Document Detail


Psychometric evaluation of neglect assessment reveals motor-exploratory predictor of functional disability in acute-stage spatial neglect.
MedLine Citation:
PMID:  22200393     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the psychometric properties of 2 neglect measures, the Behavioral Inattention Test (BIT)-conventional and the Catherine Bergego Scale (CBS), in acute spatial neglect. Spatial neglect is a failure or slowness to respond, orient, or initiate action toward contralesional 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.
DESIGN: Correlational/psychometric study.
SETTING: Inpatient rehabilitation hospital.
PARTICIPANTS: Screening identified 51 consecutive patients with a right-hemisphere stroke with left neglect (BIT score <129 or CBS score >11) tested an average of 22.3 days poststroke.
INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: We obtained BIT, CBS, and Barthel Index assessments for each participant and clinical and laboratory measures of perceptual-attentional and motor-intentional deficits.
RESULTS: The BIT showed good reliability and loaded onto a single factor. Consistent with our theoretical prediction, principal components analysis of the CBS identified 2 underlying factors: Where perceptual-attentional items (CBS-PA) and embodied, motor-exploratory items (CBS-ME). The CBS-ME uniquely predicted deficits in activities of daily living (ADLs) assessed by using the Barthel Index, but did not predict clinical and laboratory assessments of motor-intentional bias. More severe neglect on the CBS-PA correlated with greater Where perceptual-attentional bias on clinical and laboratory tests, but did not uniquely predict deficits in ADLs.
CONCLUSIONS: 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 the detection of acute-stage patients with spatial action deficits requiring increased assistance that may persist to the chronic stage.
Authors:
Kelly M Goedert; Peii Chen; Amanda Botticello; Jenny R Masmela; Uri Adler; Anna M Barrett
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  93     ISSN:  1532-821X     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2011-12-27     Completed Date:  2012-02-17     Revised Date:  2013-09-26    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  137-42     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Psychology, Seton Hall University, South Orange, NJ 07079, USA. kelly.goedert@shu.edu
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Acute Disease
Adult
Age Factors
Aged
Aged, 80 and over
Cohort Studies
Disability Evaluation
Disabled Persons / rehabilitation
Female
Follow-Up Studies
Functional Laterality
Hemiplegia / etiology,  physiopathology,  rehabilitation*
Humans
Male
Middle Aged
Neuropsychological Tests
Perceptual Disorders / diagnosis*,  etiology,  rehabilitation*
Predictive Value of Tests
Psychometrics
Rehabilitation Centers
Reproducibility of Results
Risk Assessment
Sex Factors
Spatial Behavior / physiology*
Stroke / complications,  diagnosis,  rehabilitation*
Time Factors
Treatment Outcome
Visual Field Tests / methods
Grant Support
ID/Acronym/Agency:
K02 NS 047099-05/NS/NINDS NIH HHS; K02 NS047099-06/NS/NINDS NIH HHS; K24 HD062647/HD/NICHD NIH HHS; K24 HD062647-01/HD/NICHD NIH HHS; R00 HD065957/HD/NICHD NIH HHS; R01 NS 055808-02/NS/NINDS NIH HHS; R01 NS055808-01A2/NS/NINDS NIH HHS; R01 NS055808-02/NS/NINDS NIH HHS; R01 NS055808-03/NS/NINDS NIH HHS; R01 NS055808-04/NS/NINDS NIH HHS
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