title: Recovery of personal neglect.
abstract: BACKGROUND
  Extrapersonal unilateral spatial neglect after stroke is associated to a poor rehabilitation outcome. Minor attention has been paid to the recovery of personal neglect, to its relationship with the recovery of extrapersonal neglect and of independency in activities of daily living.
  
  
  OBJECTIVE
  The present study aims at evaluating whether there is an association between recovery of extrapersonal and personal neglect. The secondary aim was to investigate if personal neglect may affect the effectiveness of neurorehabilitation in patients with subacute stroke.
  
  
  METHODS
  Observational study.
  
  
  METHODS
  Neurorehabilitation Hospital in Rome, Italy, inpatients.
  
  
  METHODS
  A sample of 49 patients with unilateral spatial neglect resulting from right ischemic cerebral infarction was enrolled in this study, divided into three subgroups according to the presence and the degree of personal neglect, and evaluated pre and postneurorehabilitation.
  
  
  METHODS
  Personal neglect was evaluated using Zoccolotti and Judica's Scale, extrapersonal neglect using Letter Cancellation Test, Barrage Test, Sentence Reading Test and Wundt-Jastrow Area Illusion Test. Barthel Index (BI), Rivermead Mobility Index, and Canadian Neurological Scale were also administered.
  
  
  RESULTS
  Results showed the following: 1) recovery of personal neglect was not significantly correlated with that of extrapersonal neglect, despite both the disorders were ameliorated after a "non-specific" rehabilitation treatment; 2) personal neglect per se was not an additional negative prognostic factor in the rehabilitation findings.
  
  
  CONCLUSIONS
  Our results suggested that the recoveries of the two types of neglect are independent from each other, and that the presence of personal neglect does not imply significant additional problems to the functional outcomes.
  
  
  CONCLUSIONS
  Our study highlighted the need of novel tools to assess the presence and to improve the recovery of personal neglect.
authors.affiliation: IRCCS Fondazione Santa Lucia, Rome, Italy - m.iosa@hsantalucia.it.
authors.forename: Marco
authors.initials: M
authors.lastname: Iosa
authors.affiliation: IRCCS Fondazione Santa Lucia, Rome, Italy.|Department of Psychology, University of Rome &quot;Sapienza&quot;, Rome, Italy.
authors.forename: Cecilia
authors.initials: C
authors.lastname: Guariglia
authors.affiliation: IRCCS Fondazione Santa Lucia, Rome, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Matano
authors.affiliation: IRCCS Fondazione Santa Lucia, Rome, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Paolucci
authors.affiliation: IRCCS Fondazione Santa Lucia, Rome, Italy.|Department of Psychology, University of Rome &quot;Sapienza&quot;, Rome, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Pizzamiglio
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D010468:Perceptual Disorders / Q000209:etiology / Q000534:rehabilitation*; D026741:Physical Therapy Modalities; D020127:Recovery of Function; D012189:Retrospective Studies; D020521:Stroke / Q000150:complications; D000071939:Stroke Rehabilitation / Q000379:methods*; D016896:Treatment Outcome