value, and deviation of both directional and variability errors group comprised directional and variability errors greater than the standard values. In addition, a two‐way analysis of variance was performed for initial pre‐ and post‐SPV, and pre‐ and posttotal FIM scores (p < .05). Results The deviation of variability errors group, and deviation of both directional and variability errors group, had larger SPV variability errors than did the nondeviation group. Furthermore, the deviation of variability errors group showed a significant improvement in variability errors after 1 month. There was a correlation between the initial SPV with eyes opened variability error and total FIM after 1 month in Pusher patients with unilateral spatial neglect in the deviation of both directional and variability errors group. Conclusions SPV with eyes opened variability errors and initial FIM score may influence the independence of activities of daily living after 1 month in the recovery of patients with stroke with Pusher and unilateral spatial neglect.
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spelling doaj.art-ffed93498e714dddb92feb363213a1e22023-05-12T06:32:35ZengWileyBrain and Behavior2162-32792023-05-01135n/an/a10.1002/brb3.3001Recovery process of vertical perception and activities of daily living in stroke patients: A retrospective cohort studyKota Sawa0Kazu Amimoto1Keisuke Ishigami2Takuya Miyamoto3Chika Ishii4Rikuya Suzuki5Miko Tamura6Akira Morizane7Chikashi Komatsu8Mitsusuke Miyagami9Department of Physical Therapy, Faculty of Health Sciences Ryotokuji University Urayasu Chiba JapanDepartment of Physiotherapy, Graduate School of Human Health Sciences Tokyo Metropolitan University Arakawa‐ku Tokyo JapanDepartment of Rehabilitation Takenotsuka Noshinkei Rehabilitation Hospital Adachi‐ku Tokyo JapanDepartment of Rehabilitation Takenotsuka Noshinkei Rehabilitation Hospital Adachi‐ku Tokyo JapanDepartment of Rehabilitation Takenotsuka Noshinkei Rehabilitation Hospital Adachi‐ku Tokyo JapanDepartment of Rehabilitation Takenotsuka Noshinkei Rehabilitation Hospital Adachi‐ku Tokyo JapanDepartment of Rehabilitation Tokyo Sakura Hospital Edogawa‐ku Tokyo JapanDepartment of Rehabilitation Takenotsuka Noshinkei Rehabilitation Hospital Adachi‐ku Tokyo JapanDepartment of Rehabilitation Takenotsuka Noshinkei Rehabilitation Hospital Adachi‐ku Tokyo JapanDepartment of Rehabilitation Takenotsuka Noshinkei Rehabilitation Hospital Adachi‐ku Tokyo JapanAbstract Introduction Clarifications regarding the recovery process of the subjective postural vertical (SPV) and activities of daily living in stroke patients are required to help clinicians determine treatment plans. Therefore, we aimed to investigate the characteristics of the longitudinal recovery process of SPV and activities of daily living after stroke. Methods Overall, 109 patients with stroke were enrolled. Clinical assessments included the SPV and total functional independence measure (FIM), initially and after 1 month. The mean and standard deviation of SPV indicated the directional and variability errors, respectively. Participants were categorized as follows: nondeviation group comprised directional and variability errors within the standard values, deviation of variability errors group comprised directional errors within the standard value and variability errors greater than the standard value, and deviation of both directional and variability errors group comprised directional and variability errors greater than the standard values. In addition, a two‐way analysis of variance was performed for initial pre‐ and post‐SPV, and pre‐ and posttotal FIM scores (p < .05). Results The deviation of variability errors group, and deviation of both directional and variability errors group, had larger SPV variability errors than did the nondeviation group. Furthermore, the deviation of variability errors group showed a significant improvement in variability errors after 1 month. There was a correlation between the initial SPV with eyes opened variability error and total FIM after 1 month in Pusher patients with unilateral spatial neglect in the deviation of both directional and variability errors group. Conclusions SPV with eyes opened variability errors and initial FIM score may influence the independence of activities of daily living after 1 month in the recovery of patients with stroke with Pusher and unilateral spatial neglect.https://doi.org/10.1002/brb3.3001activities of daily livingstrokesubjective postural vertical
spellingShingle Kota Sawa
Kazu Amimoto
Keisuke Ishigami
Takuya Miyamoto
Chika Ishii
Rikuya Suzuki
Miko Tamura
Akira Morizane
Chikashi Komatsu
Mitsusuke Miyagami
Recovery process of vertical perception and activities of daily living in stroke patients: A retrospective cohort study
Brain and Behavior
activities of daily living
stroke
subjective postural vertical
title Recovery process of vertical perception and activities of daily living in stroke patients: A retrospective cohort study
title_full Recovery process of vertical perception and activities of daily living in stroke patients: A retrospective cohort study
title_fullStr Recovery process of vertical perception and activities of daily living in stroke patients: A retrospective cohort study
title_full_unstemmed Recovery process of vertical perception and activities of daily living in stroke patients: A retrospective cohort study
title_short Recovery process of vertical perception and activities of daily living in stroke patients: A retrospective cohort study
title_sort recovery process of vertical perception and activities of daily living in stroke patients a retrospective cohort study
topic activities of daily living
stroke
subjective postural vertical
url https://doi.org/10.1002/brb3.3001
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