Clinical Assessment of Spatial Neglect Following Stroke
Maneno muhimu
Kikemikali
Maelezo
Spatial neglect (SN) is a common disorder following stroke, adversely affecting recovery. SN often involves associated symptoms, including anosognosia, extinction, difficulties with sustained attention and problems with emotional processing. Correct identification of SN and associated problems is essential for initiating alleviating strategies and for measuring progress. Several assessment tools exist, but psychometric testing has mostly been conducted in non-dynamic environments; a single country or culture. Thus non-transferable to a wider context and ward-based care. To optimize identification of SN and develop procedures for diverse healthcare settings, this cross-country study includes patients from Iceland and Lithuania. We will seek to maximize the clinical utility by avoiding exclusion of patients, e.g., with psycholinguistic difficulties and multiple strokes. We will: a) use behavioral SN assessment and visuo-graphic tests to validate a newly developed SN tool that incorporates many aspects of SN that are currently not addressed in conventional tests, b) validate integration of an additional component into the National Institute of Health Stroke Scale as a screening tool to identify SN, and c) evaluate differences in clinical characteristics between patients with left- and right-sided SN, and patients with and without SN.
Tarehe
Imethibitishwa Mwisho: | 04/30/2020 |
Iliyowasilishwa Kwanza: | 08/19/2019 |
Uandikishaji uliokadiriwa Uliwasilishwa: | 08/26/2019 |
Iliyotumwa Kwanza: | 08/27/2019 |
Sasisho la Mwisho Liliwasilishwa: | 05/13/2020 |
Sasisho la Mwisho Lilichapishwa: | 05/17/2020 |
Tarehe halisi ya kuanza kwa masomo: | 12/14/2019 |
Tarehe ya Kukamilisha Msingi iliyokadiriwa: | 08/31/2022 |
Tarehe ya Kukamilisha Utafiti: | 11/30/2025 |
Hali au ugonjwa
Awamu
Vigezo vya Kustahiki
Zama zinazostahiki Kujifunza | 18 Years Kwa 18 Years |
Jinsia Inastahiki Kujifunza | All |
Njia ya sampuli | Non-Probability Sample |
Hupokea Wajitolea wa Afya | Ndio |
Vigezo | Inclusion Criteria: - Stroke diagnosis confirmed by results of CT/MRI. - Lives in Iceland or Lithuania. - 18 year or older. - Informed consent provided by patient or proxy. Exclusion Criteria: • Patients receiving end-of-life care |
Matokeo
Hatua za Matokeo ya Msingi
1. The Catherine Bergego Scale (CBS) [1 year post stroke.]
2. Conventional visuo-graphic test: Star cancellation (Index test) [Within 5 days post stroke.]
3. Conventional visuo-graphic test: Figure copying (Index test) [Within 5 days post stroke.]
4. Neglect Experience Qestionnaire (NEQ) [1 year post stroke]
5. National Institute of HealthStroke Scale (NIHSS) picture description to screen for SN (Index test) [Within 5 days post stroke.]
Hatua za Matokeo ya Sekondari
1. Stroke severity; National Institute of Health Stroke Scale (NIHSS) [Within 5 days post stroke]
2. Disability and dependency: Barthel Index (BI) [1 year post stroke]
3. Participation: The modified Rankin Scale (mRS) [Before hospital admission for stroke (recollected),5 days post stroke; three-month poststroke, and 1-year follow up]
4. Patients Reported Ourcome Measures: PROMIS-10 [1 year post stroke]
Hatua Nyingine za Matokeo
1. Mortality rate [1 year post stroke]
2. Length of hospital stay [1 year post stroke]
3. Stroke re-occurence [1 year post stroke]