Analysis of the Recovery Process and Activities of Daily Living Independence in Pusher Behavior and Unilateral Spatial Neglect

IF 3.7 2区医学 Q1 REHABILITATION Archives of physical medicine and rehabilitation Pub Date : 2025-03-01 Epub Date: 2024-10-26 DOI:10.1016/j.apmr.2024.09.019

Yuichi Kato MS, PT , Yu Sato BS, PT , Takumi Orimoto BS, PT , Yuto Sudo BS, OT , Masafumi Suzuki PT , Shigeyasu Ishida BS, PT , Tokihide Jyashiki PT , Masanari Kikura PT , Yumi Ikeda PhD, PT , Kazu Amimoto PhD, PT

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Abstract

Objective

To investigate the recovery processes of pusher behavior (PB) and unilateral spatial neglect (USN) based on the severity of PB and USN, and to determine the relationship between activities of daily living (ADL) independence levels.

Design

This retrospective study aimed to examine the temporal changes and their association with ADL independence levels based on the severity of PB and USN.

Setting

Recovery ward of Moriyama Neurological Center Hospital between March 2017 and October 2022.

Participants

We included all patients with cerebrovascular disease admitted to the recovery ward of Moriyama Neurological Center Hospital between March 2017 and October 2022. A total of 174 patients with PB and USN were classified into 4 groups as follows: severe PB and severe USN (Group A), severe PB and mild USN (Group B), mild PB and severe USN (Group C), and mild PB and mild USN (Group D).

Interventions

Not applicable.

Main Outcome Measures

Kaplan-Meier survival analysis was used to determine whether the time to recovery from PB or USN (SCP: ≤1.75 points; Catherine Bergego Scale: 0 points) differed between groups. In addition, group differences in functional independence measure (FIM) scores and efficiencies were examined.

Results

There were significant differences among Groups A and B, and Groups A and C, as determined by the log-rank test (P<.05), and recovery was prolonged when both PB and USN were severely impaired. Similarly, FIM scores and efficiencies were lower in Group A (P<.05). When PB and USN were severely impaired, ADL was adversely affected, and the recovery process was prolonged. In addition, when 1 of the 2 symptoms was severe and the other was mild, each recovery course tended to show improvement, suggesting that they exerted a mutual influence on each other.

Conclusions

These findings indicate that severity classification may help to determine functional prognosis in patients with PB and USN.

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分析推人行为和单侧空间忽略的恢复过程和日常生活独立性。

目的根据推拿行为（PB）和单侧空间忽略（USN）的严重程度，研究推拿行为（PB）和单侧空间忽略（USN）的恢复过程，确定其与日常生活活动（ADL）独立性水平之间的关系：这项回顾性研究旨在根据PB和USN的严重程度，研究其时间变化及其与ADL独立性水平之间的关系：2017年3月至2022年10月期间的森山神经中心医院康复病房：我们纳入了2017年3月至2022年10月期间入住森山神经中心医院康复病房的所有脑血管疾病患者。共174名PB和USN患者被分为以下四组：重度PB和重度USN（A组）、重度PB和轻度USN（B组）、轻度PB和重度USN（C组）、轻度PB和轻度USN（D组）：主要结果测量采用卡普兰-米尔生存分析法确定 PB 或 USN（SCP：≤1.75 分；CBS：0 分）恢复时间在组间是否存在差异。此外，还研究了功能独立性测量（FIM）得分和效率的组间差异：结果：根据对数秩检验（PConclusions），A 组和 B 组之间以及 A 组和 C 组之间存在明显差异：这些研究结果表明，严重程度分类可能有助于确定 PB 和 USN 患者的功能预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of physical medicine and rehabilitation 医学-康复医学

CiteScore

6.20

自引率

4.70%

发文量

495

审稿时长

38 days

期刊介绍： The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.