Beaudoin Audrée Jeanne, Fournier Bénédicte, Julien-Caron Léonie, Moleski Lucie, Simard Joanie, Mercier Louisette, Desrosiers Johanne
School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
Aust Occup Ther J. 2013 Aug;60(4):260-6. doi: 10.1111/1440-1630.12046. Epub 2013 Jun 18.
BACKGROUND/AIM: Visuoperceptual deficits frequently occur after a stroke, but little is known about how they evolve over time. These deficits may have an impact on participation in daily activities and social roles. The aims were to (i) track changes over six months in the visual perception of older adults with persistent visuoperceptual deficits after a stroke; (ii) examine if these changes differed between participants who had and had not received rehabilitation services; and (iii) verify if participation differed between participants with and without visuoperceptual deficits.
Visual perception as well as participation of 189 older adults who had had a stroke were evaluated in the first month (T1) after being discharged home from an acute care hospital (NO REHAB group) or rehabilitation unit (REHAB group). For visual perception, only participants presenting deficits at T1 were re-evaluated at three months (T2; n = 93), and those with deficits at T2 were re-evaluated at six months (T3; n = 61).
A total of 57 people (30.2%) had visuoperceptual deficits six months after discharge home. Despite persistent deficits, approximately 45% of the participants in the two groups improved whereas 50% of the NO REHAB group and 24.3% of the REHAB group deteriorated. Changes in the mean scores on the MVPT-V were similar in the two groups. Participation, and especially participation in social roles, was more restricted in participants with visuoperceptual deficits (P < 0.001), independent of the severity of the stroke.
Visuoperceptual deficits are common post-stroke. However, they evolve differently in different people and are associated with a reduction in participation.
背景/目的：卒中后常出现视知觉缺陷，但对于这些缺陷如何随时间演变知之甚少。这些缺陷可能会影响日常活动参与和社会角色。目的是：（i）追踪卒中后存在持续性视知觉缺陷的老年人在六个月内视知觉的变化；（ii）检查接受和未接受康复服务的参与者之间这些变化是否存在差异；（iii）验证有和没有视知觉缺陷的参与者之间参与度是否存在差异。
对189名卒中后的老年人在从急症医院（未康复组）或康复单元（康复组）出院回家后的第一个月（T1）进行视知觉以及参与度评估。对于视知觉，仅对在T1时存在缺陷的参与者在三个月时（T2；n = 93）进行重新评估，而在T2时存在缺陷的参与者在六个月时（T3；n = 61）进行重新评估。
共有57人（30.2%）在出院回家六个月后存在视知觉缺陷。尽管存在持续性缺陷，但两组中约45%的参与者有所改善，而未康复组中有50%、康复组中有24.3%的参与者病情恶化。两组在MVPT-V平均得分上的变化相似。视知觉缺陷的参与者参与度，尤其是社会角色参与度，受到更多限制（P < 0.001），与卒中严重程度无关。
视知觉缺陷在卒中后很常见。然而，它们在不同个体中的演变方式不同，并且与参与度降低有关。
