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Rehabilitation Practice and Science

Translated Title

右腦傷後半側忽視對日常生活功能之影響

Abstract

Hemineglect is a common symptom and sign in patients with right hemisphere lesion. These patients usually have problems of reduced awareness of stimuli from left side. This study aims to evaluate the correlation between presence of hemineglect and functional disability in patients with right hemispheric stroke or traumatic brain injury. Forty patients who were diagnosed as right hemispheric stroke or traumatic brain injury as verified by computed tomography scan or magnetic resonance image participated in the study. Based on the criteria on Schekenberg test (line bisection test), patients were divided into two groups: 20 with hemineglect and 20 without hemineglect. Functional disability was evaluated using the Barthel index. The BI was administered to patients with neglect in the beginning of the study and one month later. For these patients without hemineglect, the Barthel index was administered in the beginning. The time administered to severity of hemineglect by the Schekenberg test and Albert’s test (line cancellation test) was the same as the Barthel Index.The Barthel Index outcomes in patients with hemineglect were significantly lower than patients without neglect. This means that the ability to carry out activities of daily living would be affected in patients with heminegelct. Severity of hemineglect was correlated with the Barthel Index scores. Moreover, changes in severity of hemineglect from beginning to one month later were also correlated with changes in the Barthel index scores. Patients with hemineglect had significantly more hospitalization days from admission to discharge than patients without hemineglect. The results of our study showed the significant correlation of hemineglect with functional disability.

Language

Traditional Chinese

First Page

127

Last Page

132

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