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Related Experiment Video

Updated: Dec 19, 2025

Virtual Reality Tools for Assessing Unilateral Spatial Neglect: A Novel Opportunity for Data Collection
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Clinical and functional differences between right and left stroke with and without contralateral spatial neglect.

Sinikka Tarvonen-Schröder1, Tuuli Niemi, Mari Koivisto

  • 1Department of Rehabilitation and Brain Trauma, Turku University Hospital, PO Box 52, FI-20521 Turku, Finland.

Journal of Rehabilitation Medicine
|June 4, 2020
PubMed
Summary

Spatial neglect is common after stroke, affecting both right and left brain injuries. Patients with left stroke and neglect experienced greater disability, highlighting the impact of stroke side on recovery.

Keywords:
clinical characteristicsfunctioninginpatientoutcomeseverityspatial neglectstroke lateralitysubacute rehabilitation

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Clinical Neurology

Background:

  • Contralateral spatial neglect is a common post-stroke deficit.
  • Understanding its characteristics in different stroke laterality is crucial for targeted rehabilitation.

Purpose of the Study:

  • To compare clinical and functional features of spatial neglect in subacute right versus left stroke.
  • To explore correlations between neglect severity and stroke severity, functional ability, and outcomes.

Main Methods:

  • A cross-sectional study design was employed.
  • Neurological impairment and disability were assessed in stroke survivors.
  • The study utilized a dataset also used in a related part 2 investigation.

Main Results:

  • Spatial neglect occurred in 79.7% of right stroke and 68.3% of left stroke patients, with similar mild average severity.
  • Left stroke patients with neglect showed higher stroke severity, cognitive and total disability, dependence, and impaired sphincter control compared to right stroke patients.
  • Patients with neglect, regardless of stroke side, exhibited greater stroke severity, cognitive, motor, and total disability, and dependence than those without neglect.

Conclusions:

  • Despite similar neglect severity, left stroke patients experienced higher overall disability.
  • Neglect severity correlated with stroke severity and functional ability, with moderate to severe neglect showing stronger associations with functioning.
  • Neglect severity was an independent predictor of functional outcome in right stroke survivors.