Psychometric evaluation of neglect assessment reveals motor-exploratory predictor of functional disability in acute-stage spatial neglect.
Psychometric evaluation of neglect assessment reveals motor-exploratory predictor of functional disability in acute-stage spatial neglect.
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DOI：
10.1016/j.apmr.2011.06.036
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发表时间：
2012-01
影响因子：
4.3
通讯作者：
Barrett, Anna M.
中科院分区：
文献类型：
--
作者：
Goedert, Kelly M.;Chen, Peii;Botticello, Amanda;Masmela, Jenny R.;Adler, Uri;Barrett, Anna M.
空间忽视是一种对对立刺激反应、定向或启动行动的失败或缓慢，与阻碍中风恢复的功能性残疾有关。早期识别特定的忽视缺陷可以识别可能经历慢性残疾的患者。然而，心理测量学评估主要集中在亚急性/慢性人群。我们通过评估急性忽视的两种忽视措施-行为注意力不集中测试（BIT）和Catherine Bergego量表（CBS）来解决这一差距。相关/心理研究。住院康复医院。筛查确定了51例连续右脑卒中左脑忽视患者（BIT常规评分< 129或CBS bbb11），平均在卒中后22.3天进行测试。不适用。我们获得了每位参与者的BIT、CBS和Barthel评估，以及感知-注意和运动-故意缺陷的临床和实验室测量。结果表明，BIT具有良好的可靠性，可加载到单因素上。与我们的理论预测一致，CBS的主成分分析确定了两个潜在因素：感知注意项目（CBS- pa）和体现的运动探索项目（CBS- me）。CBS-ME唯一预测ADL缺陷（Barthel指数），但不能预测临床和实验室对运动故意偏倚的评估。在临床和实验室测试中，对CBS-PA更严重的忽视与更大的“何处”感知-注意偏差相关，但并不能唯一地预测日常生活活动（adl）的缺陷。我们的研究结果表明，空间忽视的评估可以用来检测空间忽视中特定的运动探索性缺陷。常规获得CBS-ME评分可以提高对急性期空间动作缺陷患者的检测，这些患者需要更多的辅助，可能持续到慢性期。
Spatial neglect is a failure or slowness to respond, orient, or initiate action towards contra-lesional stimuli, associated with functional disability that impedes stroke recovery. Early identification of specific neglect deficits may identify patients likely to experience chronic disability. However, psychometric evaluation of assessments has focused on subacute/chronic populations. We addressed this gap by assessing two neglect measures – the Behavioral Inattention Test (BIT) and the Catherine Bergego Scale (CBS) – in acute neglect. Correlational/Psychometric study. Inpatient rehabilitation hospital. Screening identified 51 consecutive right-hemisphere stroke patients with left neglect (BIT conventional score < 129 or CBS > 11) that tested an average of 22.3 days post-stroke. Not applicable. We obtained BIT, CBS, and Barthel assessments for each participant, and clinical and laboratory measures of perceptual-attentional and motor-intentional deficits. The BIT demonstrated good reliability and loaded onto a single factor. Consistent with our theoretical prediction, principal components analysis of the CBS identified two underlying factors: “Where” perceptual-attentional items (CBS-PA) and embodied, motor exploratory items (CBS-ME). The CBS-ME uniquely predicted ADL deficits (Barthel Index), but did not predict clinical and laboratory assessments of motor-intentional bias. More severe neglect on CBS-PA correlated with greater “Where” perceptual-attentional bias on clinical and laboratory tests, but did not uniquely predict deficits in activities of daily living (ADLs). Our results indicate that assessments of spatial neglect may be used to detect specific motor-exploratory deficits in spatial neglect. Obtaining CBS-ME scores routinely might improve detection of acute stage patients with spatial action deficits requiring increased assistance that may persist to the chronic stage.
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DOI：
10.1016/j.apmr.2004.10.029
发表时间：
2005-04-01
影响因子：
4.3
作者：
Gillen, R;Tennen, H;McKee, T
通讯作者：
McKee, T
影响因子：
8.3
作者：
Hillis, AE;Wityk, RJ;Jacobs, MA
通讯作者：
Jacobs, MA
影响因子：
3.2
作者：
Plummer, P;Morris, ME;Dunai, J
通讯作者：
Dunai, J
DOI：
10.1007/978-0-387-70715-0_19
发表时间：
2010-01-01
期刊：
NEUROVASCULAR NEUROPSYCHOLOGY
影响因子：
--
作者：
Eskes, Gail A.;Barrett, Anna M.
通讯作者：
Barrett, Anna M.
影响因子：
2.3
作者：
Witt, Jessica K.;Ashe, James;Willingham, Daniel T.
通讯作者：
Willingham, Daniel T.