[article]
| Titre : |
Impact of visuospatial neglect post-stroke on daily activities, participation and informal caregiver burden : A systematic review |
| Type de document : |
texte imprimé |
| Auteurs : |
Martine S. Bosma ; Tanja C.W. Nijboer ; Monique A.A. Caljouw ; Wilco P. Achterberg |
| Année de publication : |
2020 |
| Article en page(s) : |
p. 344-358 |
| Note générale : |
doi.org/10.1016/j.rehab.2019.05.006 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
Stroke Visuospatial neglect Unilateral neglect Activities of daily living Participation Caregiver burden |
| Résumé : |
Objectives
Visuospatial neglect (VSN) is a common cognitive disorder after stroke. The primary aim of this systematic review was to provide an overview of the impact of VSN in 3 aspects: (1) activities of daily living (ADL), (2) participation, and (3) caregiver burden. The second aim was to investigate the differences in studies focusing on populations with mean age < 65 versus ≥ 65 years.
Methods
PubMed, EMBASE, Web of Science, Cochrane Library, Emcare, PsychINFO, Academic Search Premier and CENTRAL were searched systematically. Quality was assessed with the Mixed Methods Appraisal Tool.
Results
Of the 115 included studies, 104 provided outcomes on ADL, 15 on participation (4 studies with mean age ≥ 65), and 2 on caregiver burden (1 study with mean age ≥ 65). Quality assessment yielded scores ranging from 0 to 100%. VSN had a negative impact on ADL (i.e., independence during ADL and performance in self-care, household tasks, reading, writing, walking, wheelchair navigation) and participation (i.e., driving, community mobility, orientation, work). The impact of VSN on fulfilling social roles was unclear. VSN had a negative effect on caregiver burden. We found no clear age-related differences.
Conclusions and implications
VSN has a negative impact not only on patients’ independence but particularly on the performance of ADL. Despite the far fewer studies of VSN as compared with ADL, VSN also seems to hamper participation and increase caregiver burden, but further research is needed. Because of the large impact, VSN should be systematically and carefully assessed during rehabilitation. A considerable number of different instruments were used to diagnose VSN. Diagnosing VSN at more than one level [function (i.e., pen-and-paper test), activities, and participation] is strongly recommended. Consensus is needed on how to assess VSN and its negative impact for research and rehabilitation practice. |
| Permalink : |
./index.php?lvl=notice_display&id=90881 |
in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 344-358
[article] Impact of visuospatial neglect post-stroke on daily activities, participation and informal caregiver burden : A systematic review [texte imprimé] / Martine S. Bosma ; Tanja C.W. Nijboer ; Monique A.A. Caljouw ; Wilco P. Achterberg . - 2020 . - p. 344-358. doi.org/10.1016/j.rehab.2019.05.006 Langues : Anglais ( eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 344-358
| Mots-clés : |
Stroke Visuospatial neglect Unilateral neglect Activities of daily living Participation Caregiver burden |
| Résumé : |
Objectives
Visuospatial neglect (VSN) is a common cognitive disorder after stroke. The primary aim of this systematic review was to provide an overview of the impact of VSN in 3 aspects: (1) activities of daily living (ADL), (2) participation, and (3) caregiver burden. The second aim was to investigate the differences in studies focusing on populations with mean age < 65 versus ≥ 65 years.
Methods
PubMed, EMBASE, Web of Science, Cochrane Library, Emcare, PsychINFO, Academic Search Premier and CENTRAL were searched systematically. Quality was assessed with the Mixed Methods Appraisal Tool.
Results
Of the 115 included studies, 104 provided outcomes on ADL, 15 on participation (4 studies with mean age ≥ 65), and 2 on caregiver burden (1 study with mean age ≥ 65). Quality assessment yielded scores ranging from 0 to 100%. VSN had a negative impact on ADL (i.e., independence during ADL and performance in self-care, household tasks, reading, writing, walking, wheelchair navigation) and participation (i.e., driving, community mobility, orientation, work). The impact of VSN on fulfilling social roles was unclear. VSN had a negative effect on caregiver burden. We found no clear age-related differences.
Conclusions and implications
VSN has a negative impact not only on patients’ independence but particularly on the performance of ADL. Despite the far fewer studies of VSN as compared with ADL, VSN also seems to hamper participation and increase caregiver burden, but further research is needed. Because of the large impact, VSN should be systematically and carefully assessed during rehabilitation. A considerable number of different instruments were used to diagnose VSN. Diagnosing VSN at more than one level [function (i.e., pen-and-paper test), activities, and participation] is strongly recommended. Consensus is needed on how to assess VSN and its negative impact for research and rehabilitation practice. |
| Permalink : |
./index.php?lvl=notice_display&id=90881 |
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Impact of visuospatial neglect post-stroke on daily activities, participation and informal caregiver burden : A systematic review in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)
