Proprioception and Unilateral Neglect after Stroke
- Publication Type:
- Thesis
- Issue Date:
- 2021
Open Access
Copyright Clearance Process
- Recently Added
- In Progress
- Open Access
This item is open access.
Unilateral neglect and proprioception impairment are two common and linked sequelae of stroke with negative impacts on functional recovery. Prior to this thesis, their interaction was rarely investigated and there were significant gaps between evidence-based best practice and usual clinical practice for both impairments. These areas were the focus of investigation in this thesis. The first chapters describe evidence for more frequent and severe proprioception impairment in people with unilateral neglect than those without. Subsequent chapters describe research that indicates proprioception is likely assessed in people with stroke using non-standardised methods that may have limited clinical relevance. The final investigation in this thesis describes the determinants that influence clinical decision-making in unilateral neglect assessment, which were most notably limited clinician knowledge and training, and role delineation in healthcare settings. Collectively, the findings of this thesis provide evidence for a clinically relevant relationship between unilateral neglect and proprioception impairment in stroke, and give insight on the factors that contribute to the evidence-practice gap separate to each impairment. These results are a foundation for future research, which should aim to develop more comprehensive clinical assessment tools for both unilateral neglect and proprioception, and for their interaction in people with stroke.
Please use this identifier to cite or link to this item: