Effect of Unilateral Spatial Neglect on Rehabilitation of Hemiplegia after Brain Injury / 中国康复理论与实践

ABSTRACT

@# Objective To investigate the unilateral spatial neglect (USN) on the rehabilitation of hemiplegia after brain injury.Methods 35 patients with USN and 38 patients without USN were selected and divided into two groups (USN group and without USN group). All patients of two groups accepted integrative treatments mainly with Bobath technique by professional therapists. The function of movement, balance, ambulation, hand and activities of daily living (ADL) were all particularly assessed by simplified Fugl-Meyer movement assessment, Fugl-Meyer balance assessment, Holden functional ambulation classification, hand function classification and Modified Barthel Index (MBI) before treatment and 1 and 2 months after treatment.Results After treatment, the scores of the Fugl-Meyer movement assessment, Fugl-meyer balance assessment and MBI of all patients in two groups significantly improved ( P<0.001). But there was a significant difference between the two groups in scores of balance function, MBI, hand function (all P<0.05), and the Holden functional ambulation classification ( P<0.001).Conclusion USN induced by brain injury has obviously effects on rehabilitation of motor, balance, ambulation and ADL of hemiplegia.