|Psychometric evaluation of neglect assessment reveals motor-exploratory predictor of functional disability in acute-stage spatial neglect.|
|PMID: 22200393 Owner: NLM Status: MEDLINE|
|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.
|Kelly M Goedert; Peii Chen; Amanda Botticello; Jenny R Masmela; Uri Adler; Anna M Barrett|
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|Type: Comparative Study; Evaluation Studies; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't|
|Title: Archives of physical medicine and rehabilitation Volume: 93 ISSN: 1532-821X ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2012 Jan|
|Created Date: 2011-12-27 Completed Date: 2012-02-17 Revised Date: 2014-09-14|
Medline Journal Info:
|Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States|
|Languages: eng Pagination: 137-42 Citation Subset: AIM; IM|
|Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.|
|APA/MLA Format Download EndNote Download BibTex|
Activities of Daily Living
Aged, 80 and over
Disabled Persons / rehabilitation
Hemiplegia / etiology, physiopathology, rehabilitation*
Perceptual Disorders / diagnosis*, etiology, rehabilitation*
Predictive Value of Tests
Reproducibility of Results
Spatial Behavior / physiology*
Stroke / complications, diagnosis, rehabilitation*
Visual Field Tests / methods
|K02 NS 047099-05/NS/NINDS NIH HHS; K02 NS047099/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/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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