Conventional and functional assessment of spatial neglect: Clinical practice suggestions.
Conventional and functional assessment of spatial neglect: Clinical practice suggestions.
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空间忽视的常规和功能评估：临床实践建议。
DOI：
10.1037/neu0000469
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发表时间：
2018
期刊：
影响因子：
2.4
通讯作者：
Barrett,AM
中科院分区：
文献类型：
--
作者：
Pitteri,Marco;Chen,Peii;Passarini,Laura;Albanese,Silvia;Meneghello,Francesca;Barrett,AM
空间忽略（SN）是获得性脑损伤后功能恢复的重要障碍。然而，由于其多模态性质，没有单一的测试可以捕捉所有的迹象SN。为了提供一个临床可行的解决方案，我们使用了传统的神经心理学测试以及凯瑟琳Bergego量表（CBS）通过凯斯勒基金会神经评估过程（KF-NAP）。我们的目标是增加证据表明，一个全球性的方法应该检测到更好的，甚至是微妙的迹象SN.MethodFourteen个人病变位于右大脑半球参加了这项研究。参与者进行了全面的神经心理测试，包括一组视觉空间测试，以评估几个空间域的电池。此外，患者进行了功能评估与Barthel指数，功能独立性测量（ESTA），和CBS通过KF-NAP.ResultsThe CBS通过KF-NAP与视觉空间纸为基础的测试（p=. 001）。004)以及马达转速（p=. 003），并比行为疏忽测试-常规检测SN（p=. 003）更敏感。014).结论我们发现，通过KF-NAP的CBS能够：（a）检测与SN相关的功能障碍，特别是运动功能障碍;（B）选择性测量空间功能障碍而不是非空间功能障碍;（c）在检测SN体征方面高度敏感，特别是在那些轻度严重程度的患者中，涵盖SN表现的几个方面。基于通过KF-NAP的CBS的患者SN诊断在临床上是重要的，并且与护理计划和目标设定直接相关。
ObjectiveSpatial neglect (SN) constitutes a substantial barrier to functional recovery after acquired brain injury. However, because of its multimodal nature, no single test can capture all the signs of SN. To provide a clinically feasible solution, we used conventional neuropsychological tests as well as the Catherine Bergego Scale (CBS) via the Kessler Foundation Neglect Assessment Process (KF-NAP). The goal was to add evidence that a global approach should detect better even subtle signs of SN.MethodFourteen individuals with lesions located in the right cerebral hemisphere participated in the study. Participants were assessed with a comprehensive battery of neuropsychological tests, comprising a set of visuospatial tests to evaluate several spatial domains. In addition, patients underwent functional assessment with the Barthel Index, the Functional Independence Measure (FIM), and the CBS via KF-NAP.ResultsThe CBS via KF-NAP was associated with the visuospatial paper-based tests (p=. 004) as well as the Motor FIM (p=. 003), and was more sensitive than the Behavioral Inattention Test-Conventional in detecting SN (p=. 014).ConclusionsWe showed that the CBS via KF-NAP was able:(a) to detect functional impairment, especially motor, related to SN;(b) to selectively measures spatial rather than nonspatial dysfunctions; and (c) to be highly sensitive in detecting SN signs especially in those patients with mild severity, covering several aspects of SN manifestations. The patient’s SN diagnosis based on the CBS via KF-NAP is clinically important and directly relevant to care planning and goal setting.