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首页> 外文期刊>PM & R: the journal of injury, function, and rehabilitation >Severity of spatial neglect during acute inpatient rehabilitation predicts community mobility after stroke
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Severity of spatial neglect during acute inpatient rehabilitation predicts community mobility after stroke

机译：急性住院患者康复期间严重的空间疏忽可预测中风后社区的流动性

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Objective: To examine whether stroke survivors with more severe spatial neglect duringtheir acute inpatient rehabilitation had poorer mobility after returning to their communities. Design: A prospective observational study. Setting: Acute inpatient rehabilitation and follow-up in the community. Participants: Thirty-one consecutive stroke survivors with right-brain damage (women, n= 15 [48.4%]), with the mean (standard deviation) age of 60 ± 11.5 years, were included in the study if they demonstrated spatial neglect within 2 months after stroke. Methods: Spatial neglect was assessed with the Behavioral Inattention Test (BIT) (range, 0-146 [a lower score indicates more severity]) and the Catherine Bergego Scale (range, 0-30 [a higher score indicates more severity]). A score of the Behavioral Inattention Test<129 or of the Catherine Bergego Scale >0 defined the presence of spatial neglect. Main Outcome Measurements: The outcome measure is community mobility, defined by the extent and frequency of traveling within the home and in the community, and is assessed with the University of Alabama at Birmingham Study of Aging Life-Space Assessment (range, 0-120 [a lower score indicates less mobile]). This measure was assessed after participants returned home≥6 months after stroke. The covariates were age, gender, functional independence at baseline; follow-up interval; and depressed mood, which may affect the relationship between spatial neglect and community mobility. Results: A lower Behavioral Inattention Test score was a significant predictor of a lower Life-Space Assessment score after controlling for all the covariates (β= 0.009 [95% confidence interval, 0.008-0.017]); P= .020). The proportion of participants unable to travel independently beyond their homes was 0%, 27.3%, and 72.7% for those with mild, moderate, and severe acute neglect, respectively (Catherine Bergego Scale range, 1-10, 11-20, and 21-30, respectively). Conclusions: Our result indicates that acute spatial neglect has a negative impact on regaining of functional mobility in the community. Specific screening and treatment of spatial neglect during acute stroke care may be necessary to improve long-term mobility recovery.
机译：目的：研究卒中幸存者在急性住院康复期间在空间上受到严重忽视的情况，是否在返回社区后活动能力较差。设计：一项前瞻性观察研究。地点：社区急性住院康复和随访。参与者：31名连续中风右脑损伤幸存者（女性，n = 15 [48.4％]），平均年龄（标准差）为60±11.5岁，如果他们在10个月内表现出空间疏忽，则纳入研究中风后2个月。方法：使用行为疏忽测试（BIT）（范围为0-146 [较低的分数表示严重程度]）和凯瑟琳·贝格戈量表（范围为0-30 [较高的分数表示较高的严重程度]）对空间忽略进行了评估。行为注意力不集中测试的得分<129或凯瑟琳·贝格戈量表的得分> 0定义了空间疏忽的存在。主要成果衡量指标：成果衡量指标是社区流动性，由家庭和社区内出行的程度和频率定义，并由阿拉巴马大学伯明翰分校的老化生命空间评估研究进行评估（范围：0-120） [较低的分数表示移动性较低]。参与者在中风后≥6个月返回家乡后评估该措施。协变量是年龄，性别，基线的功能独立性。随访间隔;和情绪低落，这可能会影响空间忽视与社区流动之间的关系。结果：较低的行为疏忽测试得分是控制所有协变量后的较低生活空间评估得分的重要预测因子（β= 0.009 [95％置信区间，0.008-0.017]）; P ＝ .020）。轻度，中度和严重急性疏忽者的无法独立出门旅行的参与者比例分别为0％，27.3％和72.7％（凯瑟琳·贝格戈量表范围为1-10、11-20和21） -30）。结论：我们的结果表明，急性空间疏忽对恢复社区的功能性活动有负面影响。急性卒中治疗期间可能需要进行特定的筛查和对空间忽视的治疗，以改善长期活动能力。

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