Patterns of recovery from hemiplegia following stroke

Abstract The aim of this study was to consider the controversial issue of the specific difficulties suffered by right brain-damaged (RBD) patients recovering from hemiplegia. Ninety patients under rehabilitation participated. Behavioural variables (impairment and recovery of basic motor capacities, functional abilities, walking, and activities in daily living (ADL)) and visual attentional variables (contralesional neglect and ipsilesional performance) were measured. Some of the impairment and recovery variables were used in a factorial analysis (multiple component analysis) in order to obtain subgrouping of the patient sample. A majority effect was observed from the first two axes, which form a hierarchical scale and can be interpreted as a general scale of ability (impairment and recovery). The patients placed in this first group (62% of the sample) can be divided into four subgroups, ranging from mild to major impairment: recovery varied but functional improvement was consistent with basic motor improve...

[1]  A. Henderson,et al.  Patterns of visual spatial inattention and their functional significance in stroke patients. , 1993, Archives of physical medicine and rehabilitation.

[2]  E P Salathé,et al.  Biomechanical analysis of the knee extension exercise. , 1993, Archives of physical medicine and rehabilitation.

[3]  M. Dombovy,et al.  Rehabilitation for stroke: a review. , 1986, Stroke.

[4]  Joel B. Greenhouse,et al.  Characteristics of recovery of drawing ability in left and right brain-damaged patients , 1988, Brain and Cognition.

[5]  T. Shallice From Neuropsychology to Mental Structure: Converging Operations: Specific Syndromes and Evidence from Normal Subjects , 1988 .

[6]  D. Levine,et al.  Covariant Defects in Visuospatial Abilities and Recall of Verbal Narrative After Right Hemisphere Stroke , 1986, Cortex.

[7]  E. Miller Recovery and management of neuropsychological impairments , 1984 .

[8]  Problems of Methodological Heterogeneity in Studies Predicting Disability After Stroke , 1990, Stroke.

[9]  L. Hurwitz,et al.  Rehabilitation of hemiplegia: indices of assessment and prognosis. , 1972, British medical journal.

[10]  A. Finset,et al.  Neuropsychological predictors in stroke rehabilitation. , 1988, Journal of clinical and experimental neuropsychology.

[11]  M. Kelly‐Hayes Time Intervals, Survival, and Destination: Three Crucial Variables in Stroke Outcome Research , 1990, Stroke.

[12]  R L Hewer,et al.  Functional abilities after stroke: measurement, natural history and prognosis , 2012, Journal of Neurology, Neurosurgery & Psychiatry.

[13]  S. Bandinelli,et al.  Recovery of Functional Status After Stroke: A Postrehabilitation Follow‐up Study , 1993, Stroke.

[14]  R. Stout,et al.  ALBERT'S TEST: A NEGLECTED TEST OF PERCEPTUAL NEGLECT , 1986, The Lancet.

[15]  John C. Marshall,et al.  Idealisation meets psychometrics: The case for the right groups and the right individuals , 1988 .

[16]  J. Olver,et al.  Analysis of the Syndrome of Unilateral Neglect , 1993, Cortex.

[17]  H. Gardner,et al.  9 – Missing the Point: The Role of the Right Hemisphere in the Processing of Complex Linguistic Materials1 , 1983 .

[18]  G. Denes,et al.  Unilateral spatial neglect and recovery from hemiplegia: a follow-up study. , 1982, Brain : a journal of neurology.

[19]  I. Robertson,et al.  Spatiomotor cueing in unilateral left neglect: three case studies of its therapeutic effects. , 1992, Journal of neurology, neurosurgery, and psychiatry.

[20]  D. Caplan On the role of group studies in neuropsychological and pathopsychological research , 1988 .

[21]  G. Assal,et al.  A comparison of constructive deficits following right and left hemispheric lesions. , 1970, Neuropsychologia.

[22]  S. Stone,et al.  Selection of acute stroke patients for treatment of visual neglect. , 1993, Journal of neurology, neurosurgery, and psychiatry.

[23]  G. Gainotti,et al.  Contralateral and ipsilateral disorders of visual attention in patients with unilateral brain damage. , 1990, Journal of neurology, neurosurgery, and psychiatry.

[24]  D. Wade,et al.  Stroke: influence of patient's sex and side of weakness on outcome. , 1984, Archives of physical medicine and rehabilitation.

[25]  J. Bogousslavsky,et al.  Prolonged hypoperfusion and early stroke after transient ischemic attack. , 1990, Stroke.

[26]  Pierre Goulet,et al.  Criterion-specific reduction of verbal fluency in right brain-damaged right-handers , 1986, Neuropsychologia.

[27]  J. Fletcher,et al.  Classification in neuropsychology: a theoretical framework and research paradigm. , 1988, Journal of clinical and experimental neuropsychology.

[28]  C. Helgason,et al.  Capsular hypesthetic ataxic hemiparesis. , 1990, Stroke.

[29]  R. Bruyer,et al.  Ipsilateral influences on contralateral processing in neglect patients , 1989 .

[30]  Yves Joanette,et al.  Pointing with left vs right hand in left visual field neglect , 1986, Neuropsychologia.

[31]  John C. Marshall,et al.  Left Visuo-Spatial Neglect: A Meaningless Entity? , 1992, Cortex.

[32]  J. Edmans,et al.  The accuracy of predictions about progress of patients on a stroke unit. , 1990, Journal of neurology, neurosurgery, and psychiatry.

[33]  J. Duhamel,et al.  Sensorimotor aspects of unilateral neglect: A single case analysis , 1990 .

[34]  Ian H. Robertson,et al.  Active and passive activation of left limbs: Influence on visual and sensory neglect , 1993, Neuropsychologia.

[35]  M. Brandstater An Overview of Stroke Rehabilitation , 1990, Stroke.

[36]  R. Frasca,et al.  Attentional load and visual neglect. , 1992, The International journal of neuroscience.

[37]  T. P. Anderson Studies Up to 1980 on Stroke Rehabilitation Outcomes , 1990, Stroke.

[38]  N B Lincoln,et al.  An investigation of factors affecting progress of patients on a stroke unit. , 1989, Journal of neurology, neurosurgery, and psychiatry.

[39]  R. Clarke,et al.  Theory and Applications of Correspondence Analysis , 1985 .

[40]  A. Caramazza,et al.  The case for single-patient studies , 1988 .

[41]  L. Jongbloed Prediction of function after stroke: a critical review. , 1986, Stroke.

[42]  M. Kotila,et al.  Four-year prognosis of stroke patients with visuospatial inattention. , 1986, Scandinavian journal of rehabilitation medicine.