ABSTRACT

The occurrence of visuospatial neglect acts as a key predictor of recovery outcome following stroke. However, the specific behavioural profiles associated with various neglect subtypes are not well understood. This study aims to identify real-world functional impairments associated with neglect, to determine whether functional impairment profiles differ across patients with egocentric and allocentric neglect, and to investigate how neglect severity predicts functional impairments.

Notes from 290 stroke patients’ occupational therapy functional assessments were qualitatively and quantitatively analysed in the context of neglect type and severity as reported by the OCS Cancellation Task. Overall, neglect patients had more references to having difficulty initiating tasks, finding items, exhibiting spatial inattention, and having difficulty using both arms than patients without neglect. The proportion of theme references did not differ significantly across patients with egocentric and allocentric neglect. The quantitative severity of egocentric neglect was acted as a significant predictor of reference occurrence over and above stroke severity within difficulty finding items, spatial inattention, body inattention, and upper limb use.

This study expands on previous findings by identifying real-world functional impairments differentiating patients with and without neglect. This data provides novel insight into the impact of neglect on functional abilities.

摘要

视觉空间忽视的发生是中风后恢复结果的关键预测指标。然而，与各种忽视亚型相关的具体行为特征尚不清楚。本研究旨在确定与忽视相关的现实世界功能障碍，以确定功能障碍特征是否因自我中心和非中心忽视患者而异，并研究忽视严重程度如何预测功能障碍。

根据 OCS 取消任务报告的忽视类型和严重程度，对来自 290 名中风患者的职业治疗功能评估的笔记进行了定性和定量分析。总的来说，与没有被忽视的患者相比，被忽视的患者更多地提到难以启动任务、寻找物品、表现出空间注意力不集中以及难以使用双臂。主题参考的比例在自我中心忽视和自我中心忽视患者中没有显着差异。以自我为中心的忽视的定量严重程度被用作在难以找到项目、空间注意力不集中、身体注意力不集中和上肢使用方面超过中风严重程度的参考发生的重要预测因子。

本研究通过识别真实世界的功能障碍来区分有和没有忽视的患者，从而扩展了之前的发现。该数据为忽视对功能能力的影响提供了新的见解。