title: Unawareness after stroke: a review and practical guide to understanding, assessing, and managing anosognosia for hemiplegia.
abstract: How should stroke patients with poor motor awareness be managed? This question is important because unawareness (or anosognosia) is related to poor rehabilitation and prognosis. This narrative review provides a guide for clinicians and (applied) academics to understanding, assessing and managing anosognosia. Questions addressed are: What is anosognosia? What causes anosognosia? How can anosognosia be assessed? And how can anosognosia be managed? We suggest that anosognosia is a multifaceted disorder, with diverse neuroanatomical and psychopathological origins. Assessment should measure various aspects of awareness, and management should be multidimensional to address problems with motor function, awareness, and emotional/motivational disturbance.
authors.affiliation: School of Psychology, University of Hertfordshire, Hatfield, UK.
authors.forename: Paul M
authors.initials: PM
authors.lastname: Jenkinson
authors.forename: Catherine
authors.initials: C
authors.lastname: Preston
authors.forename: Simon J
authors.initials: SJ
authors.lastname: Ellis
mesh_terms: D000342:Affective Symptoms; D000377:Agnosia / Q000175:diagnosis / Q000209:etiology / Q000523:psychology; D001364:Awareness; D032882:Comprehension; D006429:Hemiplegia / Q000175:diagnosis / Q000209:etiology / Q000523:psychology; D006801:Humans; D009483:Neuropsychological Tests; D017410:Practice Guidelines as Topic; D020521:Stroke / Q000150:complications / Q000523:psychology*