Dynamic assessment of visual neglect: The Mobility Assessment Course as a diagnostic tool

Journal of Clinical and Experimental Neuropsychology
Antonia F Ten BrinkTanja C W Nijboer

Abstract

Visual neglect is a frequent disorder following stroke and is often diagnosed by neuropsychological assessment. However, paper-and-pencil tasks have low predictive value as they lack sensitivity to capture neglect in complex, dynamic situations, such as activities of daily living. Aims of the current study were to assess the feasibility of the Mobility Assessment Course (MAC), a visual search multitask, to assess neglect, and its relation with existing neglect tasks. Stroke patients admitted for inpatient rehabilitation and healthy controls were tested with the MAC in different corridors. Participants had to move through a corridor, finding and reporting 24 targets attached to the walls. In addition, the shape cancellation, line bisection, and Catherine Bergego Scale (CBS) were used in order to compare the MAC with existing diagnostic tools for neglect. Administering the MAC was feasible, as 112 of 113 patients completed the MAC with a median duration of 4.09 min. Depending on the corridor where the assessment took place, in 88.5-93.3% of assessments all targets were visible. The number of omissions (total and contralesional) and the asymmetry score (contralesional-ipsilesional omissions) on the MAC as well as collisions and co...Continue Reading

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Citations

Sep 1, 2018·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Kevin E HoustonRussell L Woods
Oct 17, 2018·Journal of Neuropsychology·Lauriane A SpreijTanja C W Nijboer
Apr 26, 2019·Neurorehabilitation and Neural Repair·Eline C C van LieshoutTanja C W Nijboer
Jul 6, 2019·European Journal of Physical and Rehabilitation Medicine·Paola ColomboRoberto Casale
Jan 4, 2020·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Marco BorsottiUNKNOWN IRCCS Don Gnocchi Stroke Group
Aug 15, 2020·Journal of Clinical and Experimental Neuropsychology·Lauriane A SpreijTanja C W Nijboer
Nov 23, 2017·Frontiers in Neurology·Megan GrechTobias Loetscher
Nov 6, 2020·Annals of Physical and Rehabilitation Medicine·Elissa EmbrechtsWim Saeys
Dec 14, 2021·Frontiers in Neurology·Lindy J WilliamsTobias Loetscher

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