Comparison of the Behavioural Inattention Test and the Catherine Bergego Scale in assessment of hemispatial neglect
Comparison of the Behavioural Inattention Test and the Catherine Bergego Scale in assessment of hemispatial neglect
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DOI：
10.1080/09602011.2010.531619
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发表时间：
2011-01-01
影响因子：
2.7
通讯作者：
Hamalainen, H.
中科院分区：
文献类型：
--
作者：
Luukkainen-Markkula, R.;Tarkka, I. M.;Hamalainen, H.
该研究的目的是将脑血管意外引起的半侧空间忽视的视觉和行为评估关联起来。我们连续评估了 17 名患有半侧空间忽视的右半球中风患者：使用凯瑟琳·贝尔戈量表 (CBS) 来评估自发行为的忽视，使用行为注意力不集中测试 (BIT C) 的传统子测试来评估视觉忽视。计算每个患者的视觉和行为忽视的严重程度比例。视觉筛查任务中的轻度忽视与行为中的中度或重度忽视之间存在分离，尽管在大多数患者中，两项测试中的忽视同样明显。只有 BIT 的线平分子测试与 CBS 显着相关，但这两个测试都显示出良好的内部一致性。线平分测试和 CBS 的几个项目对于检测视野缺损和半侧空间忽视的组合特别敏感。总之，我们建议始终对被忽视的患者进行视野评估，因为视野缺陷可能会加剧忽视，这可能会导致日常生活中长期的功能障碍。对于患有或不患有偏盲的忽视，也可能需要特定的康复方法。
The objective of the study was to correlate visual and behavioural assessments of hemispatial neglect caused by cerebrovascular accident. We assessed 17 consecutive right-hemisphere stroke patients with hemispatial neglect: the Catherine Bergego Scale (CBS) was used to evaluate neglect in spontaneous behaviour and the conventional subtests of the Behavioural Inattention Test (BIT C) were used to assess visual neglect. The proportional severity of both visual and behavioural neglect was calculated in each individual patient. Dissociations were found between mild neglect in visual screening tasks and moderate or severe neglect in behaviour, although in most patients, neglect was equally evident in both tests. Only the line bisection subtest from the BIT correlated significantly with the CBS, yet both tests showed good internal consistency. The line bisection test and several items of the CBS were especially sensitive in detecting the combination of visual field deficit and hemispatial neglect. In conclusion, we propose that visual fields should always be assessed in patients with neglect because neglect may be exacerbated by a visual field deficit and this can cause prolonged functional disability in everyday life situations. Specific rehabilitation methods might also be needed in neglect with or without hemianopia.