Comparison of functional recovery and outcome at discharge from subacute inpatient rehabilitation in patients with right or left stroke with and without contralateral spatial neglect

: Sinikka Tarvonen-Schröder, Tuuli Niemi, Mari Koivisto

Publisher: FOUNDATION REHABILITATION INFORMATION

: 2020

: Journal of Rehabilitation Medicine

: JOURNAL OF REHABILITATION MEDICINE

: J REHABIL MED

: UNSP jrm00071

: 52

: 6

: 1650-1977

: 1651-2081

DOI: https://doi.org/10.2340/16501977-2698

: https://research.utu.fi/converis/portal/detail/Publication/48901786

Objective: To compare to what extent the presence of contralateral spatial neglect affects functional recovery and outcome among patients with right or left stroke after subacute inpatient rehabilitation.Methods: Observational cohort study comparing functional improvement and outcome. The same admission data-set was used as in part 1 of this study.Results: Right and left stroke rehabilitants with equally mild neglect and those without neglect (a total of 4 subgroups) all improved proportionally as much, but those with neglect, irrespective of stroke side needed a longer stay in inpatient rehabilitation. At discharge, total disability did not differ significantly between the 2 neglect subgroups, but those with left stroke had significantly lower Functional Independence Measure cognitive sub-score and score in communication. Rehabilitants with neglect, irrespective of stroke side had higher motor, cognitive and total disability and were more often institutionalized than those without neglect.Conclusion: Mild neglect did not impair recovery after right or left stroke, but rehabilitants with neglect were more disabled and needed a longer rehabilitation inpatient stay than those without neglect.

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