Annals of Rehabilitation Medicine

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"Hemispatial neglect"

Original Articles

Relationship Between Line Bisection Test Time and Hemispatial Neglect Prognosis in Patients With Stroke: A Prospective Pilot Study: Shinyoung Kwon, Wookyung Park, MinYoung Kim, Jong Moon Kim; Ann Rehabil Med 2020;44(4):292-300. Published online August 5, 2020; DOI: https://doi.org/10.5535/arm.19112

Abstract
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Objective
To determine the relationship between line bisection test (LBT) performance time and prognosis of hemispatial neglect (HSN) in stroke patients.
Methods
Data on stroke patients with HSN were prospectively collected. After patient recruitment and eligibility screening, the LBT, Motor-Free Visual Perception Test 3rd edition, and Korean version of Mini-Mental State Examination were performed at the time of admission and 4 weeks thereafter. The LBT performance time was also measured. All patients received conventional rehabilitation for 4 weeks. Based on the improvements in their LBT grades, the patients were divided into improved and non-improved groups. The evaluation results of the two groups were compared using Mann–Whitney U-tests and logistic regression was performed to predict the independence of each outcome.
Results
In total, 26 stroke patients with HSN were included, with 13 patients in each group. Significant differences were observed in the baseline LBT performance times between the improved and non-improved groups (p<0.05). Logistic regression analysis revealed associations between HSN prognosis, and baseline LBT performance time (odds ratio=0.95; 95% confidence interval, 0.90–1.00; p<0.05) and baseline Motor-Free Visual Perception Test 3rd edition (odds ratio=1.20; 95% confidence interval, 1.01–1.43; p<0.05).
Conclusion
A significant relationship was observed between the baseline LBT performance time and HSN prognosis.

Citations

Citations to this article as recorded by

Physiotherapy interventions for post-stroke hemineglect: a narrative review
Mohammed Youssef Elhamrawy, Saher Lotfy Elgayar
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery.2026;[Epub] CrossRef
Vestibular Dysfunction and the Leftward Deviation in the New Line Bisection Task Using Three-Dimensionally Transformed Rectangles
Teru Kamogashira, Shinnosuke Asakura, Hideaki Funayama, Kenji Ito, Noriaki Sunaga, Nao Shikanai, Fumihiko Itagaki, Toshitaka Kataoka, Shizuka Shoji, Megumi Koizumi, Shinichi Ishimoto
Audiology Research.2025; 15(4): 86. CrossRef
Is mental content an illusion?
Marco Facchin
Synthese.2025;[Epub] CrossRef
Application of immersive virtual reality for assessing chronic neglect in individuals with stroke: the immersive virtual road-crossing task
Julia Belger, Sebastian Wagner, Michael Gaebler, Hans-Otto Karnath, Bernhard Preim, Patrick Saalfeld, Anna Schatz, Arno Villringer, Angelika Thöne-Otto
Journal of Clinical and Experimental Neuropsychology.2024; 46(3): 254. CrossRef
Preservation of Cerebellar Afferent Pathway May Be Related to Good Hand Function in Patients with Stroke
Bo Kyung Shin, Hae-Yeon Park, Hanee Rim, Ji Yoon Jung, Sungwoo Paek, Yeun Jie Yoo, Mi-Jeong Yoon, Bo Young Hong, Seong Hoon Lim
Life.2022; 12(7): 959. CrossRef

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Risk Factor of Visuospatial Neglect: A Study of Association Between Visuospatial Neglect and Anemia: Ho Jeong Kim, Tae Sik Yoon, Soo Jeong Han; Ann Rehabil Med 2013;37(5):611-618. Published online October 29, 2013; DOI: https://doi.org/10.5535/arm.2013.37.5.611

Abstract
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Objective

To investigate the correlation between visuospatial neglect and anemia in patients with right cerebral infarction, as well as to identify the risk factor of neglect and furnish preliminary data on rehabilitation management.

Methods

The line bisection test and Albert test were conducted on subjects with right cerebral infarction in order to analyze neglect severity. Multiple linear regression analysis was conducted to investigate correlation between neglect severity and hemoglobin and hematocrit level. Logistic regression analysis was applied to identify the risk factor of neglect.

Results

Visuospatial neglect was observed in 33 subjects out of 124. Hemoglobin and hematocrit were not directly correlated with visuospatial neglect severity, whereas infarct size was directly correlated. Subjects with visuospatial neglect were characterized by a large infarct size, a low score in the Mini-Mental State Examination and long hospital stay.

Conclusion

In this study, visuospatial neglect was found to be uncorrelated with anemia. It implies that emphasis should be placed on the early detection of anemia and neglect in patients with left hemiplegia, the formulation of respective therapeutic plans and improvement of prognosis. The study found that the possibility of a visuospatial neglect occurrence increases with infarct size. In this regard, it is required that visuospatial neglect was detected and treated in the earliest possible stage, notwithstanding the difficulty that lies in the precise measurement of the severity.

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35 Download

Influence of Hemispatial Neglect on Trunk Control in Stroke Patients.: Lim, Kil Byung , Kim, Dug Young , Lee, Kyung Tae; J Korean Acad Rehabil Med 2009;33(4):463-469.

Abstract
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Objective
To evaluate the influence of hemispatial neglect on trunk balance control and functional ability in stroke patients. Method: Fourty eight inpatients exhibiting (n=25) or not exhibiting (n=23) hemispatial neglect following strokes within 6 months were matched for age and sex. Hemispatial neglect was assessed with a line bisection test (LBT) and a baking tray task test (BTT). Static and dynamic trunk balance control was assessed using a Balance Master System. Static balance control was measured with a weight bearing test and a Modified Clinical Sensory Interaction Balance Test (mCSIBT). Dynamic balance control was measured using a Limit of Stability (LOS) test and a rhythmic weight shift (RWS) test. A Functional Independence Measure (FIM) for functional ability and the Brunnstrom stage assessment for motor recovery were also recorded. Results: There was no statistical difference in the achievement of static trunk balance control between neglect and non-neglect patients. Where dynamic balance control was concerned, both LOS and RWS tests showed a deterioration in neglect patients compared to non-neglect patients (p＜0.05). The Brunnstrom stage correlated significantly with dynamic balance control only in non-neglect patients (p＜0.05) and the FIM score of neglect patients was significantly lower than that of non-neglect patients (p＜0.05). Conclusion: Stroke patients with hemispatial neglect displayed pronounced dynamic trunk instability and functional dependency compared to patients without it. However, the recovery of dynamic balance control may not relate to the degree of motor recovery in stroke patients with hemispatial neglect. (J Korean Acad Rehab Med 2009; 33: 463-469)