Retrospective cohort study of consecutive patients investigated in a neurorehabilitation ward after a first hemispheric stroke. Postural and gait disorders in relation to referential of verticality have been analyzed in routine care.
300 consecutive patients, admitted in our department for neurorehabilitation after a first hemispherical stroke, have been enrolled retrospectively. During their hospitalisation, all patients have been routinely evaluated with clinical scales, evaluating motor and cognitive deficits. Postural and visual vertical (VV) assessments have been performed 1 to 4 times during in-patient-stay. The objective was to analyse the determinants of balance recovery after stroke, in particular the impact of wrong referential of verticality. Data collection was performed by means of medical records. Observation period covered from january 2012 to february 2018.
Study Type
OBSERVATIONAL
Enrollment
300
Postural Assessment Scale for Stroke (PASS)
Posture
Change from Baseline Score of Postural Assessment Scale for Stroke (PASS) at discharge
Time frame: admission and monthly, up to 3 months
Balance
Assessment of Balance and Posture with SCP (Scale for Contraversive Pushing)
Time frame: admission and monthly, up to 3 months
Gait
Assessment of Gait with Lindmark test
Time frame: admission and monthly, up to 3 months
Postural disorders
Assessment of Postural control with CDP (Computerized posturography)
Time frame: admission and monthly, up to 3 months
Visual vertical perception
Assessment of the visual vertical (vv). Subject indicates which direction a visual line displayed on a computer screen (in darkness) is perceived as vertical in the roll plane.
Time frame: admission and monthly, up to 3 months
Postural vertical perception
Assessment of the postural vertical (pv). Subject is seated in a specific device (CE-marked) in darkness, and indicates which direction of her/his whole body is perceived as vertical in the roll plane.
Time frame: admission and monthly, up to 3 months
Walking distance
Assessment of walking distance with the 6-minute-walking-test (6-MWT)
Time frame: admission and monthly, up to 3 months
Gait velocity
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Assessment of gait velocity at self-prefered-velocity on 10 meters
Time frame: admission and monthly, up to 3 months
Pressure sensitivity (Hand and foot)
Assessment of hypoesthesia with Semmes-Weinstein monofilaments test
Time frame: admission and monthly, up to 3 months
Spasticity
Assessment of Spasticity with Ashworth Scale
Time frame: admission and monthly, up to 3 months
Laterality
Assessment of Laterality with Edinburgh Handedness Inventory
Time frame: admission and monthly, up to 3 months
Disability
Assessment of Autonomy with FIM (Functional Independence Measure)
Time frame: admission and monthly, up to 3 months
Neuropsychological Assessment 1
Assessment of Hemispatial Neglect with the Catherine Bergego Scale (CBS)
Time frame: admission and monthly, up to 3 months
Neuropsychological Assessment 2
Assessment of Hemispatial Neglect with the fluff Test
Time frame: admission and monthly, up to 3 months
Neuropsychological Assessment 3
Assessment of Hemispatial Neglect using 'thumb localizing test' (TLT)
Time frame: admission and monthly, up to 3 months
Neuropsychological Assessment 4
Assessment of Hemispatial Neglect with the 'Comb and Razor Test'
Time frame: admission and monthly, up to 3 months
Neuropsychological Assessment 5
Assessment of Hemispatial Neglect with the BEN ( Battery of tests for the quantitative assessment of unilateral neglect)
Time frame: admission and monthly, up to 3 months
Neuropsychological Assessment 6
Assessment of Apraxia with ATS (Apraxia Screen of TULIA)
Time frame: admission and monthly, up to 3 months
Neuropsychological Assessment 7
Assessment of Language with LAST (Language Screening Test)
Time frame: admission and monthly, up to 3 months
Neuropsychological Assessment 8
Assessment of Aphasia with BDAE (Boston Diagnostic Aphasia Examination)
Time frame: admission and monthly, up to 3 months
Neuropsychological Assessment 10
Assessment of depression with ADRS (Aphasia Depression Rating Scale)
Time frame: admission and monthly, up to 3 months
Falls
Monitoring of falls occuring during the hospitalization
Time frame: at discharge, the number of falls is totalized
Visual field defect (hemianopia/quadranopia)
standardized clinical examination
Time frame: admission and monthly, up to 3 months
Identification of brain structures involved in the stroke
anatomical MRI
Time frame: once, at 2 month