The frequency of perceptual problems in stroke patients and the impact of daily life, were assessed at one month and two years after onset of the stroke. Ninety patients were assessed on the Rivermead Perceptual Assessment Battery (RPAB) and an Activities of Daily Living (ADL) scale. Perceptual problems were identified in 69% of patients on the one month assessment and in 74% of patients on the two-year assessment. There was no significant difference in the frequency or severity of perceptual problems, between the two assessments. Significant improvement occurred in activities such as mobility, preparing a hot drink and crossing a road. There remained a significantly high correlation between perceptual problems and independence in activities of daily living.
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References
1.
Denes G., Semenza C., Stoppa E., Lis A.Unilateral spatial neglect and recovery from hemiplegia. Brain1982; 105: 543-52.
Andrews K., Brocklehurst JC, Richards B., Laycock PJThe prognostic value of picture drawings by stroke patients. Rheumatol and Rehabil1980; 19: 180-88.
4.
Andrews K., Brocklehurst JC, Richards B., Laycock PJThe recovery of the severely disabled stroke patient. Rheumatol and Rehabil1982; 21: 225-30.
5.
Kinsella G., Ford B.Acute recovery patterns in stroke patients. Medical Journal of Australia1980; Dec 13: 663-66.
6.
Kinsella G., Ford B.Hemi-inattention and the recovery patterns of stroke patients. Int Rehabil Med1985; 7: 102-106.
7.
Kotila M., Niemi ML, Laaksonen R.Four-year prognosis of stroke patients with visuospatial inattention. Scand J Rehab Med1986; 18: 177-79.
8.
Bernspang B.Consequences of stroke. Doctoral thesis, 1987, Umea, Sweden.
9.
Sunderland A. , Wade DT, Langton-Hewer R.The natural history of visual neglect after stroke. Int Disabil Stud1987; 9: 55-59.
10.
Edmans JA, Lincoln NBThe frequency of perceptual deficits after stroke. Clin Rehabil1987; 1: 273-81.
11.
Edmans JA, Lincoln NBThe relation between perceptual deficits after stroke and independence in activities of daily living. Brit J Occ Ther1990; 53: 139-42.
12.
Whiting SE, Lincoln NB, Bhavnani G, Cockburn J. The Rivermead Perceptual Assessment Battery. Windsor: NFER-Nelson, 1985.
13.
Lincoln NB, Clarke D.The performance of normal elderly people on the RPAB. Brit J Occ Ther1987; 50: 156-57.
14.
Whiting SE, Lincoln NBAn ADL assessment for stroke patients. Brit J Occ Ther1980; 43: 44-46.
15.
Lincoln NB, Edmans JAA re-validation of the Rivermead ADL scale for elderly patients with stroke . Age Ageing1990; 19: 19-24.
16.
Lincoln NB, Blackburn M., Ellis S., Jackson J., Edmans JA, Nouri FM, Walker MF, Haworth H.An investigation of factors affecting progress of patients on a Stroke Unit . J Neurol Neurosurg Psychiatry1989; 52: 493-96.
17.
Lincoln NB, Jackson JM, Edmans JA, Walker MF, Farrow VM, Latham A., Coombes K.The accuracy of predictions about progress of patients on a stroke unit. J Neurol Neurosurg Psychiatry1990; 53: 972-75.
18.
Edmans JA, Lincoln NBTreatment of visual perceptual deficits after stroke: four single case studies . Int Disabil Stud1989; 11: 25-33.
19.
Edmans JA, Lincoln NBTreatment of visual perceptual deficits after stroke: single case studies on four patients with right hemiplegia. Brit J Occ Ther1991; 54: 139-44.
20.
Lincoln NB, Edmans JAA shortened version of the Rivermead Perceptual Assessment Battery?Clin Rehabil1989; 3: 199-204.
21.
Jesshope HJ, Clark MS, Smith DSThe Rivermead Perceptual Assessment Battery: its application to stroke patients and relationship with function. Clin Rehabil1991; 5: 115-22.
22.
Garraway WM , Akhtar AJ, Hockey L., Prescott RJManagement of acute stroke in the elderly: follow-up of a controlled trial. Br Med J1980; 281: 827-29.
23.
Ebrahim S., Barer D., Nouri F.An audit of follow-up services for stroke patients after discharge from hospital . Int Disabil Stud1987; 9: 103-105.
