Simulated driving: The added value of dynamic testing in the assessment of visuo-spatial neglect after stroke.
Simulated driving: The added value of dynamic testing in the assessment of visuo-spatial neglect after stroke.
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DOI：
10.1111/jnp.12172
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发表时间：
2020-03
影响因子：
2.2
通讯作者：
Nijboer TCW
中科院分区：
文献类型：
--
作者：
Spreij LA;Ten Brink AF;Visser-Meily JMA;Nijboer TCW
视觉空间忽视(VSN)通常是用神经心理学的纸笔任务来评估的，这些任务通常不够敏感，无法发现轻微的和/或补偿良好的VSN。开发类似于日常生活动态的动态任务是最重要的。模拟驾驶任务被用来评估(1)左右侧VSN患者、恢复的VSN患者和健康受试者之间的性能差异(即在道路上的位置和摇摆的大小)；(2)平均位置与VSN严重程度之间的关系；以及(3)相对于传统任务的诊断准确性。对住院的中风患者进行了取消任务、凯瑟琳·伯格戈量表和模拟驾驶任务的测试。与无VSN的患者相比，左侧VSN患者和恢复的VSN患者在道路位置上的偏差更大。VSN越严重，偏差越大。在诊断准确性方面，29%恢复的VSN患者和6%的未恢复VSN的患者在模拟驾驶任务中确实表现出异常。左侧VSN的敏感性为52%。右侧VSN未被很好地检测到，可能是由于布局不对称所致。基于这些结果，模拟驾驶任务不应该是唯一评估VSN的任务，特别是在目前的形式下。鉴于VSN的异质性，评估应始终由几个性质和复杂性不同的任务组成，并包括检测轻度和/或恢复的VSN的动态任务。在设计新的任务以评估右侧VSN时，应使用对称设计。
Visuo‐spatial neglect (VSN) is generally assessed with neuropsychological paper‐and‐pencil tasks, which are often not sensitive enough to detect mild and/or well‐compensated VSN. It is of utmost importance to develop dynamic tasks, resembling the dynamics of daily living. A simulated driving task was used to assess (1) differences in performance (i.e., position on the road and magnitude of sway) between patients with left‐ and right‐sided VSN, recovered VSN, without VSN, and healthy participants; (2) the relation between average position and VSN severity; and (3) its diagnostic accuracy in relation to traditional tasks. Stroke inpatients were tested with a cancellation task, the Catherine Bergego Scale and the simulated driving task. Patients with left‐sided VSN and recovered VSN deviated more regarding position on the road compared to patients without VSN. The deviation was larger in patients with more severe VSN. Regarding diagnostic accuracy, 29% of recovered VSN patients and 6% of patients without VSN did show abnormal performance on the simulated driving task. The sensitivity was 52% for left‐sided VSN. Right‐sided VSN was not well detected, probably due to the asymmetric layout. Based on these results, the simulated driving task should not be the only task to assess VSN, especially in its current form. Given the heterogenic nature of VSN, the assessment should always consist of several tasks varying in nature and complexity and include a dynamic task to detect mild and/or recovered VSN. A symmetric design should be used when designing novel tasks to assess right‐sided VSN.
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影响因子：
2.9
作者：
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