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- Title
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.
- Authors
TARVONEN-SCHRÖDER, Sinikka; NIEMI, Tuuli; KOIVISTO, Mari
- Abstract
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.
- Subjects
CHI-squared test; COMMUNICATION; CONVALESCENCE; FISHER exact test; LIFE skills; LONGITUDINAL method; UNILATERAL neglect; SCIENTIFIC observation; STATISTICS; DATA analysis; DISCHARGE planning; TREATMENT effectiveness; STROKE rehabilitation; MANN Whitney U Test
- Publication
Journal of Rehabilitation Medicine (Stiftelsen Rehabiliteringsinformation), 2020, Vol 52, Issue 6, p1
- ISSN
1650-1977
- Publication type
Article
- DOI
10.2340/16501977-2698