Disabilità e outcome riabilitativo nell'emiplegico con afasia globale ed eminattenzione

Translated title of the contribution: Disability and rehabilitation outcome in hemiplegic subject with global aphasia and neglect

Bernardo Gialanella, P. Benvenuti, R. Santoro, S. Scolari

Research output: Contribution to journalArticle

Abstract

Purpose: Global aphasia and neglect are considered to be the neuropsychological disorders mostly affecting the hemiplegia outcome. The aim of this study is to examine which of the two disorders is making worse the recovery from hemiplegia. Methods: The study was conduced on 45 patients suffering from hemiplegia: 15 subject with global aphasia, 15 with neglect and 15 without neuropsychological disorders (control group). All patients were subject to rehabilitation treatment. Before and after rehabilitation, the assessment of patients was made using neuropsychological tests, Fugl-Meyer scale and Functional Independence Measure (FIM). At admission, all patients were not self-sufficient. Results: At the end of the rehabilitation period the recovery of motor function was poor in both groups. The damage on limbs motion was severe in 93.4% and marked in 6,6% of both patients with global aphasia and neglect. At discharge, the FIM motor score of patients with global aphasia (44.6+/-13) was higher than in those with neglect (37.2+/-10) and was not statistically different from control group (51.2+/-18) (p= 0.493). The FIM motor score of patients with neglect was significantly lower than control group (p=0.036) In patients with global aphasia effectiveness was 35.5% and efficiency 0.40 while in patients with neglect effectiveness was 18% and efficiency 0.22. The final disability was lower in patients subject to global aphasia than neglect. Conclusions: The study showed that neglect limits the recovery from stroke more than global aphasia.e.

Translated title of the contributionDisability and rehabilitation outcome in hemiplegic subject with global aphasia and neglect
Original languageItalian
Pages (from-to)237-243
Number of pages7
JournalClinica Terapeutica
Volume154
Issue number4
Publication statusPublished - Jul 2003

ASJC Scopus subject areas

  • Medicine(all)

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