Occupational Therapy Unit, Grensás, Landspítali University Hospital, Reykjavík, Iceland.
J Rehabil Med. 2010 Nov;42(10):903-7. doi: 10.2340/16501977-0621.
To explore whether persons with right- and left-sided cerebrovascular accidents differ significantly in mean impact of neurobehavioural impairments on ability to perform activities of daily living.
Retrospective study of data from 215 persons (103 right-sided, 112 left-sided cerebrovascular accident). The Activities of daily living-focused Occupation-based Neurobehavioral Evaluation was used to evaluate ability on an activities of daily living scale and the impact of neurobehavioural impairment on ability on another scale.
To control for possible differences in activities of daily living ability between groups, analysis of covariance, with activities of daily living ability as a covariate, was used to test for a significant difference in impact of neurobehavioural impairments on activities of daily living ability between groups.
Expected moderate correlation (r = -0.57) was obtained between activities of daily living ability and neurobehavioural impact measures, and there was no difference in mean neurobehavioural impact measures between groups (F [1, 212] = 2.910, p = 0.090).
This study is the first to explore directly the impact of neurobehavioural impairment on activities of daily living ability. While persons with right-sided and left-sided cerebrovascular accidents may differ in type of neurobehavioural impairments, direct evaluation of the impact of such impairments on activities of daily living ability reveals no difference between groups.
探索右侧和左侧脑血管意外患者在神经行为损伤对日常生活活动能力的影响方面是否存在显著差异。
对 215 名患者（103 名右侧，112 名左侧脑血管意外）的数据进行回顾性研究。采用以日常生活活动为重点的基于职业的神经行为评估，评估日常生活活动量表上的能力和神经行为损伤对能力的影响量表上的影响。
为了控制组间日常生活活动能力的可能差异，采用协方差分析，将日常生活活动能力作为协变量，检验组间神经行为损伤对日常生活活动能力的影响是否存在显著差异。
获得了日常生活活动能力和神经行为影响测量之间的预期中度相关性（r = -0.57），且组间神经行为影响测量的平均值无差异（F [1, 212] = 2.910, p = 0.090）。
本研究首次直接探讨神经行为损伤对日常生活活动能力的影响。虽然右侧和左侧脑血管意外患者的神经行为损伤类型可能不同，但直接评估这些损伤对日常生活活动能力的影响，两组之间没有差异。
