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 |
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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 |
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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 (<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 (<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. H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-4eefd29f1d32cc2e3be104448a3f0967cd7eb37d305eb727bbdadb01ea1d5c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Acute Disease</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Agnosia - etiology</topic><topic>Agnosia - physiopathology</topic><topic>Attention</topic><topic>Female</topic><topic>Functional Laterality</topic><topic>Hemianopsia - epidemiology</topic><topic>Hemianopsia - physiopathology</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Male</topic><topic>Multivariate Analysis</topic><topic>Netherlands - epidemiology</topic><topic>Postural Balance</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Stroke - complications</topic><topic>Stroke - physiopathology</topic><topic>Time Factors</topic><topic>Vibration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><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 (<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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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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