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Proprioception and spatial neglect after stroke.

D L Smith, A J Akhtar, W M Garraway

    Age and Ageing
    |February 1, 1983
    PubMed
    Summary
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    Proprioceptive loss after stroke indicates more severe brain lesions and poorer outcomes. While most patients recover proprioception within eight weeks, significant neglect is linked to higher mortality and reduced functional recovery.

    Area of Science:

    • Neuroscience
    • Neurology
    • Rehabilitation Medicine

    Background:

    • Stroke is a leading cause of long-term disability.
    • Proprioception and neglect are common post-stroke impairments.
    • Understanding their impact is crucial for patient outcomes.

    Purpose of the Study:

    • To investigate the relationship between proprioceptive loss and neglect after stroke.
    • To determine the prognostic value of these impairments on functional recovery and mortality.

    Main Methods:

    • Studied 287 stroke survivors up to one week post-onset.
    • Assessed proprioception, neglect, intellectual function, motor power, and postural control.
    • Tracked functional independence, placement, mortality, and hospital length of stay.

    Related Experiment Videos

    Main Results:

    • Proprioceptive loss correlated with more extensive lesions and impaired intellectual, motor, and postural functions.
    • Proprioceptive loss adversely affected independence, placement, mortality, and hospital stay.
    • 87% of survivors regained proprioception by eight weeks.
    • Significant neglect was associated with high mortality and poor functional recovery.

    Conclusions:

    • Proprioceptive deficits post-stroke signify greater lesion severity and predict worse outcomes.
    • Early identification and management of proprioception and neglect are vital for stroke rehabilitation.
    • Most patients experience proprioceptive recovery, but neglect poses a significant challenge.