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© 1983 Oxford University Press

research-article

PROPRIOCEPTION AND SPATIAL NEGLECT AFTER STROKE

DOROTHY L. SMITH, Associate Specialist in Geritatric Medicine, ANWAR J. AKHTAR, Consultant Physician and W. MICHAEL GARRAWAY, Senior Lecturer*,

Royal Victoria Hospital Edinburgh EH4 2DN
University Department of Community Medicine Edinburgh EH9 1DW

* Present address: Department of Medical Statistics and Epidemiology, Mayo Clinic, Rochester, NY, U.S.A.

Proprioception and neglect were studied in 287 patients surviving up to one week after the onset of their stroke. The presence of proprioceptive loss indicated a more extensive lesion and a larger proportion of these patients had impairment of intellectual function, motor power in the upper and lower limb, and postural function. Proprioceptive loss also had an adverse effect on the level of independence achieved by discharge, final placement, mortality and length of stay in hospital. In 87% of the survivors recovery of proprioception had occurred by eight weeks. Significant neglect was associated with high mortality and poor outcome for functional recovery.


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