Predicting functional outcome after stroke: the influence of neglect on basic activities in daily living
Predicting functional outcome after stroke: the influence of neglect on basic activities in daily living
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DOI：
10.3389/fnhum.2013.00182
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发表时间：
2013-05-09
影响因子：
2.9
通讯作者：
Visser-Meily, Anne
中科院分区：
文献类型：
--
作者：
Nijboer, Tanja;van de Port, Ingrid;Visser-Meily, Anne
中风导致的一个突出缺陷是视觉空间忽视，这与感觉运动障碍的恢复模式更慢和更弱以及日常生活活动（ADL）的限制有关。本研究的目的是进一步明确日常生活活动的不同领域的忽视和恢复之间的关系。184名患者在住院康复的第一周进行了功能独立性评估，并在卒中后6个月，12个月和36个月再次进行评估。平均而言，忽视患者得分显着较低的自我照顾，转移，和运动相比，非忽视患者，但这些差异随着时间的推移变得越来越小。总体而言，两组之间的括约肌控制和认知没有差异。与轻度忽视的患者相比，更严重的忽视患者在自我护理和转移方面的得分显着降低。在康复过程中，重要的是要测试的独立性在日常生活活动领域的忽视，以确定现实的治疗目标。目前的研究结果可以考虑在亚急性期的早期多学科干预计划，以优化恢复ADL。
One prominent deficit resulting from stroke is visuo-spatial neglect, which has been associated with slower and more attenuated recovery patterns of sensory-motor impairment as well as limitations in activities of daily living (ADL). The aim of the current study was to further specify the relationship between neglect and recovery of different domains of ADL. One hundred eighty four patients were assessed with the Functional Independence Measure in the first week of inpatient rehabilitation, and again at 6, 12, and 36 months post-stroke. On average, neglect patients scored significantly lower on Self-care, Transfers, and Locomotion compared to non-neglect patients, but these differences became smaller with progress of time. Overall, no differences between groups were found for Sphincter control and Cognition. Patients with more severe neglect scored significantly lower on Self-care and Transfers compared to patients with mild neglect. During rehabilitation, it would be of importance to test for independence in ADL domains in neglect in order to define realistic treatment goals. The current findings could be taken into account in early multidisciplinary intervention planning in the sub-acute phase, to optimize regaining ADL.