Cherney L R, Halper A S, Kwasnica C M, Harvey R L, Zhang M
Rehabilitation Institute of Chicago and Physical Medicine and Rehabilitation, Northwestern University Medical School, Chicago, IL, USA.
Arch Phys Med Rehabil. 2001 Mar;82(3):322-8. doi: 10.1053/apmr.2001.21511.
To evaluate relationships between unilateral spatial neglect and both overall and cognitive-communicative functional outcomes in patients with right hemisphere stroke.
Assessment of overall and cognitive-communicative function was conducted on admission to acute rehabilitation, at discharge, and at 3-month follow-up.
Urban, acute inpatient rehabilitation facility.
Fifty-two consecutive admissions of adult right-handed patients with a single, right hemispheric stroke, confirmed by computed tomography scan.
The FIM instrument and reading comprehension and written expression items of the Rehabilitation Institute of Chicago Functional Assessment Scale(R).
Patients made significant functional gains between admission and discharge, and between discharge and follow-up on the FIM. Severity of neglect was correlated with total, motor, and cognitive FIM scores at admission, discharge, and follow-up. Subjects with neglect had significantly more days from onset to admission and a longer length of rehabilitation stay than subjects without neglect. FIM outcomes were significantly different for subject groups with more severe neglect. Both the presence of neglect and its severity were significantly related to functional outcomes for reading and writing.
Patients with neglect show reduced overall and cognitive-communicative functional performance and outcome than patients without neglect. Further studies are needed to explore causal relationships between these factors.
评估右侧半球卒中患者单侧空间忽略与整体及认知-交流功能结局之间的关系。
在急性康复入院时、出院时及3个月随访时对整体及认知-交流功能进行评估。
城市急性住院康复机构。
经计算机断层扫描证实为单次右侧半球卒中的52例连续入院的成年右利手患者。
FIM工具以及芝加哥康复研究所功能评估量表（R）的阅读理解和书面表达项目。
患者在入院与出院之间以及出院与随访之间FIM功能有显著改善。忽略的严重程度与入院、出院及随访时的FIM总分、运动和认知评分相关。有忽略的受试者从发病到入院的天数显著更多，康复住院时间比无忽略的受试者更长。对于忽略更严重的受试者组，FIM结局有显著差异。忽略的存在及其严重程度均与阅读和写作的功能结局显著相关。
与无忽略的患者相比，有忽略的患者整体及认知-交流功能表现和结局较差。需要进一步研究来探讨这些因素之间的因果关系。
