Eschenbeck, Philipp, Vossel, Simone ORCID: 0000-0002-6351-8849, Weiss, Peter H. ORCID: 0000-0002-5230-9080, Saliger, Jochen, Karbe, Hans and Fink, Gereon R. ORCID: 0000-0002-8230-1856 (2010). Testing for neglect in right-hemispheric stroke patients using a new assessment battery based upon standardized activities of daily living (ADL). Neuropsychologia, 48 (12). S. 3488 - 3497. OXFORD: PERGAMON-ELSEVIER SCIENCE LTD. ISSN 0028-3932

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Abstract

Spatial neglect is most frequently observed after right-hemispheric stroke and is characterized by a failure to report to respond or to orient to stimuli presented to the contralesional side Although many neglect patients show difficulties in accomplishing activities of daily living (ADL) to date the clinical assessment of neglect is based upon neuropsychological paper-and-pencil tests Thus essential information about the patient s functional status may be missed out Accordingly we aimed at developing a new neglect test battery that incorporates standardized ADL Six conventional paper-and-pencil neglect tests and eight standardized ADL with newly developed neglect-specific scoring criteria and cut-off scores were administered to 68 right-hemispheric stroke patients According to the neuropsychological tests 22 patients showed symptoms suggesting neglect whereas 17 patients showed symptoms suggesting neglect according to the newly developed neglect test based upon ADL Neglect-specific impairments in the neuropsychological tests were significantly associated with those in the ADL-based tests although dissociations were observed in seven patients Neglect severity (as reflected in the percentage of positive subtests) was comparable for both test batteries and both test instruments showed high interrater reliability Voxel-based lesion-symptom mapping revealed that the severity of neglect according to the neuropsychological and ADL-based tests was significantly associated with lesions within right fronto-parietal networks We conclude that the newly developed ADL-based neglect battery provides an economic and ecologically valid tool for the assessment of neglect The test can be used to assess and quantify neglect in everyday activities and thus to monitor realistically rehabilitative needs of neglect patients (C) 2010 Elsevier Ltd All rights reserved

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Eschenbeck, PhilippUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vossel, SimoneUNSPECIFIEDorcid.org/0000-0002-6351-8849UNSPECIFIED
Weiss, Peter H.UNSPECIFIEDorcid.org/0000-0002-5230-9080UNSPECIFIED
Saliger, JochenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Karbe, HansUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fink, Gereon R.UNSPECIFIEDorcid.org/0000-0002-8230-1856UNSPECIFIED
URN: urn:nbn:de:hbz:38-496081
DOI: 10.1016/j.neuropsychologia.2010.07.034
Journal or Publication Title: Neuropsychologia
Volume: 48
Number: 12
Page Range: S. 3488 - 3497
Date: 2010
Publisher: PERGAMON-ELSEVIER SCIENCE LTD
Place of Publication: OXFORD
ISSN: 0028-3932
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
UNILATERAL SPATIAL NEGLECT; OF-THE-LITERATURE; HEMISPATIAL NEGLECT; LINE BISECTION; VISUAL NEGLECT; VISUOSPATIAL NEGLECT; ANOSOGNOSIA; ATTENTION; REPRESENTATION; CONSEQUENCESMultiple languages
Behavioral Sciences; Neurosciences; Psychology, ExperimentalMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/49608

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