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Updated: May 16, 2025

Practical Methodology of Cognitive Tasks Within a Navigational Assessment
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Navigational difficulties after stroke: A systematic review and meta-analysis.

Joyce Bosmans1, Julie Moyaert2,3, Julie van Eetvelde4,5,6

  • 1Department of Brain and Cognition, Leuven Brain Institute, KU Leuven, Leuven, Belgium.

The Clinical Neuropsychologist
|May 14, 2025
PubMed
Summary

Post-stroke navigation impairments affect 35% of individuals, impacting daily autonomy. This review highlights common assessment tools and recommends categorizing navigation types for better diagnosis.

Keywords:
Navigationnavigation impairmentneuropsychologystroke

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Area of Science:

  • Neuroscience
  • Cognitive Psychology
  • Rehabilitation Medicine

Background:

  • Navigation is crucial for independence, yet stroke survivors often experience impairments.
  • Clinical assessment of post-stroke navigation is infrequent due to a lack of standardized tools and evidence.
  • Prevalence data on navigation deficits post-stroke is limited.

Purpose of the Study:

  • To systematically review tools for assessing post-stroke navigation difficulties and their psychometric properties.
  • To estimate the prevalence of navigational impairments in the stroke population through meta-analysis.

Main Methods:

  • Systematic literature search across multiple databases.
  • Independent review of publications by four investigators.
  • Meta-analysis using a random-effects model to pool prevalence data.

Main Results:

  • Nineteen studies were included, evaluating 19 distinct navigation assessment approaches.
  • A meta-analysis of 8 studies revealed a 35% prevalence of post-stroke navigation impairments (95% CI: 0.29-0.42).
  • Significant heterogeneity was observed in the meta-analysis results.

Conclusions:

  • Navigational deficits are a common consequence of stroke.
  • Subdividing navigation into landmark-, location-, and path-based categories may reduce assessment heterogeneity.
  • Integrating both objective and subjective navigation assessments is advised for clinical practice.