A pilot study of attention deficits, balance control and falls in the subacute stage following stroke.
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| Title: | A pilot study of attention deficits, balance control and falls in the subacute stage following stroke. |
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| Authors: | Stapleton, T., Ashburn, A., Stack, E. |
| Source: | Clinical Rehabilitation. Aug2001, Vol. 15 Issue 4, p437-444. 8p. 3 Charts. |
| Subjects: | Cerebrovascular disease, Attention-deficit disorder in adults |
| Abstract: | Objectives: To (1) identify and monitor changes in deficits of attention and balance in the subacute stage following stroke, (2) investigate fall events, (3) explore relationships between deficits of attention, balance and falling post stroke. Design: A prospective observational study. Setting: Hospitalized patients with stroke were recruited from a rehabilitation ward. Subjects: Fourteen subjects were recruited, 13 subjects (age 21–80 years) completed all assessments. Ten had right and three had left hemispheric lesions. Eight subjects were male. Main outcome measures: Subjects were assessed on two occasions during a six-week period. Standardized tests were used to measure unilateral visual neglect, sustained and selective attention and balance. Fall histories were collected by chart review and semi-structured interview. Results: At the initial assessment six subjects had sustained auditory attention deficit, eight had deficits of auditory selective attention, 12 had visual selective attention deficits and seven subjects presented with visual inattention. Scores for visual inattention and visual selective attention improved over time (p = 0.006, p = 0.026 respectively) as did scores for balance control (p = 0.001). Auditory selective attention scores at the first assessment were found to correlate with measures of balance (p < 0.01), subjects with normal attention scores achieved better balance scores. Four subjects fell at least once during the six weeks. Scores for attention and balance of fallers were not found to be significantly different from the scores of nonfallers. Conclusions: The sample size was small but high levels of attention deficit were identified. Findings suggest a weak or no relationship between attention deficits and falls. Further studies are required to explore the extent of attention deficits post stroke and its impact on balance control and falling. [ABSTRACT FROM AUTHOR] |
| Copyright of Clinical Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 5384606 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: A pilot study of attention deficits, balance control and falls in the subacute stage following stroke. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Stapleton%2C+T%2E%22">Stapleton, T.</searchLink><br /><searchLink fieldCode="AR" term="%22Ashburn%2C+A%2E%22">Ashburn, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Stack%2C+E%2E%22">Stack, E.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Clinical+Rehabilitation%22">Clinical Rehabilitation</searchLink>. Aug2001, Vol. 15 Issue 4, p437-444. 8p. 3 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Cerebrovascular+disease%22">Cerebrovascular disease</searchLink><br /><searchLink fieldCode="DE" term="%22Attention-deficit+disorder+in+adults%22">Attention-deficit disorder in adults</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objectives: To (1) identify and monitor changes in deficits of attention and balance in the subacute stage following stroke, (2) investigate fall events, (3) explore relationships between deficits of attention, balance and falling post stroke. Design: A prospective observational study. Setting: Hospitalized patients with stroke were recruited from a rehabilitation ward. Subjects: Fourteen subjects were recruited, 13 subjects (age 21–80 years) completed all assessments. Ten had right and three had left hemispheric lesions. Eight subjects were male. Main outcome measures: Subjects were assessed on two occasions during a six-week period. Standardized tests were used to measure unilateral visual neglect, sustained and selective attention and balance. Fall histories were collected by chart review and semi-structured interview. Results: At the initial assessment six subjects had sustained auditory attention deficit, eight had deficits of auditory selective attention, 12 had visual selective attention deficits and seven subjects presented with visual inattention. Scores for visual inattention and visual selective attention improved over time (p = 0.006, p = 0.026 respectively) as did scores for balance control (p = 0.001). Auditory selective attention scores at the first assessment were found to correlate with measures of balance (p < 0.01), subjects with normal attention scores achieved better balance scores. Four subjects fell at least once during the six weeks. Scores for attention and balance of fallers were not found to be significantly different from the scores of nonfallers. Conclusions: The sample size was small but high levels of attention deficit were identified. Findings suggest a weak or no relationship between attention deficits and falls. Further studies are required to explore the extent of attention deficits post stroke and its impact on balance control and falling. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Clinical Rehabilitation is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1191/026921501678310243 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 437 Subjects: – SubjectFull: Cerebrovascular disease Type: general – SubjectFull: Attention-deficit disorder in adults Type: general Titles: – TitleFull: A pilot study of attention deficits, balance control and falls in the subacute stage following stroke. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Stapleton, T. – PersonEntity: Name: NameFull: Ashburn, A. – PersonEntity: Name: NameFull: Stack, E. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 08 Text: Aug2001 Type: published Y: 2001 Identifiers: – Type: issn-print Value: 02692155 Numbering: – Type: volume Value: 15 – Type: issue Value: 4 Titles: – TitleFull: Clinical Rehabilitation Type: main |
| ResultId | 1 |
