This study evaluated basic functional mobility in 25 patients with stroke and visual-spatial neglect during inpatient rehabilitation and early follow-up. Seven patients with neglect and 12 patients without neglect were discharged home and the rest to institutions. Patients without neglect achieved higher outcomes in a shorter time (mean 52 and 79 days respectively). All patients discharged home continued to improve at least up to 5 weeks post-discharge. The patients discharged to institutions achieved lower outcomes overall and quickly deteriorated to admission levels post-discharge. The results inform occupational therapy practice in the areas of assessment, discharge planning, destination and expected functional mobility outcomes in the community.
AbergASidenvallBHepworthMO'ReillyKLithellH (2005) On loss of activity and independence, adaptation improves life satisfaction in old age — a qualitative study of patient's perceptions. Quality of Life Research, 14, 1111–25.
2.
AlaszewskiHAlaszewskiAPotterJPenhaleBBillingsJ (2003) Life after stroke: reconstructing everyday life. Available at: http://www.kent.ac.uk/chss/docs/Stroke.pdf Accessed on 03.04.08.
3.
American Occupational Therapy Association (2008) Occupational Therapy Practice Framework: domain and process, 2nd edition. American Journal of Occupational Therapy, 62 (6), 625–83.
4.
AppelrosPNydevikIKarlssonGMThorwallsASeigerA (2004) Recovery from unilateral neglect after right hemisphere stroke. Disability and Rehabilitation, 26 (8), 471–77.
5.
BenaimCPerennouDAVilleyJRousseauxMPelissierJY (1999) Validation of a standardised Assessment of Postural Control in Stroke Patients. Stroke, 30, 1862–68.
6.
BowenAMcKennaKTallisRC (1999) Reasons for variability in the occurrence of unilateral spatial neglect after stroke. Stroke, 30, 1196–202.
7.
CartoniALincolnN (2005) The sensitivity and specificity of the Middlesex Elderly Assessment of Mental State for detecting cognitive impairment after stroke. Neuropsychological Rehabilitation, 15 (1), 55–67.
8.
EbrahimSHarwoodR (1999) Stroke: epidemiology, evidence and clinical practice. Oxford: Oxford University Press.
9.
GillenRTennenHMcKeeT (2005) Unilateral spatial neglect: relation to rehabilitation outcomes in patients with right hemisphere stroke. Archives of Physical Medicine and Rehabilitation, 86, 763–67.
10.
GoldbergGSegalMBerkSSchallRGershkoffA (1997) Stroke transition after inpatient rehabilitation. Topics in Stroke Rehabilitation, 4 (1), 64–79.
11.
GoldingE (1989) MEAMS: the Middlesex Elderly Assessment of Mental State. Titchfield: Thames Valley Test.
12.
HeilmannKValensteinEWatsonR (2000) Neglect and related disorders. Seminal Neurology, 20, 463–70.
Intercollegiate Stroke Working Party (2008) National clinical guideline for stroke. 3rd ed.London: Royal College of Physicians.
15.
KalraLPerezIGuptaSWittinkM (1997) The influence of visual neglect on rehabilitation. Stroke, 28, 1386–91.
16.
KatzNHartman-MaeirARingHSorokerN (1999) Functional disability and rehabilitation outcome in right hemisphere patients with and without unilateral spatial neglect. Archives of Physical Medicine and Rehabilitation, 80, 379–84.
17.
LanghornePTaylorGMurrayGDennisMAndersonCBautz-HolterEDeyPIndredavikBMayoNPowerMRodgersHRonningO MortenRuddASuwanwelaNWiden-HolmqvistLWolfeC (2005) Early supported discharge services for stroke patients: a meta-analysis of individual patients' data. Lancet, 365, 501–06.
18.
LindenTSamuelssonHSkoogIBlomstrandC (2005) Visual neglect and cognitive impairment in elderly patients late after stroke. Acta Neurologica Scandinavica, 111, 163–68.
19.
LutzBJ (2004) Determinants of discharge destinations of stroke patients. Journal of Rehabilitation Nursing, 29 (5), 154–63.
20.
MahoneyFBarthelD (1965) Functional evaluation: the Barthel Index. Maryland State Medical Journal, 14, 61–65.
21.
McDowellINewellC (1996) Measuring health. 2rd ed.Oxford: Oxford University Press.
22.
NairRLincolnN (2007) Cognitive rehabilitation for memory deficits following stroke. Cochrane Database of Systematic Reviews, Issue 3.
23.
PaolucciSGrassoMAntonucciGTroisiEMorelliDCoiroP (2000) One-year follow-up in stroke patients discharged from rehabilitation hospital. Cerebrovascular Disease, 10, 25–32.
