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Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
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European Journal of Physical and Rehabilitation Medicine 2016 December;52(6):791-8


lingua: Inglese

Recovery of personal neglect

Marco IOSA 1, Cecilia GUARIGLIA 1, 2, Alessandro MATANO 1, Stefano PAOLUCCI 1, Luigi PIZZAMIGLIO 1, 2

1 IRCCS Fondazione Santa Lucia, Rome, Italy; 2 Department of Psychology, University of Rome “Sapienza”, Rome, Italy


BACKGROUND: Extrapersonal unilateral spatial neglect after stroke is associated to a poor rehabilitation outcome. Minor attention has been paid to the recovery of personal neglect, to its relationship with the recovery of extrapersonal neglect and of independency in activities of daily living.
AIM: The present study aims at evaluating whether there is an association between recovery of extrapersonal and personal neglect. The secondary aim was to investigate if personal neglect may affect the effectiveness of neurorehabilitation in patients with subacute stroke.
DESIGN: Observational study.
SETTING: Neurorehabilitation Hospital in Rome, Italy, inpatients.
POPULATION: A sample of 49 patients with unilateral spatial neglect resulting from right ischemic cerebral infarction was enrolled in this study, divided into three subgroups according to the presence and the degree of personal neglect, and evaluated pre and postneurorehabilitation.
METHODS: Personal neglect was evaluated using Zoccolotti and Judica’s Scale, extrapersonal neglect using Letter Cancellation Test, Barrage Test, Sentence Reading Test and Wundt-Jastrow Area Illusion Test. Barthel Index (BI), Rivermead Mobility Index, and Canadian Neurological Scale were also administered.
RESULTS: Results showed the following: 1) recovery of personal neglect was not significantly correlated with that of extrapersonal neglect, despite both the disorders were ameliorated after a “non-specific” rehabilitation treatment; 2) personal neglect per se was not an additional negative prognostic factor in the rehabilitation findings.
CONCLUSIONS: Our results suggested that the recoveries of the two types of neglect are independent from each other, and that the presence of personal neglect does not imply significant additional problems to the functional outcomes.
CLINICAL REHABILITATION IMPACT: Our study highlighted the need of novel tools to assess the presence and to improve the recovery of personal neglect.

KEY WORDS: Perceptual disorders - Neuropsychology - Hemiplegia - Stroke

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Publication History

Issue published online: December 20, 2016
Article first published online: November 27, 2015
Manuscript accepted: November 25, 2015
Manuscript revised: October 6, 2015
Manuscript received: June 5, 2015

Per citare questo articolo

Iosa M, Guariglia C, Matano A, Paolucci S, Pizzamiglio L. Recovery of personal neglect. Eur J Phys Rehabil Med 2016;52:791-8

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