[논문]Effect of subtypes of neglect on functional outcome in stroke patients

Spaccavento, Simona; Cellamare, Fara; Falcone, Rosanna; Loverre, Anna; Nardulli, Roberto

doi:10.1016/j.rehab.2017.07.245

Effect of subtypes of neglect on functional outcome in stroke patients 원문보기

Annals of physical and rehabilitation medicine, v.60 no.6, 2017년, pp.376 - 381

Spaccavento, Simona (Corresponding author. Fax: +39 080 7814310.) , Cellamare, Fara , Falcone, Rosanna , Loverre, Anna , Nardulli, Roberto

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Abstract Objective Because of the loss of autonomy in daily-life activities, spatial neglect after stroke is one of the main causes of disability. According to the spatial domains, neglect can be divided into personal (body), peripersonal (reaching) and extrapersonal (far) space. We evaluated the effect of these subtypes of neglect on functional outcome of rehabilitation in stroke patients. Methods A total of 1350 stroke patients were consecutively admitted into our neurorehabilitation unit from 2002 to 2016. We analyzed data for patients with a first ischemic or hemorrhagic right-hemispheric stroke in this observational retrospective study. The presence of neglect was evaluated by using structured tests for specific spatial domains. Patients underwent individual physical and occupational therapy, and those with neglect received specific therapy for 8 consecutive weeks consisting of visual scanning, reading and copying, copying line drawings on a dot matrix and describing scenes. The Functional Independence Measure (FIM) instrument was administered at both admission and discharge to assess functional autonomy. Rehabilitation effectiveness for FIM (percentage of potential improvement achieved) was calculated. Multiple regression analyses were performed. Results Among 359 patients with right-brain damage, 130 showed left neglect, or unilateral spatial neglect (USN), and 229 only left hemiparesis, without neglect. Overall, 90 patients (69%) with USN showed peripersonal neglect, 89 (68%) extrapersonal neglect and 60 (46%) personal neglect. Functional motor and cognitive impairment was greater with than without USN as measured by FIM at admission and discharge and the rehabilitation hospital stay was longer. USN affected functional status at admission and rehabilitation effectiveness for FIM. Extrapersonal and peripersonal neglect significantly affected both function at admission and effectiveness. Conclusions Our data confirm the negative prognostic effect of neglect on functional outcome in a large sample. We also show the importance of evaluating and training according to neglect subtype to improve functional independence.

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참고문헌 (31)

Neuropsychologia Bisiach 24 759 1986 10.1016/0028-3932(86)90075-8 Unilateral neglect: personal and extrapersonal

상세보기
Ann Phys Rehabil Med Lunven 60 124 2017 10.1016/j.rehab.2016.01.004 Attention and spatial cognition: neural and anatomical substrates of visual neglect

상세보기
Age Ageing Stone 22 46 1993 10.1093/ageing/22.1.46 The incidence of neglect phenomena and related disorders in patients with an acute right or left hemisphere stroke

상세보기
Neurology Ringman 63 468 2004 10.1212/01.WNL.0000133011.10689.CE Frequency, risk factor, anatomy and course of unilateral neglect in an acute stroke cohort

상세보기
J Clin Exp Neuropsychol Ten Brink 39 707 2017 10.1080/13803395.2016.1262333 Differences between left- and right-sided neglect revisited: a large cohort study across multiple domains

상세보기
Cogn Neuropsychol Driver 8 475 1991 10.1080/02643299108253384 Can visual neglect operate in object-centered co-ordinates? An affirmative single-case study

상세보기
Brain Cogn Arguin 22 148 1993 10.1006/brcg.1993.1030 Modulation of the directional attention deficits in visual neglect by hemispatial factors

상세보기
Neuropsychologia Karnath 50 1010 2012 10.1016/j.neuropsychologia.2011.06.027 The anatomy of spatial neglect

상세보기
Neuropsychology Salvato 28 706 2014 10.1037/neu0000062 In serach of the disappeared half of it: 35 years of studies on representational neglect

상세보기
Ann Phys Rehabil Med Rode 2016 Semiology of neglect: an update
Arch Phys Med Rehabil Di Monaco 92 1250 2011 10.1016/j.apmr.2011.03.018 severity of unilateral spatial neglect is an independent predictor of functional outcome after acute inpatient rehabilitation in individuals with right hemispheric stroke

상세보기
Eur Neurol Paolucci 36 385 1996 10.1159/000117298 Predicting stroke inpatient rehabilitation outcome: the prominent role of neuropsychological disorders

상세보기
Cortex Vossel 49 1782 2013 10.1016/j.cortex.2012.12.011 Anosognosia, neglect, extinction and lesion site predict impairment of daily living after right-hemispheric stroke

상세보기
Eur J Phys Rehabil Med Matano 51 737 2015 Does outcome of neuropsychological treatment in patients with unilateral spatial neglect after stroke affect functional outcome?

상세보기
Ricerca in Riabilitazione 2 1 1993 FIM versione italiana, manuale d’uso
Neuropsychol Rehabil Zoccolotti 2 179 1992 10.1080/09602019208401407 Psychometric characteristics of two semi-structured scales for the functional evaluation of hemi-inattention in extrapersonal and personal space

상세보기
Psyhol Assess Pizzamiglio 5 199 1989 Toward a comprehensive diagnosis of visual-spatial disorders in unilateral brain-damaged patients
J Clin Exp Neuropsychol Pizzamiglio 14 901 1992 10.1080/01688639208402543 Cognitive rehabilitation of the hemineglect disorder in chronic patients with unilateral right brain damage

상세보기
Stroke Shah 21 241 1990 10.1161/01.STR.21.2.241 Efficiency, effectiveness and duration of stroke rehabilitation

상세보기
Stroke Vanclay 22 105 1991 10.1161/01.STR.22.1.105 Functional outcome measures in stroke rehabilitation

상세보기
Arch Phys Med Rehabil Paolucci 82 743 2001 10.1053/apmr.2001.23191 The role of unilateral spatial neglect in rehabilitation of right brain-damaged ischemic stroke patients: a matched comparison

상세보기
Eur J Phys Rehabil Med Iosa 2015 Recovery of personal neglect
Behav Neurol Nijboer 2014 10.1155/2014/526407 Functional assessment of region-specific neglect: are there differential behavioural consequences of peripersonal versus extrapersonal neglect?

상세보기
Neuropsychologia Guariglia 30 1001 1992 10.1016/0028-3932(92)90051-M Personal and extrapersonal space: a case of neglect dissociation

상세보기
Cortex Beschin 33 379 1997 10.1016/S0010-9452(08)70013-3 Personal versus extrapersonal neglect: a group study of their dissociation using a reliable clinical test

상세보기
Brain Committeri 130 431 2007 10.1093/brain/awl265 Neural bases of personal and extrapersonal neglect in humans

상세보기
Brain Verdon 133 880 2010 10.1093/brain/awp305 Neuroanatomy of hemispatial neglect and its functional components: a study using voxel-based lesion symptom mapping

상세보기
Stroke Gialanella 36 2687 2005 10.1161/01.STR.0000189627.27562.c0 Functional recovery after hemiplegia in patients with neglect. The rehabilitative role of anosognosia

상세보기
Arch Phys Med Rehabil Katz 80 379 1999 10.1016/S0003-9993(99)90273-3 Functional disability and rehabilitation outcome in right hemisphere damaged patient with and without unilateral spatial neglect

상세보기
J Rehabil Med Appelros 35 254 2003 10.1080/16501970310012455 Prognosis for patients with neglect and anosognosia with special reference to cognitive impairment

상세보기
Cortex Vossel 49 1782 2013 10.1016/j.cortex.2012.12.011 Anosognosia, neglect, extinction and lesion site predict impairment of daily living after right-hemispheric stroke

상세보기

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Effect of subtypes of neglect on functional outcome in stroke patients 원문보기

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