Impact of Neglect on the Relationship Between Upper Limb Motor Function and Upper Limb Performance in the (Hyper)acute Poststroke Phase.

Visuospatial neglect (VSN) is a negative, strong, and independent predictor of poor outcome after stroke, and is associated with poorer upper limb (UL) motor recovery in terms of function or capacity (ie, in standardized, lab-based testing). Although the main aim of stroke rehabilitation is to re-es...

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Publicado en:Neurorehabilitation & Neural Repair Vol. 39; no. 2; pp. 138 - 142
Autores principales: Veerbeek, Janne M., Rühe, Henrik, Ottiger, Beatrice, Bohlhalter, Stephan, Nyffeler, Thomas, Cazzoli, Dario
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Feb2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2025
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Impact of Neglect on the Relationship Between Upper Limb Motor Function and Upper Limb Performance in the (Hyper)acute Poststroke Phase.
      aug:
        au:
          Veerbeek, Janne M.
          Rühe, Henrik
          Ottiger, Beatrice
          Bohlhalter, Stephan
          Nyffeler, Thomas
          Cazzoli, Dario
        affil: Clinic for Neurology and Neurorehabilitation, Luzerner Kantonsspital, University Teaching and Research Hospital, and University of Lucerne, Lucerne, Switzerland
      sug:
        subj:
          Stroke Complications
          Visual Perception
          Spatial Perception
          Motor Activity Evaluation
          Upper Extremity Physiology
          Functional Assessment
          Funding Source
          Human
          Stroke Patients
          Dynamometry
          Survivors
          Scales
          Convenience Sample
          Prospective Studies
          Nonexperimental Studies
          Cross Sectional Studies
          Grip Strength
          Male
          Female
          Multiple Linear Regression
          Attention
          Stroke Rehabilitation
          Activities of Daily Living
          Unilateral Neglect
          Male
          Female
      ab: Visuospatial neglect (VSN) is a negative, strong, and independent predictor of poor outcome after stroke, and is associated with poorer upper limb (UL) motor recovery in terms of function or capacity (ie, in standardized, lab-based testing). Although the main aim of stroke rehabilitation is to re-establish optimal functioning in daily life, the impact of VSN on UL performance (ie, in unstructured, everyday environments) is largely unknown. In this proof of principle study, the impact of VSN on the strength of the association between UL motor function (Jamar Hand Dynamometer) and UL performance (Upper Limb Lucerne ICF-based Multidisciplinary Observation Scale) was investigated in 65 (hyper)acute first-ever stroke patients. In a moderator analysis, the interaction term was negative and significant, showing that VSN suppresses the use of UL motor function in daily life (ie, performance). This finding suggests that, when considering UL performance in the (hyper)acute phase after stroke, interventions aimed to reduce deficits in both UL motor function and visuospatial function should already be started in the acute stroke unit setting.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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