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Unilateral Spatial Neglect May Not Be Detected by Performance-Based Functional Neglect Assessment.
Grattan, Emily S; Hounshel Smith, Brice; Mullen, Katie; Woodbury, Michelle L.
Afiliación
  • Grattan ES; Emily S. Grattan, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA; esg39@pitt.edu. At the time this research was completed, Grattan was also Research Health Scientist, VA Pittsburgh Healthcare Center, Pittsburgh, PA.
  • Hounshel Smith B; Brice Hounshel Smith, BS, is Research Assistant and Doctor of Occupational Therapy Student, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA.
  • Mullen K; Katie Mullen, MOT, OTR/L, is Research Occupational Therapist and Doctor of Clinical Science in Occupational Therapy Student, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA.
  • Woodbury ML; Michelle L. Woodbury, PhD, OTR/L, is Professor, Department of Health Sciences and Research and Division of Occupational Therapy, Medical University of South Carolina, Charleston.
Am J Occup Ther ; 78(2)2024 Mar 01.
Article en En | MEDLINE | ID: mdl-38350038
ABSTRACT
IMPORTANCE Unilateral spatial neglect (neglect) poststroke is disabling. It is critical that people with neglect are identified so that treatment can be provided to maximize independence. However, there is some evidence to suggest that existing assessments may not adequately measure neglect. It is unclear whether assessments also fail to identify people with neglect entirely.

OBJECTIVE:

To determine whether there are stroke survivors who self-report neglect symptoms that are not detected by therapist-rated assessments and to compare self-report and therapist-ratings.

DESIGN:

Cross-sectional study.

SETTING:

U.S. university research center.

PARTICIPANTS:

Unilateral stroke survivors (N = 133). INTERVENTION Not applicable. OUTCOMES AND

MEASURES:

The Catherine Bergego Scale (CBS) was administered to participants and scored by a trained occupational therapist. The parallel self-evaluation anosognosia form was also administered to participants to self-report and rate neglect symptoms.

RESULTS:

Forty-eight participants (36.1%) were classified as without neglect on the basis of therapist-rated total CBS scores, yet 30 (62.5%) of these 48 participants reported symptoms of neglect on the CBS self-evaluation anosognosia form. There was a significant difference (p < .001) between therapist-rated and self-rated total CBS scores. CONCLUSIONS AND RELEVANCE Our results indicate that many stroke survivors report some level of disability associated with neglect yet do not meet the criteria to be classified as having neglect according to a commonly used therapist-rated performance-based measure. Plain-Language

Summary:

The findings of this study contribute to the evidence that existing assessments used by occupational therapists to measure performance-based neglect may not always detect neglect symptoms comprehensively in people poststroke. The finding also suggest that we may be missing neglect symptoms entirely. Occupational therapists should consider using various methods to assess for neglect, including patient self-report and comprehensive occupational profiles. Clinicians should also thoroughly screen all clients with stroke for neglect, regardless of lesion location.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de la Percepción / Accidente Cerebrovascular / Agnosia / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Am J Occup Ther Año: 2024 Tipo del documento: Article País de afiliación: Panamá Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de la Percepción / Accidente Cerebrovascular / Agnosia / Rehabilitación de Accidente Cerebrovascular Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Am J Occup Ther Año: 2024 Tipo del documento: Article País de afiliación: Panamá Pais de publicación: Estados Unidos