Back to Search
Start Over
Time to Recovery From Lateropulsion Dependent on Key Stroke Deficits
- Source :
- Neurorehabilitation and Neural Repair. 29:207-213
- Publication Year :
- 2014
- Publisher :
- SAGE Publications, 2014.
-
Abstract
- Background. Lateropulsion, a postural control disorder, delays recovery following hemispheric stroke. The number of stroke impairments may lead to differential recovery rates, depending on the intact systems available for recovery from lateropulsion. Objective. To study the impact of key postural control deficits on lateropulsion rate of recovery following stroke. Methods. Through retrospective analysis: 169 patients with hemispheric stroke in an in-patient rehabilitation facility were divided into 3 groups: (1) motor deficits only; (2) motor and hemianopic or visual–spatial deficits or motor and proprioceptive deficits; and (3) motor, proprioceptive, and hemianopic or visual–spatial deficits. Kaplan–Meier survival analysis determined if time to recovery from lateropulsion (achieving a score of 0 or 1 on the Burke Lateropulsion Scale) differed by group. Results. Log rank tests showed that time to recovery from lateropulsion differed based on the number of deficits (group, P = .012). Post hoc analyses by lesion side showed that group differences only occurred in right brain lesion ( P < .05) as compared with left brain lesions ( P = .34). Patients recovered from lateropulsion during in-patient rehabilitation if they had only motor deficits; those with all 3 postural control deficits showed the most protracted recovery. Conclusions. Rate of recovery from lateropulsion after stroke is dependent on the side of lesion, and number of key motor, proprioceptive, and/or hemianopic or visual–spatial deficits. The more postural control systems affected, the slower the recovery. Our data identify patients likely to need protracted rehabilitation targeting key postural control deficits.
- Subjects :
- Aged, 80 and over
medicine.medical_specialty
Proprioception
Hemispheric stroke
Post hoc
Stroke Rehabilitation
Kaplan-Meier Estimate
Recovery of Function
General Medicine
medicine.disease
Severity of Illness Index
Functional Laterality
Postural control
Stroke
Rehabilitation facility
Treatment Outcome
Physical medicine and rehabilitation
medicine
Retrospective analysis
Humans
Psychology
Postural Balance
Aged
Retrospective Studies
Subjects
Details
- ISSN :
- 15526844 and 15459683
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- Neurorehabilitation and Neural Repair
- Accession number :
- edsair.doi.dedup.....6f990ad9e33278c7be4bb5049785395f