Nov 23, 2006

A battery of tests for the quantitative assessment of unilateral neglect

Restorative Neurology and Neuroscience
Philippe AzouviMarc Rousseaux

Abstract

The lack of agreement regarding assessment methods is responsible for the variability in the reported rate of occurrence of unilateral neglect (UN) after stroke. In addition, dissociations have been reported between performance on traditional paper-and-pencil tests and UN in everyday life situations. In this paper, we present the validation studies of a quantitative test battery for UN, including paper-and-pencil tests, an assessment of personal neglect, extinction, and anosognosia, and a behavioural assessment, the Catherine Bergego Scale (CBS). The battery was given to healthy subjects (n=456-476) and to patients with subacute stroke, either of the right or the left hemisphere. In healthy subjects, a significant effect of age, education duration and acting hand was found in several tasks. In patients with right hemisphere stroke, the most sensitive paper and pencil measure was the starting point in the cancellation task. The whole battery was more sensitive than any single test alone. An important finding was that behavioural assessment was more sensitive than any other single test. Neglect was two to four times less frequent, but also less severe and less consistent after left hemisphere stroke. Assessment of UN should rely ...Continue Reading

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Mentioned in this Paper

Memory for Designs Test
Acute Cerebrovascular Accidents
Extinction, Psychological
Ambidexterity
Etat Marbre
Self Care (Rehabilitation)
Psychomotor Performance
Validation Studies
Visual Impairment
Impacts, Environmental

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