Neuropsychological symptomatology associated with right and left hemisphere cerebral vascular accidents within an acute care rehabilitation setting

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dc.contributor.advisor Fischer, Wyman E. en_US Jones, Craig L. en_US 2011-06-03T19:27:24Z 2011-06-03T19:27:24Z 1992 en_US 1992
dc.identifier LD2489.Z68 1992 .J6 en_US
dc.description.abstract The present study investigated the extent to which right and left hemisphere stroke patients, within an acute care rehabilitation unit, differ in neuropsychological symptomatology as reported on a self-report instrument.The subjects were 90 patients admitted to an acute care rehabilitation unit within a midwestern hospital. Two groups of 30 were obtained on the basis of stroke location, either right or left hemisphere. In addition, a group of 30 orthopedic patients were selected to serve as a comparison group.Data was collected using the Neuropsychological Symptom Inventory (Rattan, Dean & Rattan, 1989). A discriminant analysis revealed two discriminant functions which were used to classify group membership. Slightly more than 86% of both left hemisphere stroke patients and orthopedic patients were correctly classified. However, only 46% of right hemisphere stroke patients were accurately predicted. The results clearly support the ability to differentiate the groups and suggest a homogeneous character of the left hemisphere stroke and orthopedic groups. The right hemisphere group appears heterogeneous in make-up. Further statistical analysis revealed no significant difference (a<.05) between stroke groups when examining a factor related to emotional/depression symptoms. However, when stroke patients were compared to orthopedic patients on this factor, a high degree of significance was revealed (p<.001).These results suggest that right hemisphere patients cannot be treated as if they make up a single disorder group within the rehabilitation setting. The use of a self-report measure may prove beneficial with this group is assessing the level of neuropsychological impairment and to make modifications in treatment planning. Additionally, the existence of depression within the stroke group suggest that rehabilitation should focus more on these reactions within the first few weeks post-stroke. en_US
dc.description.sponsorship Department of Educational Psychology
dc.format.extent vii, 115 leaves ; 28 cm. en_US
dc.source Virtual Press en_US
dc.subject.lcsh Cerebrovascular disease -- Patients -- Rehabilitation. en_US
dc.subject.lcsh Laterality. en_US
dc.subject.lcsh Cerebral dominance. en_US
dc.title Neuropsychological symptomatology associated with right and left hemisphere cerebral vascular accidents within an acute care rehabilitation setting en_US Thesis (Ph. D.) en_US
dc.identifier.cardcat-url en_US

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  • Doctoral Dissertations [3248]
    Doctoral dissertations submitted to the Graduate School by Ball State University doctoral candidates in partial fulfillment of degree requirements.

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