Despite its potential clinical impact, the association of personal neglect (PN) with motor, activities of daily living (ADL), and participation outcomes after stroke is not well-understood. This first-ever systematic review on the topic therefore evaluates this association, taking into account suggested subtypes of PN, including body representation neglect, somatosensory neglect, motor neglect, and premotor neglect. A systematic literature search was conducted on February 17, 2023 in PubMed, Web of Science, Scopus, PubPsych, and PsycArticles databases. The study adheres to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses, and its protocol was registered on PROSPERO (CRD42020187460). Eleven observational studies were included, gathering 1,400 individuals after stroke (429 showed PN). Results show that individuals with body representation neglect after stroke have significantly decreased movement control and motor strength, lower functional mobility, and ADL independency compared with those without body representation neglect after stroke. Individuals with motor neglect after stroke showed worse motor function and spasticity than to those without motor neglect after stroke. Nonspecified PN (i.e., PN evaluated with an outcome measure that does not allow subcategorization) was related to worse lateropulsion with pushing, longer length of stay and greater odds of being discharged to somewhere other than home. No study evaluated somatosensory and premotor neglect. This review highlights the limited research in this area and emphasizes the need for a more comprehensive PN assessment. However, currently available assessment tools show limited ability to accurately diagnose PN subtypes and future research should prioritize the development of comprehensive diagnostic test batteries.

中文翻译：

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个人忽视与运动、日常生活活动和中风后参与结果的关联：系统评价。

尽管个人忽视（PN）具有潜在的临床影响，但其与中风后运动、日常生活活动（ADL）和参与结果的关系尚不清楚。因此，这是关于该主题的首次系统综述，评估了这种关联，同时考虑了建议的 PN 亚型，包括身体表征忽视、体感忽视、运动忽视和运动前忽视。于 2023 年 2 月 17 日在 PubMed、Web of Science、Scopus、PubPsych 和 PsycArticles 数据库中进行了系统文献检索。该研究遵循系统评价和荟萃分析的首选报告项目指南，其方案已在 PROSPERO 上注册（CRD42020187460）。其中包括 11 项观察性研究，收集了 1,400 名中风后患者（429 名显示 PN）。结果表明，与中风后没有身体表征忽视的人相比，中风后身体表征忽视的个体的运动控制和运动强度显着下降，功能活动能力和ADL独立性较低。中风后出现运动忽视的个体比中风后没有运动忽视的个体表现出更差的运动功能和痉挛。非特定 PN（即，用不允许细分的结果测量评估的 PN）与推力更差的侧向推力、更长的住院时间以及更大的出院可能性有关。没有研究评估体感和运动前忽视。本综述强调了该领域的有限研究，并强调需要进行更全面的 PN 评估。然而，目前可用的评估工具准确诊断 PN 亚型的能力有限，未来的研究应优先开发综合诊断测试组合。