Predictors of discharge to home during the first year after right hemisphere stroke

Jehkonen, Mervi; Ahonen, Jukka-Pekka; Dastidar, Prasun; Koivisto, Anna‐Maija; Laippala, Pékka; Vilkki, Juhani; Molnár, Gábor Tamás

doi:10.1034/j.1600-0404.2001.00025.x

Cited by 69 publications

(64 citation statements)

References 27 publications

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“…Denes et al 8 and Pinedo Otaola and De La Villa 14 showed that A does not affect functional recovery after stroke. Jehkonen et al 6 found that neither A for hemiparesis nor A for neglect are important predictors connected with the return to home after right hemisphere stroke.…”

Section: Discussionmentioning

confidence: 99%

“…In the studies by Pedersen et al, 5 Jehkonen et al, 6 and Maeshima et al, 7 the assessment of N and A was done during the first days after stroke. This allowed the inclusion in the study of patients with possible neuropsychological deficits, which were not defined yet.…”

Section: Discussionmentioning

confidence: 99%

“…They are convinced that their paretic or plegic limb functions normally. Pedersen et al 5 found anosognosia in 73% of patients with N within the first week of stroke onset; Jehkonen et al 6 and Maeshima et al 7 showed that anosognosia disappears spontaneously in a short time.…”

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confidence: 99%

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Functional Recovery After Hemiplegia in Patients With Neglect

Gialanella

Monguzzi

Santoro

et al. 2005

Stroke

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Background and Purpose-The aim of this study was to verify whether the presence of anosognosia (A) affects the rehabilitative prognosis of hemiplegic subjects with neglect (N). Methods-This study was carried out on 30 patients with left hemiplegia: 15 patients had neglect (group N) and 15 had neglect and anosognosia (group NϩA). Mean age was 68.2Ϯ6.3 in group N (9 men and 6 women) and 72.1Ϯ6.4 in group NϩA (7 men and 8 women). The average interval from onset of stroke to admission for rehabilitation was 23 and 23.6 days, respectively, in group N and in group NϩA. Patients were assessed through the Mesulam test, Bisiach test, Wechsler Adult Intelligence Scale, Fugl-Meyer scale, Functional Independence Measure (FIM), and Rankin scale. Results-Before rehabilitation, cognitive FIM scores of patients of group N were significantly higher than those of group NϩA (Pϭ0.001), whereas motor FIM scores and total FIM scores did not differ between the 2 groups. After rehabilitation, cognitive FIM scores (Pϭ0.000) and even motor (Pϭ0.009) and total FIM scores (Pϭ0.000) were statistically higher in group N than in group NϩA. Effectiveness (Pϭ0.005) and efficiency (Pϭ0.012) in the motor FIM scores of group N were significantly greater than those of group NϩA. Disability was lower in group N (Pϭ0.040). Conclusions-Our study shows that the presence of anosognosia worsens the rehabilitation prognosis in hemiplegic subjects who also have neglect.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Functional Recovery After Hemiplegia in Patients With Neglect

Gialanella

Monguzzi

Santoro

et al. 2005

Stroke

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“…This deficit has been reported to occur in approximately 38% of individuals with RHD admitted to a rehabilitation unit . Individuals who are not aware of their deficits or have poor insight into potential consequences of their deficits are not as likely to actively participate in therapy and often have poorer outcomes (Hartman-Maeir, Soroker, Oman, & Katz, 2003;Jehkonen et al, 2001;Noe, Ferri, Caballero, Villodre, Sanchez, & Chirivella, 2005). Cherney (2006) describes a framework for clinical decision making for clients with anosognosia that involves consideration of medical factors, client preferences, issues of quality of life, and other external/contextual factors.…”

Section: Treatment Selection Based On Deficits Not Etiologymentioning

confidence: 99%

Perspectives on Treatment for Communication Deficits Associated With Right Hemisphere Brain Damage

Blake

2007

Am J Speech Lang Pathol

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Purpose To describe the current treatment research for communication (prosodic, discourse, and pragmatic) deficits associated with right hemisphere brain damage and to provide suggestions for treatment selection given the paucity of evidence specifically for this population. Method The discussion covers (a) clinical decision processes and evidence-based practice; (b) a review of right hemisphere communication deficits and existing treatment studies; (c) accounts of right hemisphere function, right hemisphere deficits, and theoretically motivated treatments; and (d) a guide for exploring and selecting treatments based on deficits rather than etiology. Conclusions Controlled treatment studies for communication deficits specifically for adults with right hemisphere brain damage are limited to aprosodia. For other communication deficits, clinicians may select treatments based on current theories of right hemisphere function and right hemisphere deficits, and/or treatments developed for other etiologies for which deficits are similar to those associated with right hemisphere damage.

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“…Preservation of language function is considered one of the primary reasons for a higher percentage of right alicted people returning to work; however, this cohort of patients are usually the one who most frequently develop social shortcomings in contrast to the left-sided stroke patients [50]. Further studies with exclusion of hemineglect patients may help to exemplify the diference in the disabilities between left and right hemisphere stroke patients [51].…”

Section: Right Versus Left Hemisphere Strokementioning

confidence: 99%

Intracerebral Hemorrhage: Issues in Rehabilitation

Dadlani¹,

Agrawal²

2017

Hemorrhagic Stroke - An Update

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While the advancements in the management of the spontaneous intracerebral hemorrhage (SICH) have resulted an increase in survival, this has also resulted in the number of survivors with signiicant functional morbidity that require long-term care and rehabilitation services. SICH can lead to various impairments, and the deicits related to SICH may include impairment in motor and sensory functions, emotional labiality, language dysfunctions, perception deicits and cognitive dysfunctions. In the present chapter, we present an overview of the issues in rehabilitation which are faced by medical personnel's while managing the patients with SICH.

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Predictors of discharge to home during the first year after right hemisphere stroke

Abstract: Hemiparesis, unawareness of illness and presence of a relative at home were the best predictors of the time from right hemisphere stroke to discharge to home.

Cited by 69 publications

References 27 publications

Functional Recovery After Hemiplegia in Patients With Neglect

Functional Recovery After Hemiplegia in Patients With Neglect

Perspectives on Treatment for Communication Deficits Associated With Right Hemisphere Brain Damage

Intracerebral Hemorrhage: Issues in Rehabilitation

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