Hemispatial neglect and rehabilitation in acute XXXX .

@entity1 @entity64
OBJECTIVES: To compare 2 methods for determining neglect in @entity1 within 2 days of @entity64 , and to investigate whether early neglect was related to rehabilitation practice, and whether this relationship was affected by an early, intensive mobilization intervention. DESIGN: Data were collected from @entity1 participating in a phase II randomized controlled trial of early rehabilitation after @entity64 . SETTING: Acute @entity64 unit. @entity1 : @entity64 @entity1 (N=71). INTERVENTION: The 2 arms of the trial were very early mobilization (VEM) and standard care (SC). MAIN OUTCOME MEASURES: Neglect was assessed using the Star Cancellation Test and the National Institutes of Health @entity64 Scale (NIHSS) inattention item within 48 hours of @entity64 onset, and therapy details were recorded during the hospital stay. RESULTS: Assessing neglect so acutely after @entity64 was difficult: 29 of the 71 @entity1 were unable to complete the Star Cancellation Test, and agreement between this test and the NIHSS measure was only .42. Presence of neglect did not preclude early mobilization. SC group @entity1 with neglect had longer hospital stays (median, 11d) than those without neglect (median, 4d); there was no difference in length of stay between @entity1 with and without neglect in the VEM group (median, 6d in both). CONCLUSION: Early mobilization of @entity1 with neglect was feasible and may contribute to a shorter acute hospital stay.
