The Impact of Recovery of Visuo-Spatial Neglect on Motor Recovery of the Upper Paretic Limb after Stroke

• DOI: 10.1371/journal.pone.0100584
• Publication Date: 2014-06-20T20:33:58Z
• Authors: Tanja C. W. Nijboer; Boudewijn J. Kollen; Gert Kwakkel
• Keywords: Stroke; Repeated measures design; Longitudinal Study

The aim of the current study was to investigate longitudinal relationship between improvements synergism and strength upper paretic limb severity visuo-spatial neglect during first 52 weeks post-stroke. association VSN motor impairment using Fugl Meyer score Motricity Index arm measured in an intensive repeated measurement design including 18 sessions for each subject. Neglect assessed letter cancellation test applied a prospective cohort 101 ischemic, first-ever, hemispheric stroke patients. All time-dependent measures were taken weekly, starting within 14 days From week 10 20 biweekly measurements are obtained. (bi)weekly time on improvement functions investigated random coefficient analysis trend analyses. Fifty-one patients showed at onset. Less associated with more severe neglect. This most pronounced seemingly suppressive effect upper-limb recovery appears take place mainly spontaneous neurological finding suggests that damage large-scale white matter tracts especially perceptual-attention networks suppress other distance brain suggesting common underlying mechanism.