Division of Physical Medicine and Rehabilitation, Presidio Sanitario San Camillo, Strada Santa Margherita 136, Turin, Italy.
Arch Phys Med Rehabil. 2011 Aug;92(8):1250-6. doi: 10.1016/j.apmr.2011.03.018.
To investigate the relationship between severity of unilateral spatial neglect (USN) and functional recovery in activities of daily living after a right-hemisphere stroke.
Observational study.
Rehabilitation hospital in Italy.
We investigated 107 of 131 inpatients with right-hemisphere stroke who were consecutively admitted to our rehabilitation hospital.
Not applicable.
To assess USN severity, conventional and nonconventional Behavioral Inattention Tests (BITs) were performed at admission to inpatient rehabilitation at a median of 19 days after stroke occurrence. FIM was performed both on admission to and discharge from inpatient rehabilitation to assess functional autonomy. FIM efficiency (improvement of FIM score per day of stay length) and FIM effectiveness (proportion of potential improvement achieved) were calculated.
Fifty-four (50.5%) of the 107 patients were affected by USN. In these 54 patients, both conventional and nonconventional BIT scores were significantly correlated with FIM scores assessed at discharge from rehabilitation: ρ values were .385 (P=.004) and .396 (P=.003), respectively. After adjustment for 7 potential confounders, including FIM scores before rehabilitation, we found a significant positive association between either conventional or nonconventional BIT scores and FIM scores after rehabilitation (r=.276, P=.047 and r=.296, P=.033, respectively), FIM efficiency (r=.315, P=.022 and r=.307, P=.025, respectively), and FIM effectiveness (r=.371, P=.006 and r=.306, P=.026, respectively).
Data support the independent prognostic role of USN severity assessed at admission to inpatient rehabilitation after a right-hemisphere stroke. Models aimed at predicting the functional outcome in stroke survivors may benefit from inclusion of USN severity.
研究右侧半球卒中后单侧空间忽略（USN）严重程度与日常生活活动功能恢复之间的关系。
观察性研究。
意大利康复医院。
我们调查了连续入住我院康复医院的 131 例右侧半球卒中住院患者中的 107 例。
无。
为了评估 USN 严重程度，在卒中发生后 19 天中位数时，于住院康复时入院时进行了常规和非传统行为忽略测试（BIT）。入院和出院时进行 FIM 以评估功能自主性。计算 FIM 效率（入住长度每天 FIM 评分的改善）和 FIM 效果（实现的潜在改善比例）。
107 例患者中有 54 例（50.5%）患有 USN。在这 54 例患者中，常规和非传统 BIT 评分均与康复出院时的 FIM 评分显著相关：ρ 值分别为.385（P=.004）和.396（P=.003）。在校正 7 个潜在混杂因素（包括康复前的 FIM 评分）后，我们发现常规或非传统 BIT 评分与康复后的 FIM 评分之间存在显著正相关（r=.276，P=.047 和 r=.296，P=.033），FIM 效率（r=.315，P=.022 和 r=.307，P=.025）和 FIM 效果（r=.371，P=.006 和 r=.306，P=.026）。
数据支持右侧半球卒中后住院康复时入院时 USN 严重程度的独立预后作用。旨在预测卒中幸存者功能结局的模型可能受益于 USN 严重程度的纳入。
