FUNCTIONAL OUTCOME FOLLOWING THALAMIC HEMORRHAGE - RELATIONSHIP BETWEEN MOTOR AND COGNITIVE FUNCTIONS AND ADL

Twenty-two patients with thalamic haemorrhage were examined to investi gate the relationship between motor and cognitive function, and activi ties of daily living (ADL). Patients with unilateral spatial neglect h ad lower ADL scores on admission than patients without unilateral spat ial neglect (Mean: 17.0 and 24.6, respectively; F = 4.38, df = 1, p < 0.05). Unilateral spatial neglect related to feeding, bowel control an d transfer in Barthel index on admission. Patients with aphasia on adm ission had lower ADL at discharge than patients without aphasia on adm ission (Mean: 57.0 and 84.7, respectively; F = 7.70, df = 1, p < 0.05) . Aphasia related to the bathing, toilet, stair climbing, dressing, an d ambulation in Barthel index on discharge. There was a significant di fference between the severity of paresis in upper and lower limb on ad mission and ADL at discharge. The two-way repeated measures ANOVA show ed a significant difference between severity of paresis in lower limb and ADL improvement. It can be suggested that the most important predi ctor of outcome was paresis in lower limb, and not aphasia or unilater al spatial neglect.