A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

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




TekijätSinikka Tarvonen-Schröder, Tuuli Niemi, Mari Koivisto

KustantajaFOUNDATION REHABILITATION INFORMATION

Julkaisuvuosi2020

JournalJournal of Rehabilitation Medicine

Tietokannassa oleva lehden nimiJOURNAL OF REHABILITATION MEDICINE

Lehden akronyymiJ REHABIL MED

Artikkelin numeroUNSP jrm00071

Vuosikerta52

Numero6

Sivujen määrä6

ISSN1650-1977

eISSN1651-2081

DOIhttps://doi.org/10.2340/16501977-2698

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/48901786


Tiivistelmä
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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