Evidence map›Paper›PMID 25862254›Full record

ArticleArchives of physical medicine and rehabilitation2015

Impact of spatial neglect on stroke rehabilitation: evidence from the setting of an inpatient rehabilitation facility.

Peii Chen, Kimberly Hreha, Yekyung Kong, A M Barrett

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 7 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 7 syntheses or guidelines pooled it, 162 citations in OpenAlex.

  1. Pooled it
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  6. Pediatric unilateral spatial neglect: A systematic review.Journal of pediatric rehabilitation medicine · 2021
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  16. An exploration of serious falls after stroke using a large international stroke rehabilitation database.International journal of stroke : official journal of the International Stroke Society · 2025
    Article
  17. Article
  18. A new method for detecting unilateral spatial neglect with tracing tasks using the Rey-Osterrieth complex figure: a pilot study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Peii ChenKessler Foundation, West Orange, NJ; Department of Physical Medicine and Rehabilitation, Rutgers University, Newark, NJ. Electronic address: PChen@KesslerFoundation.org.
Kimberly HrehaDepartment of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY; Kessler Institute for Rehabilitation, West Orange, NJ.
Yekyung KongDepartment of Physical Medicine and Rehabilitation, Rutgers University, Newark, NJ; Kessler Institute for Rehabilitation, West Orange, NJ.
A M BarrettKessler Foundation, West Orange, NJ; Department of Physical Medicine and Rehabilitation, Rutgers University, Newark, NJ; Kessler Institute for Rehabilitation, West Orange, NJ.
Kessler Institute for Rehabilitation · USRutgers, The State University of New Jersey · US

Funding

Mentoring translational cognitive science for stroke recoveryK24HD062647 · NICHD · KESSLER FOUNDATION, INC. · PI BARRETT, A. M. · 2010 to 2014
$695k
NICHD NIH HHS K24 HD062647NICHD NIH HHS K24HD062647
6 · The paper itself

Abstract

objectiveTo examine the impact of spatial neglect on rehabilitation outcome, risk of falls, and discharge disposition in stroke survivors.

designInception cohort.

settingInpatient rehabilitation facility (IRF).

participantsIndividuals with unilateral brain damage after their first stroke (N=108) were assessed at IRF admission and discharge. At admission, 74 of them (68.5%) demonstrated symptoms of spatial neglect as measured using the Kessler Foundation Neglect Assessment Process (KF-NAP).

interventionsUsual and standard IRF care.

main outcome measuresThe FIM, Conley Scale, number of falls, length of stay (LOS), and discharge disposition.

resultsThe greater the severity of spatial neglect (higher KF-NAP scores) at IRF admission and the lower the FIM scores at admission as well as at discharge. Higher KF-NAP scores also correlated with greater LOS and lower FIM improvement rate. The presence of spatial neglect (KF-NAP score>0), but not Conley Scale scores, predicted falls such that participants with spatial neglect fell 6.5 times more often than those without symptoms. More severe neglect, indicated by KF-NAP scores at IRF admission, reduced the likelihood of returning home at discharge. A model that took spatial neglect and other demographic, socioeconomic, and clinical factors into account predicted home discharge. Rapid FIM improvement during IRF stay and lower annual income level were significant predictors of home discharge.

conclusionsSpatial neglect after a stroke is a prevalent problem and may negatively affect rehabilitation outcome, risk of falls, and LOS.

Indexed as

Rehabilitation CentersStroke RehabilitationAgedAged, 80 and overBrain InjuriesDisability EvaluationFemaleHumansLength of StayMaleMiddle AgedPatient DischargePerceptual DisordersSeverity of Illness IndexSocioeconomic FactorsStrokeAccidental fallsHemispatial neglectOutcome assessmentPatient dischargeRehabilitationSymptom assessment

Identifiers

PMID25862254
PMCPMC4519421
OpenAlexW1994329325

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.