Is Visuospatial Hemineglect Really a Determinant of Postural Control Following Stroke? An Acute-Phase Study

Objective. The purpose of this study was to determine the independent contribution of visuospatial hemineglect to impaired postural control in the acute phase (

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Veröffentlicht in:Neurorehabilitation and neural repair 2009-07, Vol.23 (6), p.609-614
Hauptverfasser: van Nes, Ilse J. W., van der Linden, Saskia, Hendricks, Henk T., van Kuijk, Annette A., Rulkens, Marc, Verhagen, Wim I. M., Geurts, Alexander C. H.
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container_end_page 614
container_issue 6
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container_title Neurorehabilitation and neural repair
container_volume 23
creator van Nes, Ilse J. W.
van der Linden, Saskia
Hendricks, Henk T.
van Kuijk, Annette A.
Rulkens, Marc
Verhagen, Wim I. M.
Geurts, Alexander C. H.
description Objective. The purpose of this study was to determine the independent contribution of visuospatial hemineglect to impaired postural control in the acute phase (
doi_str_mv 10.1177/1545968308328731
format Article
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An Acute-Phase Study</title><source>MEDLINE</source><source>SAGE Complete</source><source>Alma/SFX Local Collection</source><creator>van Nes, Ilse J. W. ; van der Linden, Saskia ; Hendricks, Henk T. ; van Kuijk, Annette A. ; Rulkens, Marc ; Verhagen, Wim I. M. ; Geurts, Alexander C. H.</creator><creatorcontrib>van Nes, Ilse J. W. ; van der Linden, Saskia ; Hendricks, Henk T. ; van Kuijk, Annette A. ; Rulkens, Marc ; Verhagen, Wim I. M. ; Geurts, Alexander C. H.</creatorcontrib><description>Objective. The purpose of this study was to determine the independent contribution of visuospatial hemineglect to impaired postural control in the acute phase (&lt;2 weeks) of stroke compared with other possible clinical and biological determinants. Methods. This study was conducted in 4 hospitals in the mid-east region of the Netherlands. A total of 78 consecutive patients with a first-ever acute supratentorial stroke was included. Functional balance was measured with the Trunk Impairment Scale, the Trunk Control Test, the Berg Balance Scale, and the Functional Ambulation Categories. Visuospatial hemineglect was assessed by means of an asymmetry index obtained from the Behavioral Inattention Test. The Motricity Index, vibration threshold, sustained attention, and the presence of hemianopia were registered as other possible clinical determinants. Stepwise backward multiple linear regression analysis was performed introducing all selected clinical determinants as well as age and poststroke time as possible biological determinants. Results. Hemineglect was present in 17 patients (21.8%). The groups with and without hemineglect were different for gender and the proportion of right hemisphere strokes, but not for age, type of stroke, or poststroke time. Neglect patients had on average lower scores on all functional balance tests as well as on the clinical assessments. Multivariate linear regression showed that, besides hemineglect, only muscle strength and age independently contributed to impaired balance explaining 65% to 72% of variance of the selected outcomes. Conclusion. This study showed that hemineglect independently contributes to impaired postural control in the acute phase of stroke.</description><identifier>ISSN: 1545-9683</identifier><identifier>EISSN: 1552-6844</identifier><identifier>DOI: 10.1177/1545968308328731</identifier><identifier>PMID: 19118129</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Acute Disease ; Age Factors ; Aged ; Aged, 80 and over ; Agnosia - etiology ; Agnosia - physiopathology ; Attention ; Female ; Functional Laterality ; Hemianopsia - epidemiology ; Hemianopsia - physiopathology ; Humans ; Linear Models ; Male ; Multivariate Analysis ; Netherlands - epidemiology ; Postural Balance ; Risk Factors ; Sex Factors ; Stroke - complications ; Stroke - physiopathology ; Time Factors ; Vibration</subject><ispartof>Neurorehabilitation and neural repair, 2009-07, Vol.23 (6), p.609-614</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-4eefd29f1d32cc2e3be104448a3f0967cd7eb37d305eb727bbdadb01ea1d5c33</citedby><cites>FETCH-LOGICAL-c408t-4eefd29f1d32cc2e3be104448a3f0967cd7eb37d305eb727bbdadb01ea1d5c33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1545968308328731$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1545968308328731$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19118129$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Nes, Ilse J. W.</creatorcontrib><creatorcontrib>van der Linden, Saskia</creatorcontrib><creatorcontrib>Hendricks, Henk T.</creatorcontrib><creatorcontrib>van Kuijk, Annette A.</creatorcontrib><creatorcontrib>Rulkens, Marc</creatorcontrib><creatorcontrib>Verhagen, Wim I. M.</creatorcontrib><creatorcontrib>Geurts, Alexander C. H.</creatorcontrib><title>Is Visuospatial Hemineglect Really a Determinant of Postural Control Following Stroke? An Acute-Phase Study</title><title>Neurorehabilitation and neural repair</title><addtitle>Neurorehabil Neural Repair</addtitle><description>Objective. The purpose of this study was to determine the independent contribution of visuospatial hemineglect to impaired postural control in the acute phase (&lt;2 weeks) of stroke compared with other possible clinical and biological determinants. Methods. This study was conducted in 4 hospitals in the mid-east region of the Netherlands. A total of 78 consecutive patients with a first-ever acute supratentorial stroke was included. Functional balance was measured with the Trunk Impairment Scale, the Trunk Control Test, the Berg Balance Scale, and the Functional Ambulation Categories. Visuospatial hemineglect was assessed by means of an asymmetry index obtained from the Behavioral Inattention Test. The Motricity Index, vibration threshold, sustained attention, and the presence of hemianopia were registered as other possible clinical determinants. Stepwise backward multiple linear regression analysis was performed introducing all selected clinical determinants as well as age and poststroke time as possible biological determinants. Results. Hemineglect was present in 17 patients (21.8%). The groups with and without hemineglect were different for gender and the proportion of right hemisphere strokes, but not for age, type of stroke, or poststroke time. Neglect patients had on average lower scores on all functional balance tests as well as on the clinical assessments. Multivariate linear regression showed that, besides hemineglect, only muscle strength and age independently contributed to impaired balance explaining 65% to 72% of variance of the selected outcomes. Conclusion. This study showed that hemineglect independently contributes to impaired postural control in the acute phase of stroke.</description><subject>Acute Disease</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Agnosia - etiology</subject><subject>Agnosia - physiopathology</subject><subject>Attention</subject><subject>Female</subject><subject>Functional Laterality</subject><subject>Hemianopsia - epidemiology</subject><subject>Hemianopsia - physiopathology</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Male</subject><subject>Multivariate Analysis</subject><subject>Netherlands - epidemiology</subject><subject>Postural Balance</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Stroke - complications</subject><subject>Stroke - physiopathology</subject><subject>Time Factors</subject><subject>Vibration</subject><issn>1545-9683</issn><issn>1552-6844</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtrGzEUhUVJqZO0-6yCVtlNq-dIswrGqWtDoKY13Q4a6Y4zsTxyJA3B_75jbAgESlf39Z2zuAehG0q-UqrUNyqFrErNieZMK04_oEsqJStKLcTFsReyON4n6CqlZ0IY1xX5hCa0olRTVl2i7TLhP10aQtqb3BmPF7Dreth4sBn_AuP9ARv8ABniuDd9xqHFq5DyEEd4Fvocg8fz4H147foN_j3OW7jH0x5P7ZChWD2ZBON6cIfP6GNrfIIv53qN1vPv69miePz5YzmbPhZWEJ0LAdA6VrXUcWYtA94AJUIIbXhLqlJZp6DhynEioVFMNY0zriEUDHXScn6N7k62-xheBki53nXJgvemhzCkulRcS1FW_wUZlYSVrBxBcgJtDClFaOt97HYmHmpK6mMQ9fsgRsnt2XtoduDeBOfPj0BxApLZQP0chtiPP_m34V8e05Fa</recordid><startdate>20090701</startdate><enddate>20090701</enddate><creator>van Nes, Ilse J. W.</creator><creator>van der Linden, Saskia</creator><creator>Hendricks, Henk T.</creator><creator>van Kuijk, Annette A.</creator><creator>Rulkens, Marc</creator><creator>Verhagen, Wim I. M.</creator><creator>Geurts, Alexander C. H.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>20090701</creationdate><title>Is Visuospatial Hemineglect Really a Determinant of Postural Control Following Stroke? An Acute-Phase Study</title><author>van Nes, Ilse J. W. ; van der Linden, Saskia ; Hendricks, Henk T. ; van Kuijk, Annette A. ; Rulkens, Marc ; Verhagen, Wim I. M. ; Geurts, Alexander C. 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W.</creatorcontrib><creatorcontrib>van der Linden, Saskia</creatorcontrib><creatorcontrib>Hendricks, Henk T.</creatorcontrib><creatorcontrib>van Kuijk, Annette A.</creatorcontrib><creatorcontrib>Rulkens, Marc</creatorcontrib><creatorcontrib>Verhagen, Wim I. M.</creatorcontrib><creatorcontrib>Geurts, Alexander C. H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Neurorehabilitation and neural repair</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Nes, Ilse J. W.</au><au>van der Linden, Saskia</au><au>Hendricks, Henk T.</au><au>van Kuijk, Annette A.</au><au>Rulkens, Marc</au><au>Verhagen, Wim I. M.</au><au>Geurts, Alexander C. H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is Visuospatial Hemineglect Really a Determinant of Postural Control Following Stroke? An Acute-Phase Study</atitle><jtitle>Neurorehabilitation and neural repair</jtitle><addtitle>Neurorehabil Neural Repair</addtitle><date>2009-07-01</date><risdate>2009</risdate><volume>23</volume><issue>6</issue><spage>609</spage><epage>614</epage><pages>609-614</pages><issn>1545-9683</issn><eissn>1552-6844</eissn><abstract>Objective. The purpose of this study was to determine the independent contribution of visuospatial hemineglect to impaired postural control in the acute phase (&lt;2 weeks) of stroke compared with other possible clinical and biological determinants. Methods. This study was conducted in 4 hospitals in the mid-east region of the Netherlands. A total of 78 consecutive patients with a first-ever acute supratentorial stroke was included. Functional balance was measured with the Trunk Impairment Scale, the Trunk Control Test, the Berg Balance Scale, and the Functional Ambulation Categories. Visuospatial hemineglect was assessed by means of an asymmetry index obtained from the Behavioral Inattention Test. The Motricity Index, vibration threshold, sustained attention, and the presence of hemianopia were registered as other possible clinical determinants. Stepwise backward multiple linear regression analysis was performed introducing all selected clinical determinants as well as age and poststroke time as possible biological determinants. Results. Hemineglect was present in 17 patients (21.8%). The groups with and without hemineglect were different for gender and the proportion of right hemisphere strokes, but not for age, type of stroke, or poststroke time. Neglect patients had on average lower scores on all functional balance tests as well as on the clinical assessments. Multivariate linear regression showed that, besides hemineglect, only muscle strength and age independently contributed to impaired balance explaining 65% to 72% of variance of the selected outcomes. Conclusion. This study showed that hemineglect independently contributes to impaired postural control in the acute phase of stroke.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>19118129</pmid><doi>10.1177/1545968308328731</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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1552-6844
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subjects Acute Disease
Age Factors
Aged
Aged, 80 and over
Agnosia - etiology
Agnosia - physiopathology
Attention
Female
Functional Laterality
Hemianopsia - epidemiology
Hemianopsia - physiopathology
Humans
Linear Models
Male
Multivariate Analysis
Netherlands - epidemiology
Postural Balance
Risk Factors
Sex Factors
Stroke - complications
Stroke - physiopathology
Time Factors
Vibration
title Is Visuospatial Hemineglect Really a Determinant of Postural Control Following Stroke? An Acute-Phase Study
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