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Right-hemisphere patients were assessed within 48 hours using line cancellation, star cancellation, and line bisection tests, while independence was measured at 90 days with modified Rankin and Barthel scales. Multiple logistic regression corrected for confounders including stroke severity. Greater star cancellation impairment increased risk of moderate to severe disability and reduced the likelihood of functional independence.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/unilateral-spatial-neglect-in-the-acute-phase-of-ischemic-stroke-can-predict-long-term-disability-and-functional-capacity/269308/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/unilateral-spatial-neglect-in-the-acute-phase-of-ischemic-stroke-can-predict-long-term-disability-and-functional-capacity/269308.png","ImageObject",300,407,{"name":92,"@type":93},"Aldword","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-15",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the objective of the study?","Question",{"text":112,"@type":113},"To assess the relationship between the degree of unilateral spatial neglect during the acute phase of ischemic stroke and long-term functional independence.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was unilateral spatial neglect measured in this research?",{"text":117,"@type":113},"Within 48 hours of symptom onset using the line cancellation test, star cancellation test, and line bisection test.",{"name":119,"@type":110,"acceptedAnswer":120},"How was functional independence evaluated and when?",{"text":121,"@type":113},"Functional independence was measured at 90 days after discharge using the modified Rankin and Barthel scales.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},269308,1789450124,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":143},2336478940917,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","ORIGINAL ARTICLE  \nUnilateral spatial neglect in the acute phase of ischemic stroke can predict long-term disability and functional capacity  \nGustavo Jos´e Luvizutto,I,* Augusta Fabiana Moliga,II Gabriela Rizzo Soares Rizzatti,III Marcelo Ortolani Fogaroli,III Eduardo de Moura Neto,IV H´elio Rubens de Carvalho Nunes,V Luiz Antˆonio de Lima Resende,V Rodrigo BazanVI  \nI Departamento de Fisioterapia Aplicada, Universidade Federal do Triangulo Mineiro (UFTM), Uberaba, MG, BR. II Departamento de Reabilitacao, Faculdade de Medicina de Botucatu (UNESP), Botucatu, SP, BR. III Graduacao, Faculdade de Medicina de Botucatu, Botucatu, SP, BR. IV Departamento de Fisioterapia, Faculdade de Talentos Humanos (FACTHUS), Uberaba, MG, BR. V Departamento de Estatistica, Faculdade de Medicina de Botucatu (UNESP), Botucatu, SP, BR. VI Departamento de Neurologia, Psicologia e Psiquiatria, Faculdade de Medicina de Botucatu (UNESP), Botucatu, SP, BR.  \nLuvizutto GJ, Moliga AF, Rizzatti GR, Fogaroli MO, Neto EM, Nunes HR, et al. Unilateral spatial neglect in the acute phase of ischemic stroke can predict long-term disability and functional capacity. Clinics. 2018;73:e131  \n*Corresponding author. E-mail: [gustavo.luvizutto@uftm.edu.br](gustavo.luvizutto@uftm.edu.br)  \nOBJECTIVE: The aim of this study was to assess the relationship between the degree of unilateral spatial neglect during the acute phase of stroke and long-term functional independence.  \nMETHODS: This was a prospective study of right ischemic stroke patients in which the independent variable was the degree of spatial neglect and the outcome that was measured was functional independence. The potential confounding factors included sex, age, stroke severity, topography of the lesion, risk factors, glycemia and the treatment received. Unilateral spatial neglect was measured using the line cancellation test, the star cancellation test and the line bisection test within 48 hours of the onset of symptoms. Functional independence was measured using the modified Rankin and Barthel scales at 90 days after discharge. The relationship between unilateral spatial neglect and functional independence was analyzed using multiple logistic regression that was corrected for confounding factors.  \nRESULTS: We studied 60 patients with a median age of 68 (34–89) years, 52% of whom were male and 74% of whom were Caucasian. The risk for moderate to severe disability increased with increasing star cancellation test scores (OR=1.14 [1.03–1.26], p=0.01) corrected for the stroke severity, which was a confounding factor that hada statistically positive association with disability (OR=1.63 [1.13–2.65], p=0.01) . The best chance of functional independence decreased with increasing star cancellation test scores (OR=0.86 [0.78–0.96], p=0.006) corrected for the stroke severity, which was a confounding factor that had a statistically negative association with independence (OR=0 .66 [0 .48–0.92], p=0 .017) .  \nCONCLUSION: The severity of unilateral spatial neglect in acute stroke worsens the degree of long-term disability and functional independence.  \nKEYWORDS: Stroke; Unilateral Spatial Neglect; Functional Independence; Incapacity; Autonomy.  \n’ INTRODUCTION  \nStroke is both the second leading cause of death worldwide and the primary cause of chronic disability in adults (1–5) . Unilateral spatial neglect (USN) is characterized by the inability to respond to people or objects that are presented contralateral to the lesioned side of the brain and is also a  \nThis is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ([http://creativecommons.org/licenses/by-nc/3.0/](http://creativecommons.org/licenses/by-nc/3.0/)) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.  \nNo potential conflict of interest was reported.  \nReceived for publication on July 25, 2017 . Accepted for publicatio","cbCaibFZIiVXbhDY","https://ap.wps.com/l/cbCaibFZIiVXbhDY","pdf",691732,"English","# Objective\n# Methods\n## Participants and assessments\n## Statistical analysis\n# Results\n# Conclusion\n# Keywords","[{\"question\":\"What was the objective of the study?\",\"answer\":\"To assess the relationship between the degree of unilateral spatial neglect during the acute phase of ischemic stroke and long-term functional independence.\"},{\"question\":\"How was unilateral spatial neglect measured in this research?\",\"answer\":\"Within 48 hours of symptom onset using the line cancellation test, star cancellation test, and line bisection test.\"},{\"question\":\"How was functional independence evaluated and when?\",\"answer\":\"Functional independence was measured at 90 days after discharge using the modified Rankin and Barthel scales.\"}]","Unilateral spatial neglect in the acute phase of ischemic stroke can predict long-term disability and functional capacity | PDF",15]