Refereed journal article or data article (A1)

Clinical and functional differences between right and left stroke with and without contralateral spatial neglect




List of AuthorsSinikka Tarvonen-Schröder, Tuuli Niemi, Mari Koivisto

PublisherFOUNDATION REHABILITATION INFORMATION

Publication year2020

JournalJournal of Rehabilitation Medicine

Journal name in sourceJOURNAL OF REHABILITATION MEDICINE

Journal acronymJ REHABIL MED

Volume number52

Issue number6

Number of pages8

ISSN1650-1977

eISSN1651-2081

DOIhttp://dx.doi.org/10.2340/16501977-2699

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/48902069


Abstract
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.

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Last updated on 2022-07-04 at 17:58