scholarly journals Recovery of Visuospatial Neglect Subtypes and Relationship to Functional Outcome Six Months After Stroke

2021 ◽  
pp. 154596832110329
Author(s):  
Margaret J. Moore ◽  
Kathleen Vancleef ◽  
M. Jane Riddoch ◽  
Celine R. Gillebert ◽  
Nele Demeyere
Keyword(s):  
Functional Outcomes ◽  
Stroke Severity ◽  
Visuospatial Neglect ◽  
Recovery Pattern ◽  
Stroke Impact Scale ◽  
Impact Scale ◽  
Significant Difference ◽  
Initial Severity

Background/Objective. This study aims to investigate how complex visuospatial neglect behavioural phenotypes predict long-term outcomes, both in terms of neglect recovery and broader functional outcomes after 6 months post-stroke. Methods. This study presents a secondary cohort study of acute and 6-month follow-up data from 400 stroke survivors who completed the Oxford Cognitive Screen’s Cancellation Task. At follow-up, patients also completed the Stroke Impact Scale questionnaire. These data were analysed to identify whether any specific combination of neglect symptoms is more likely to result in long-lasting neglect or higher levels of functional impairment, therefore warranting more targeted rehabilitation. Results. Overall, 98/142 (69%) neglect cases recovered by follow-up, and there was no significant difference in the persistence of egocentric/allocentric (X2 [1] = .66 and P = .418) or left/right neglect (X2 [2] = .781 and P = .677). Egocentric neglect was found to follow a proportional recovery pattern with all patients demonstrating a similar level of improvement over time. Conversely, allocentric neglect followed a non-proportional recovery pattern with chronic neglect patients exhibiting a slower rate of improvement than those who recovered. A multiple regression analysis revealed that the initial severity of acute allocentric, but not egocentric, neglect impairment acted as a significant predictor of poor long-term functional outcomes (F [9,300] = 4.742, P < .001 and adjusted R2 = .098). Conclusions. Our findings call for systematic neuropsychological assessment of both egocentric and allocentric neglect following stroke, as the occurrence and severity of these conditions may help predict recovery outcomes over and above stroke severity alone.

scholarly journals Psychometric properties of the short form of the Stroke Impact Scale in German-speaking stroke survivors

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Anna Coppers ◽  
Jens Carsten Möller ◽  
Detlef Marks
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Short Form ◽  
Trial Registration ◽  
Cognitive Domain ◽  
Retest Reliability ◽  
Stroke Impact Scale ◽  
Impact Scale ◽  
German Speaking ◽  
Test Retest Reliability

Abstract Background The short form of the Stroke Impact Scale (SF-SIS) consists of eight questions and provides an overall index of health-related quality of life after stroke. The goal of the study was the evaluation of construct validity, reliability and responsiveness of the SF-SIS for the use in German-speaking stroke patients in rehabilitation. Methods The SF-SIS, the Stroke Impact Scale 2.0 (SIS 2.0), EQ-5D-5L, National Institutes of Health Stroke Scale (NIHSS) and de Morton Mobility Index were assessed in 150 inpatients after stroke, with a second measurement two weeks later for the analyses of responsiveness. In 55 participants, the test–retest-reliability was assessed one week after the first measurement. The study was designed following the recommendations of the COSMIN initiative. Results The correlations of the SF-SIS with the SIS 2.0 (ρ = 0.90), as well as the EQ-5D-5L (ρ = 0.79) were high, as expected. There was adequate discriminatory ability of the SF-SIS index between patients who were less and more severely affected by stroke, as assessed by the NIHSS. Exploratory factor analysis indicated a two-factor structure of the SF-SIS explaining 59.9% of the total variance, providing better model fit in the confirmatory factor analysis than the one-factorial structure. Analyses of test–retest-reliability showed an intraclass correlation coefficient of 0.88 (95% CI 0.75–0.94). Hypotheses concerning responsiveness were not confirmed due to lower correlations between the assessments change scores. Conclusion Results of this analysis of the SF-SIS’s psychometric properties are matching with the validity analysis of the English original version, confirming the high correlations with the Stroke Impact Scale and the EQ-5D-5L. Examination of structural validity did not confirm the presumed unidimensionality of the scale and found evidence of an underlying two-factor solution with a physical and cognitive domain. Sufficient test–retest reliability and internal consistency were found. In addition, this study provides first results for the responsiveness of the German version. Trial registration The study was registered at the German Clinical Trials Register. Trial registration number: DRKS00011933, date of registration: 07.04.2017

How Much Change in the Stroke Impact Scale-16 Is Important to People Who Have Experienced a Stroke?

2010 ◽  
Vol 17 (6) ◽  
pp. 477-483 ◽  
Author(s):  
George D. Fulk ◽  
Miriam Ludwig ◽  
Kari Dunning ◽  
Sue Golden ◽  
Pierce Boyne ◽  
...  
Keyword(s):  
Stroke Impact Scale ◽  
Impact Scale

scholarly journals Outcome after Stroke upon Awakening

2005 ◽  
Vol 32 (2) ◽  
pp. 232-236 ◽  
Author(s):  
Janel O. Nadeau ◽  
Jiming Fang ◽  
Moira K. Kapral ◽  
Frank L. Silver ◽  
Michael D. Hill
Keyword(s):  
Ischemic Stroke ◽  
Subarachnoid Hemorrhage ◽  
Stroke Severity ◽  
Linear Modeling ◽  
Stroke Impact Scale ◽  
Impact Scale ◽  
Level Of Consciousness ◽  
Using Data ◽  
Poor Outcomes ◽  
Ischemic Attack

ABSTRACT:Background:An estimated 20-25% of all strokes occur during sleep and these patients wake up with their deficits. This study evaluated outcomes among patients who woke up with stroke compared to those who were awake at stroke onset.Methods:Using data from the Registry of the Canadian Stroke Network Phases 1 and 2, we compared demographics, clinical data and six-month outcomes between patients with stroke-on-awakening versus stroke-while-awake. Strokes of all types (ischemic stroke, transient ischemic attack, intracerebral hemorrhage and subarachnoid hemorrhage) were included. Standard descriptive statistics, multivariable logistic regression and general linear modeling were applied to the data to compare variables.Results:Among 2,585 stroke patients, 349 (13.5%) woke up with stroke and 2,236 (86.5%) did not. Patients with stroke-on-awakening were more likely to have higher blood pressure and to suffer ischemic stroke, but stroke severity, measured by level of consciousness, did not differ. Mortality both at discharge and at six-month follow-up did not differ between the two cohorts. However, patients with stroke-on-awakening were less likely to return home, and their median Stroke Impact Scale-16 scores were 7.0 points lower compared to those with stroke-while-awake.Conclusions:There are minor demographic and clinical differences between patients with stroke-on-awakening and stroke-while-awake. Functional outcomes are slightly worse among patients with stroke-on-awakening, an effect which was driven by poor outcomes among patients with subarachnoid hemorrhage.

scholarly journals Psychometric Evaluation of the Stroke Impact Scale 3.0

2015 ◽  
Vol 30 (3) ◽  
pp. 229-241 ◽  
Author(s):  
Ercole Vellone ◽  
Serenella Savini ◽  
Roberta Fida ◽  
Victoria Vaughan Dickson ◽  
Gail D’Eramo Melkus ◽  
...  
Keyword(s):  
Psychometric Evaluation ◽  
Stroke Impact Scale ◽  
Impact Scale

scholarly journals A comparison of the effects and usability of two exoskeletal robots with and without robotic actuation for upper extremity rehabilitation among patients with stroke: a single-blinded randomised controlled pilot study

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Jin Ho Park ◽  
Gyulee Park ◽  
Ha Yeon Kim ◽  
Ji-Yeong Lee ◽  
Yeajin Ham ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Pilot Trial ◽  
Stroke Survivors ◽  
Robotic Rehabilitation ◽  
Time Interaction ◽  
Stroke Impact Scale ◽  
Impact Scale ◽  
Wolf Motor Function Test ◽  
Upper Extremity Rehabilitation ◽  
Randomised Controlled

Abstract Background Robotic rehabilitation of stroke survivors with upper extremity dysfunction may yield different outcomes depending on the robot type. Considering that excessive dependence on assistive force by robotic actuators may interfere with the patient’s active learning and participation, we hypothesised that the use of an active-assistive robot with robotic actuators does not lead to a more meaningful difference with respect to upper extremity rehabilitation than the use of a passive robot without robotic actuators. Accordingly, we aimed to evaluate the differences in the clinical and kinematic outcomes between active-assistive and passive robotic rehabilitation among stroke survivors. Methods In this single-blinded randomised controlled pilot trial, we assigned 20 stroke survivors with upper extremity dysfunction (Medical Research Council scale score, 3 or 4) to the active-assistive robotic intervention (ACT) and passive robotic intervention (PSV) groups in a 1:1 ratio and administered 20 sessions of 30-min robotic intervention (5 days/week, 4 weeks). The primary (Wolf Motor Function Test [WMFT]-score and -time: measures activity), and secondary (Fugl-Meyer Assessment [FMA] and Stroke Impact Scale [SIS] scores: measure impairment and participation, respectively; kinematic outcomes) outcome measures were determined at baseline, after 2 and 4 weeks of the intervention, and 4 weeks after the end of the intervention. Furthermore, we evaluated the usability of the robots through interviews with patients, therapists, and physiatrists. Results In both the groups, the WMFT-score and -time improved over the course of the intervention. Time had a significant effect on the WMFT-score and -time, FMA-UE, FMA-prox, and SIS-strength; group × time interaction had a significant effect on SIS-function and SIS-social participation (all, p < 0.05). The PSV group showed better improvement in participation and smoothness than the ACT group. In contrast, the ACT group exhibited better improvement in mean speed. Conclusions There were no differences between the two groups regarding the impairment and activity domains. However, the PSV robots were more beneficial than ACT robots regarding participation and smoothness. Considering the high cost and complexity of ACT robots, PSV robots might be more suitable for rehabilitation in stroke survivors capable of voluntary movement. Trial registration The trial was registered retrospectively on 14 March 2018 at ClinicalTrials.gov (NCT03465267).

scholarly journals Translation and cultural adaptation of the stroke impact scale 2.0 (SIS): a quality-of-life scale for stroke

2018 ◽  
Vol 136 (2) ◽  
pp. 144-149
Author(s):  
Aline Dias Brandão ◽  
Natasha Bertocco Teixeira ◽  
Maria Claudia Brandão ◽  
Milena Carlos Vidotto ◽  
José Roberto Jardim ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cultural Adaptation ◽  
Stroke Impact Scale ◽  
Impact Scale ◽  
Quality Of Life Scale ◽  
Life Scale ◽  
Translation And Cultural Adaptation

Activity Participation Differences Between Younger and Older Individuals with Stroke

2012 ◽  
Vol 13 (1) ◽  
pp. 16-23 ◽  
Author(s):  
Timothy J. Wolf ◽  
Joseph K. Brey ◽  
Carolyn Baum ◽  
Lisa Tabor Connor
Keyword(s):  
Primary Outcome ◽  
Cross Sectional Study ◽  
Activity Participation ◽  
Older Individuals ◽  
Cross Sectional ◽  
Card Sort ◽  
Rehabilitation Professionals ◽  
Stroke Impact Scale ◽  
Impact Scale ◽  
Community Environments

The purpose of this study was to describe differences in activity participation between younger and older individuals with stroke to inform transition after stroke. This was a cross-sectional study with individuals six-months poststroke (n = 177). All individuals completed an outcomes assessment battery that included the Stroke Impact Scale, the Reintegration to Normal Living Index and the Activity Card Sort. The sample was divided into two groups: (1) Young — those under the age of 65 (n = 89); and (2) Old — those 65 or older (n = 88). Analysis was completed to examine differences between the groups on the primary outcome measures of the study and to look at differences between the groups on individual questions/items on the specific measures. The results of this study demonstrate: (1) significant differences in both the quantity and nature of activity participation prior to and after stroke between younger and older stroke survivors and (2) total scores and measures of central tendency do not necessarily provide therapists with the information they need to guide treatment. Rehabilitation professionals should focus on providing clients with the tools they will need to be successful in transitioning back to home and community environments once rehabilitation has ended.

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