Neuropsychological assessment of patients with severe neuromotor and verbal disabilities
Neuropsychological assessment of patients with severe neuromotor and verbal disabilities
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DOI：
10.1046/j.1365-2788.2001.00301.x
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发表时间：
2001-04-01
影响因子：
3.6
通讯作者：
Caltagirone, C
中科院分区：
文献类型：
--
作者：
Sabbadini, M;Bonanni, R;Caltagirone, C
在脑瘫患者中，严重的神经运动障碍和交流问题使标准的神经心理学测试变得不可能。因此，必须开发替代方法和特定的辅助工具，使患者能够自主地回答考官的问题。在本研究中，对8名脑瘫、重度神经运动和语言障碍患者和一组智力年龄匹配的Ig正常受试者进行了神经心理学评估。测试使用自主选择方法进行管理，其中患者通过特定的辅助选择各种反应，而不受考官的干扰。患者组在视觉空间和记忆测试中的平均表现低于对照组的平均水平。在语言领域，除了一项评估句法复杂句子理解能力的测试外，患者在所有测试中的得分与正常儿童相当。对患者个体表现的分析也揭示了异质性的认知概况：一些患者表现出均匀分布的认知障碍，而另一些患者则表现出更具选择性的认知障碍。这一发现对于规划有区别的学习方案，以及在康复和教育环境中确定合适的交流工具尤为重要。
In people with cerebral palsy, severe neuromotor disability and communication problems make standard neuropsychological tests impossible. Therefore, alternative methods and specific aids must be developed to allow patients to autonomously respond to the examiner's questions. In the present individuals and study, a neuropsychological evaluation was made of a group of eight individuals with cerebral palsy, and severe neuromotor and verbal disabilities, and a group of Ig normal subjects matched for mental age. The tests were administered using an autonomous selection method in which thr patient selects the various responses through specific aids without the examiner's interference. Patients' group performances in visuo-spatial and memory tests were on average lower than the mean of the control group. In the verbal domain, patients' scores were comparable to those of normal children in all tests but one assessing the comprehension of syntactically complex sentences. An analysis of the patients' individual performances also revealed heterogeneous cognitive profiles: some patients presented a homogeneously distributed cognitive impairment and others a more selective one. This finding is particularly important for planning differentiated learning programmes, and identifying suitable communicative instruments in rehabilitative and educational settings.