Affiliation:
1. Department of Physical Therapy, Faculty of Health Sciences Ryotokuji University Urayasu Chiba Japan
2. Department of Physiotherapy, Graduate School of Human Health Sciences Tokyo Metropolitan University Arakawa‐ku Tokyo Japan
3. Department of Rehabilitation Takenotsuka Noshinkei Rehabilitation Hospital Adachi‐ku Tokyo Japan
4. Department of Rehabilitation Tokyo Sakura Hospital Edogawa‐ku Tokyo Japan
Abstract
AbstractIntroductionClarifications regarding the recovery process of the subjective postural vertical (SPV) and activities of daily living in stroke patients are required to help clinicians determine treatment plans. Therefore, we aimed to investigate the characteristics of the longitudinal recovery process of SPV and activities of daily living after stroke.MethodsOverall, 109 patients with stroke were enrolled. Clinical assessments included the SPV and total functional independence measure (FIM), initially and after 1 month. The mean and standard deviation of SPV indicated the directional and variability errors, respectively. Participants were categorized as follows: nondeviation group comprised directional and variability errors within the standard values, deviation of variability errors group comprised directional errors within the standard value and variability errors greater than the standard value, and deviation of both directional and variability errors group comprised directional and variability errors greater than the standard values. In addition, a two‐way analysis of variance was performed for initial pre‐ and post‐SPV, and pre‐ and posttotal FIM scores (p < .05).ResultsThe deviation of variability errors group, and deviation of both directional and variability errors group, had larger SPV variability errors than did the nondeviation group. Furthermore, the deviation of variability errors group showed a significant improvement in variability errors after 1 month. There was a correlation between the initial SPV with eyes opened variability error and total FIM after 1 month in Pusher patients with unilateral spatial neglect in the deviation of both directional and variability errors group.ConclusionsSPV with eyes opened variability errors and initial FIM score may influence the independence of activities of daily living after 1 month in the recovery of patients with stroke with Pusher and unilateral spatial neglect.
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