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Identifying the Factors With Later Standing Acquisition in Patients With a Right-Hemisphere Stroke: A Cross-Sectional
Karim Jamal1,2, Stéphanie Leplaideur3,4,5, Chloé Rousseau6
1Department of Physical and Rehabilitation Medicine, University Hospital of Rennes, Rennes, France. Karim.jamal@univ-rennes.fr.
Annals of Rehabilitation Medicine
|July 2, 2026
Summary
Right-hemisphere stroke patients with ischemic stroke, quadriceps spasticity, and spatial neglect face delays in standing acquisition. Identifying these factors aids in predicting recovery and guiding rehabilitation strategies for stroke survivors.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Clinical Neurology
Background:
- Right-hemisphere stroke impacts motor control and balance, affecting recovery trajectories.
- Standing acquisition is a critical milestone in post-stroke rehabilitation, yet factors influencing its timing remain incompletely understood.
- Subacute stroke patients with specific neurological deficits may experience prolonged recovery periods.
Purpose of the Study:
- To pinpoint factors associated with delayed standing acquisition in patients with subacute right-hemisphere stroke.
- To identify predictors for standing acquisition beyond three months post-stroke.
- To inform targeted interventions for improving mobility in stroke survivors.
Main Methods:
- Cross-sectional analysis of baseline data from the POSTIM multicenter randomized controlled trial.
- Inclusion criteria: first right supratentorial stroke within 9 months, able to stand 30s eyes closed, <40% paretic leg weight-bearing.
- Evaluated motor weakness, spasticity, sensory function, spatial neglect, body representation, and balance; logistic regression used for analysis.
Main Results:
- 43% of participants acquired standing capacity later than 3 months post-stroke.
- Later standing acquisition was linked to greater spasticity, more severe motor weakness, impaired arthrokinetic sensitivity, and worse balance.
- Independent predictors for delayed standing included spatial neglect (OR=3.22), ischemic stroke (OR=3.27), and quadriceps spasticity (OR=1.98).
Conclusions:
- Ischemic etiology, quadriceps spasticity, and spatial neglect are significant independent predictors of delayed standing acquisition in right-hemisphere stroke.
- These findings can help identify at-risk patients and guide the development of future interventional research.
- Early identification of these factors may allow for more personalized and effective rehabilitation planning.
