People with stroke living in the community: attention deficits, balance, ADL ability and falls
Hyndman, D. and Ashburn, A. (2003) People with stroke living in the community: attention deficits, balance, ADL ability and falls. Disability and Rehabilitation, 25, (15), 817 - 822. (doi:10.1080/0963828031000122221).
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PURPOSE: To describe levels of attention deficits among people with stroke living in the community and explore relationships between attention, balance, function and falls.
METHOD: Forty-eight mobile community-dwelling people with stroke (30 men, 18 women, mean age 68.4 +/- 11.2) were recruited to this cross-sectional investigation through General Practitioners. Twenty-six participants had a right, 21 a left hemisphere infarction and one had a brain stem lesion mean time since stroke was 46 months (range five to 204). Participants' were interviewed about fall-events; attention, balance and function were assessed using standardised tests.
RESULTS: Visual inattention was identified in five participants (10%), deficits of sustained attention in 15 (31%), auditory selective attention in nine (19%), visual selective attention in 17 (35%) and divided attention deficits in 21 participants (43%). Sustained and divided attention scores correlated with balance, ADL ability and fall-status (p < 0.01). The balance and function of subjects with normal attention were better than those with abnormal scores (p < 0.01). Analysis of variance revealed differences between repeat-fallers and non-fallers with no near-falls for divided attention, balance and ADL ability (p < 0.01).
CONCLUSIONS: Attention deficits were common among this sample; sustained and divided attention deficits correlated with functional impairments and falls, highlighting that attention deficits might contribute to accident prone behaviour and falling.
|Digital Object Identifier (DOI):||doi:10.1080/0963828031000122221|
|Subjects:||H Social Sciences > HT Communities. Classes. Races
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
|Divisions:||University Structure - Pre August 2011 > Superseded (SOHPRS)
|Date Deposited:||27 Oct 2005|
|Last Modified:||06 Aug 2015 02:17|
|RDF:||RDF+N-Triples, RDF+N3, RDF+XML, Browse.|
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