Prevalence of spatial neglect post-stroke: A systematic review
Open accessAbstract
Objective Spatial neglect (SN) impedes stroke rehabilitation progress, slows functional recovery, and increases caregiver stress and burden. The estimation of SN prevalence varies widely across studies.Background We aimed to establish the prevalence of SN based on the injured cerebral hemisphere, recovery stage post-stroke, and diagnostic methodology.Materials and methods All journal articles published up to February 27, 2019 from CINAHL, PsycINFO, PubMed and Web of Science were searched. We selected original research articles that described observational studies, included both individuals with left brain damage (LBD) and those with right brain damage (RBD) post-stroke, and reported specific diagnostic methods for SN. All authors reached consensus for the final selection of 41 articles. Time post-stroke, patient selection criteria, study setting, SN diagnostic methods were extracted.Results A total of 6324 participants were included: 3411 (54%) with RBD and 2913 (46%) with LBD. Without considering time post-stroke or diagnostic methods, the occurrence rate of SN was 29% (38% after RBD and 18% after LBD). Using ecological assessments resulted in higher prevalence than using tests not directly related to daily life activities (53% vs. 24%). Using methods based on a single-cutoff criterion led to lower occurrence of SN than using multi-test methods (27% vs. 33%). The prevalence decreased from the acute to chronic stage post-stroke.Conclusions The estimated prevalence of SN after unilateral stroke is 30%. SN is more common after RBD than after LBD, but SN after LBD is still quite common. Using ecological assessments and multi-test methods to detect SN is preferred to using a single-cutoff criterion of a test that is not directly related to daily function. The decrease in SN prevalence over time is evident, but the exact prevalence in later stages cannot be estimated. More research is needed to better understand chronic SN.
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Stroke is often associated with the development of neglect syndrome.
“a stroke is often associated with the development of neglect syndrome (Esposito et al. 2021).”
From Neuroanatomical correlates of peripersonal space: bridging the gap between perception, action, emotion and social cognition (2024) · cites this paper as Esposito et al. 2021
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Basile, G. A., Tatti, E., Bertino, S., Milardi, D., Genovese, G., Bruno, A., Muscatello, M. R. A., Ciurleo, R., Cerasa, A., Quartarone, A., et al. (2024) · Brain Structure and Function · doi:10.1007/s00429-024-02781-9 · Cited by 24 · see citing works
“In addition to the effects on sensorimo - tor functioning, a stroke is often associated with the development of neglect syndrome (Esposito et al. 2021).”
Background
- Authors
- Esposito, E., Shekhtman, G., & Chen, P.
- Affiliations
- University of California, Riverside (US)
- Seton Hall University (US)
- Rutgers, The State University of New Jersey (US)
- Corresponding author
- Chen, Peii
- ORCID
- Chen, Peii
- Venue
- Annals of Physical and Rehabilitation Medicine
- Publisher
- Elsevier BV
- Published
- 2021-09
- Volume
- 64
- Issue
- 5
- Pages
- 101459
- ISSN
- 1877-0657 (ISSN-L)
- OpenAlex
- W3108056379
- Cited by
- 195
- References
- 121
- Citations by year
- 2026: 36 · 2025: 42 · 2024: 45 · 2023: 42 · 2022: 21 · 2021: 9
- FWCI
- 4.33
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Annals of Physical and Rehabilitation Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Disability, Independent Living, and Rehabilitation Research (90IFDV0001)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Spatial Neglect and Hemispheric Dysfunction
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Keywords
- hemispatial neglect, stroke, prevalence, right hemisphere damage, left brain damage, hemispheric lateralization, stroke rehabilitation, ecological assessment, time since stroke, chronic neglect
- MeSH terms
- Stroke Rehabilitation, Humans, Perceptual Disorders, Prevalence, Recovery of Function, Stroke
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