Featured Research

from universities, journals, and other organizations

Advance in early diagnosis of spatial neglect after stroke

Date:
January 3, 2012
Source:
Kessler Foundation
Summary:
Bedside clinical evaluation can be optimized to diagnose spatial neglect, a disabling disorder that impedes recovery after stroke, according to stroke specialists. Often overlooked, it is associated with prolonged hospital stays, accidents, falls, safety problems and chronic functional disability. Early recognition and targeted cognitive rehabilitation may improve outcomes for the 30-50 percent of stroke survivors with this hidden disability that can be more disabling than paralysis.

Researchers at Kessler Foundation and Seton Hall University report findings in the early diagnosis of acute spatial neglect, a hidden disability that is a common complication of stroke. In the weeks after stroke, 30-50% of stroke survivors cannot reliably report or respond to external events that take place in the space opposite the side of their brain injury. Called spatial neglect, this disorder is a problem with attention and action rather than vision. Often overlooked, it is associated with accidents, falls, safety problems and functional disability that impedes recovery.

According to Anna Barrett, MD, director of Stroke Rehabilitation Research at Kessler Foundation, this study is unique in its focus on patients in the acute phase. "Early detection of spatial neglect after stroke could enable cognitive interventions to improve function, and might prevent chronic disability," explained Dr. Barrett. "Spatial neglect is often thought of as a visual problem, but it critically impairs action and movement."

While the impact of weakness and paralysis are well recognized, the effects of hidden disabilities like spatial neglect are underestimated. "Spatial neglect doubles or triples the disability a stroke survivor with paralysis experiences," said Dr. Barrett, " and could make the difference between chronic dependence and successful return to work and life. That is why it is important to diagnosis early and include cognitive interventions in the rehabilitation plan."

The study is unique in looking at correlations between laboratory tools and the bedside tools clinicians use to diagnose spatial-motor dysfunction. Investigators studied 51 consecutive inpatients with right brain stroke and left neglect, within a mean 22.3 days post-stroke. Each was evaluated with laboratory measures of perceptual-attentional and motor-intentional deficits and 2 bedside measures-- the Behavioral Inattention Test (BIT)-conventional and the Catherine Bergego scale (CBS).

Researchers determined that these psychometric assessments may be used to identify specific motor-exploratory deficits in spatial neglect. Specifically, obtaining CBS-ME scores routinely might improve the detection of spatial action deficits so that clinicians can implement appropriate care and safety interventions. Without specific cognitive rehabilitation, spatial-action deficits may persist and cause chronic disability. "Much effort goes into hi-tech approaches," commented Dr. Barrett. "This study, however, shows that clinical tools can be optimized for the bedside, to identify patients who need targeted management and therapy."

The article, "Psychometric evaluation of neglect assessment reveals motor-exploratory predictor of functional disability in acute-stage spatial neglect," appears in the January 2012 issue of Archives of Physical Medicine & Rehabilitation, vol. 93(1)(doi:10.1016/j.apmr.2011.06.036). Authors are Kelly M. Goedert, PhD, of Seton Hall University, South Orange, NJ, Peii Chen, PhD, Amanda Botticello, PhD, Jenny R. Masmela, BA, and Anna M. Barrett, MD, of Kessler Foundation, West Orange, NJ, and Uri Adler, MD, of Kessler Institute For Rehabilitation, West Orange, NJ. Dr. Barrett is also chief of Neurorehabilitation Program Innovation at Kessler Institute. Drs. Barrett, Adler, Botticello, and Chen are also affiliated with UMDNJ-New Jersey Medical School, Newark, NJ.

Research was supported by Kessler Foundation and the National Institute of Neurological Disorders and Stroke (grant nos. K02 ns 047099-05, R01 ns 055808-02).


Story Source:

The above story is based on materials provided by Kessler Foundation. Note: Materials may be edited for content and length.


Cite This Page:

Kessler Foundation. "Advance in early diagnosis of spatial neglect after stroke." ScienceDaily. ScienceDaily, 3 January 2012. <www.sciencedaily.com/releases/2012/01/120103135556.htm>.
Kessler Foundation. (2012, January 3). Advance in early diagnosis of spatial neglect after stroke. ScienceDaily. Retrieved September 17, 2014 from www.sciencedaily.com/releases/2012/01/120103135556.htm
Kessler Foundation. "Advance in early diagnosis of spatial neglect after stroke." ScienceDaily. www.sciencedaily.com/releases/2012/01/120103135556.htm (accessed September 17, 2014).

Share This



More Mind & Brain News

Wednesday, September 17, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

FDA Eyes Skin Shocks Used at Mass. School

FDA Eyes Skin Shocks Used at Mass. School

AP (Sep. 15, 2014) The FDA is considering whether to ban devices used by the Judge Rotenberg Educational Center in Canton, Massachusetts, the only place in the country known to use electrical skin shocks as aversive conditioning for aggressive patients. (Sept. 15) Video provided by AP
Powered by NewsLook.com
Shocker: Journalists Are Utterly Addicted To Coffee

Shocker: Journalists Are Utterly Addicted To Coffee

Newsy (Sep. 13, 2014) A U.K. survey found that journalists consumed the most amount of coffee, but that's only the tip of the coffee-related statistics iceberg. Video provided by Newsy
Powered by NewsLook.com
'Magic Mushrooms' Could Help Smokers Quit

'Magic Mushrooms' Could Help Smokers Quit

Newsy (Sep. 11, 2014) In a small study, researchers found that the majority of long-time smokers quit after taking psilocybin pills and undergoing therapy sessions. Video provided by Newsy
Powered by NewsLook.com
'Fat Shaming' Might Actually Cause Weight Gain

'Fat Shaming' Might Actually Cause Weight Gain

Newsy (Sep. 11, 2014) A study for University College London suggests obese people who are discriminated against gain more weight than those who are not. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

    Environment News

      Technology News



      Save/Print:
      Share:

      Free Subscriptions


      Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

      Get Social & Mobile


      Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

      Have Feedback?


      Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
      Mobile: iPhone Android Web
      Follow: Facebook Twitter Google+
      Subscribe: RSS Feeds Email Newsletters
      Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins