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dc.contributor.authorHamre, Sophia Charlotta
dc.contributor.authorFure, Brynjar
dc.contributor.authorHelbostad, Jorunn L.
dc.contributor.authorWyller, Torgeir Bruun
dc.contributor.authorIhle-Hansen, Hege
dc.contributor.authorVlachos, Georgios
dc.contributor.authorUrsin, Marie Helene
dc.contributor.authorTangen, Gro Gujord
dc.date.accessioned2020-10-08T12:13:53Z
dc.date.available2020-10-08T12:13:53Z
dc.date.issued2020-04-21
dc.description.abstract<p><i>Background:</i> Spatial navigation, the ability to determine and maintain a route from one place to another, is needed for independence in everyday life. Knowledge about impairments in spatial navigation in people with mild stroke is scarce. <p><i>Objectives:</i> To explore impairments in spatial navigation in patients ≤70 years after first-ever mild ischemic stroke (NIHSS≤3) and to explore which variables are associated with these impairments 12 months later. <p><i>Methods:</i> Patients were examined in the acute phase, and after 3 and 12 months. To assess impairments in spatial navigation, we used the Floor Maze Test (FMT), with time and FMT-errors as outcomes. Patients’ perceived navigational skills were collected using self-report. Logistic regression was used to explore which variables (sociodemographic data, stroke characteristics, cognition, and mobility) were associated with impaired navigation ability. <p><i>Results:</i> Ninety-seven patients (20 females) were included. The mean (SD) age was 55.5 (11.4) years. Timed FMT improved significantly from the acute phase to 12 months (p = <.001). At 12 months, 24 (24.7%) of the participants walked through the maze with errors, and 22 (22.7%) reported spatial navigational problems. The Trail Making Test (TMT)-B was the only variable from the acute phase associated with FMT-errors at 12 months, and being female was the only variable associated with self-reported navigational problems at 12 months. <p><i>Conclusion:</i> Nearly one in four patients experienced spatial navigation problems 12 months after a mild stroke. Executive function (TMT-B), measured in the acute phase, was associated with navigational impairments (FMT-errors) at 12 months, and being female was associated with self-reported navigational problems.en_US
dc.descriptionThis is an Accepted Manuscript of an article published by Taylor & Francis in <i>Topics in Stroke Rehabilitation</i> on 21 April 2020, available online: <a href=https://www.tandfonline.com/doi/full/10.1080/10749357.2020.1755814>https://www.tandfonline.com/doi/full/10.1080/10749357.2020.1755814</a>.en_US
dc.identifier.citationHamre C, Fure B, Helbostad JL, Wyller TB, Ihle-Hansen H, Vlachos G, Ursin MH, Tangen GG. Impairments in spatial navigation during walking in patients 70 years or younger with mild stroke. Topics in Stroke Rehabilitation. 2020en_US
dc.identifier.cristinIDFRIDAID 1809351
dc.identifier.doi10.1080/10749357.2020.1755814
dc.identifier.issn1074-9357
dc.identifier.issn1945-5119
dc.identifier.urihttps://hdl.handle.net/10037/19556
dc.language.isoengen_US
dc.publisherTaylor & Francisen_US
dc.relation.journalTopics in Stroke Rehabilitation
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2020 Taylor & Francisen_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Physical medicine and rehabilitation: 764en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Fysikalsk medisin og rehabilitering: 764en_US
dc.titleImpairments in spatial navigation during walking in patients 70 years or younger with mild strokeen_US
dc.type.versionacceptedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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