The impact of recovery of visuo-spatial neglect on motor recovery of the upper paretic limb after stroke.

The aim of the current study was to investigate the longitudinal relationship between improvements of synergism and strength of the upper paretic limb and severity of visuo-spatial neglect during the first 52 weeks post-stroke. The longitudinal association between severity of VSN and motor impairmen...

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Autores principales:	Tanja C W Nijboer, Boudewijn J Kollen, Gert Kwakkel
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a00981d945154b3fa5bd61a8dbac6887
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spelling	oai:doaj.org-article:a00981d945154b3fa5bd61a8dbac68872021-11-18T08:14:54ZThe impact of recovery of visuo-spatial neglect on motor recovery of the upper paretic limb after stroke.1932-620310.1371/journal.pone.0100584https://doaj.org/article/a00981d945154b3fa5bd61a8dbac68872014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24950224/?tool=EBIhttps://doaj.org/toc/1932-6203The aim of the current study was to investigate the longitudinal relationship between improvements of synergism and strength of the upper paretic limb and severity of visuo-spatial neglect during the first 52 weeks post-stroke. The longitudinal association between severity of VSN and motor impairment using Fugl Meyer motor score and Motricity Index of the arm was measured in an intensive repeated measurement design including 18 measurement sessions for each subject. Neglect was assessed using the letter cancellation test applied in a prospective cohort of 101 ischemic, first-ever, hemispheric stroke patients. All time-dependent measures were taken weekly, starting within 14 days post-stroke. From week 10 to 20 biweekly measurements are obtained. The longitudinal relationship of (bi)weekly time on improvement of motor functions and severity of neglect was investigated using random coefficient analysis and trend analyses. Fifty-one of the 101 stroke patients showed neglect at stroke onset. Less improvement of synergism and strength of the upper paretic limb was associated with more severe neglect. This association was most pronounced in the first 10 weeks post-stroke. The seemingly suppressive effect of neglect on upper-limb motor recovery appears to take place mainly during spontaneous neurological recovery of first 10 weeks post-stroke. This finding suggests that damage to large-scale white matter tracts of especially the perceptual-attention networks suppress recovery of other networks at distance in the brain suggesting a common underlying mechanism.Tanja C W NijboerBoudewijn J KollenGert KwakkelPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 6, p e100584 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tanja C W Nijboer Boudewijn J Kollen Gert Kwakkel The impact of recovery of visuo-spatial neglect on motor recovery of the upper paretic limb after stroke.
description	The aim of the current study was to investigate the longitudinal relationship between improvements of synergism and strength of the upper paretic limb and severity of visuo-spatial neglect during the first 52 weeks post-stroke. The longitudinal association between severity of VSN and motor impairment using Fugl Meyer motor score and Motricity Index of the arm was measured in an intensive repeated measurement design including 18 measurement sessions for each subject. Neglect was assessed using the letter cancellation test applied in a prospective cohort of 101 ischemic, first-ever, hemispheric stroke patients. All time-dependent measures were taken weekly, starting within 14 days post-stroke. From week 10 to 20 biweekly measurements are obtained. The longitudinal relationship of (bi)weekly time on improvement of motor functions and severity of neglect was investigated using random coefficient analysis and trend analyses. Fifty-one of the 101 stroke patients showed neglect at stroke onset. Less improvement of synergism and strength of the upper paretic limb was associated with more severe neglect. This association was most pronounced in the first 10 weeks post-stroke. The seemingly suppressive effect of neglect on upper-limb motor recovery appears to take place mainly during spontaneous neurological recovery of first 10 weeks post-stroke. This finding suggests that damage to large-scale white matter tracts of especially the perceptual-attention networks suppress recovery of other networks at distance in the brain suggesting a common underlying mechanism.
format	article
author	Tanja C W Nijboer Boudewijn J Kollen Gert Kwakkel
author_facet	Tanja C W Nijboer Boudewijn J Kollen Gert Kwakkel
author_sort	Tanja C W Nijboer
title	The impact of recovery of visuo-spatial neglect on motor recovery of the upper paretic limb after stroke.
title_short	The impact of recovery of visuo-spatial neglect on motor recovery of the upper paretic limb after stroke.
title_full	The impact of recovery of visuo-spatial neglect on motor recovery of the upper paretic limb after stroke.
title_fullStr	The impact of recovery of visuo-spatial neglect on motor recovery of the upper paretic limb after stroke.
title_full_unstemmed	The impact of recovery of visuo-spatial neglect on motor recovery of the upper paretic limb after stroke.
title_sort	impact of recovery of visuo-spatial neglect on motor recovery of the upper paretic limb after stroke.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/a00981d945154b3fa5bd61a8dbac6887
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The impact of recovery of visuo-spatial neglect on motor recovery of the upper paretic limb after stroke.

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