{"id":12495,"date":"2025-06-06T16:59:35","date_gmt":"2025-06-06T14:59:35","guid":{"rendered":"https:\/\/www.wheeleo.eu\/clinical-case-hemi-neglect-executive-function-disorders-and-wheeleo\/"},"modified":"2025-06-19T11:58:15","modified_gmt":"2025-06-19T09:58:15","slug":"clinical-case-hemi-neglect-executive-function-disorders-and-wheeleo","status":"publish","type":"post","link":"https:\/\/www.wheeleo.eu\/en\/clinical-case-hemi-neglect-executive-function-disorders-and-wheeleo\/","title":{"rendered":"Hemi-neglect, Executive Function Disorders and Wheeleo\u00ae"},"content":{"rendered":"\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"H\u00e9mipl\u00e9gie et Marche : Comment le Wheeleo\u00ae Transforme la R\u00e9\u00e9ducation\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/aocSfpZ4lbw?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n<p>This patient presents with <strong>left hemiplegia<\/strong> following a stroke, with several associated disorders: <strong>hemi-neglect<\/strong>, <strong>executive function disorders<\/strong>, <strong>sensory disorders<\/strong>, and <strong>dysarthria<\/strong>. Despite several months of rehabilitation, these impairments remain present and have a significant impact on his <strong>walking ability<\/strong>. <\/p>\n\n<h3 class=\"wp-block-heading\">Disorganized Gait with the Quad Cane<\/h3>\n\n<p>The use of a <strong>quad cane<\/strong> does not allow him to regain functional walking. It even generates new difficulties: <\/p>\n\n<ul class=\"wp-block-list\">\n<li>He frequently <strong>takes several steps without moving the cane<\/strong>, breaking the coordination between supports.<\/li>\n\n\n\n<li>The cane is <strong>poorly positioned<\/strong>: too far forward, too lateral, or placed <strong>between the two feet<\/strong>, which further disorganizes his gait.<\/li>\n\n\n\n<li>All his <strong>attention is absorbed<\/strong> by managing the assistive device, heavily mobilizing his right side and accentuating the left <strong>hemi-neglect<\/strong>. He then perceives his environment less well. <\/li>\n<\/ul>\n\n<h3 class=\"wp-block-heading\">Why Wheeleo\u00ae Improves His Gait<\/h3>\n\n<p>The introduction of the <strong>Wheeleo\u00ae<\/strong>, a <strong>one-handed walker<\/strong>, immediately modifies several parameters of his locomotion:<\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Reduced attentional load<\/strong>: unlike the cane, the Wheeleo\u00ae is used more intuitively. It rolls without having to be lifted, which frees up cognitive capacity and improves attention to the environment. <\/li>\n\n\n\n<li><strong>More fluid and stable gait<\/strong>: even if autonomy is not yet achieved, his <strong>gait pattern<\/strong> quickly becomes more <strong>organized<\/strong>, with better rhythm and coordination.<\/li>\n\n\n\n<li><strong>Improved comfort<\/strong>: for the patient, handling is easier; for the caregiver, movements are safer and simpler to manage.<\/li>\n<\/ul>\n\n<h3 class=\"wp-block-heading\">A Solution Adapted to the Complexity of Strokes<\/h3>\n\n<p>For patients with <strong>complex neurological impairment<\/strong>, the Wheeleo\u00ae doesn&#8217;t just support walking: it acts as a <strong>motor organization facilitator<\/strong>. It doesn&#8217;t correct associated disorders, but it <strong>compensates for some of their side effects<\/strong>, which globally improves the quality of gait and care. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Wheeleo\u00ae and Hemiplegia: A Smoother Gait Despite Associated Disorders<\/p>\n","protected":false},"author":1,"featured_media":12455,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[109],"tags":[],"profils-type":[],"expertise":[],"situation":[358],"profils-et-pathologies":[289],"class_list":["post-12495","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-article","situation-clinical-cases","profils-et-pathologies-hemiplegie-en"],"_links":{"self":[{"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/posts\/12495","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/comments?post=12495"}],"version-history":[{"count":2,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/posts\/12495\/revisions"}],"predecessor-version":[{"id":12537,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/posts\/12495\/revisions\/12537"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/media\/12455"}],"wp:attachment":[{"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/media?parent=12495"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/categories?post=12495"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/tags?post=12495"},{"taxonomy":"profils-type","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/profils-type?post=12495"},{"taxonomy":"expertise","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/expertise?post=12495"},{"taxonomy":"situation","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/situation?post=12495"},{"taxonomy":"profils-et-pathologies","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/profils-et-pathologies?post=12495"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}