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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Wiley
2023-05-01
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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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id | doaj.art-ffed93498e714dddb92feb363213a1e2 |
institution | Directory Open Access Journal |
issn | 2162-3279 |
language | English |
last_indexed | 2024-04-09T13:13:01Z |
publishDate | 2023-05-01 |
publisher | Wiley |
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series | Brain and Behavior |
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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