Evaluating Unilateral Spatial Neglect Post Stroke: Working Your Way Through the Maze of Assessment Choices

Abstract This study identified, using a comprehensive review of the literature, 62 standardized and nonstandardized assessment tools that exist to evaluate unilateral spatial neglect (USN). Each standardized tool was critically appraised according to its purpose (hemispace assessed), psychometric properties, and client appropriateness. The findings on the 28 standardized tools were compiled into a USN Assessment Summary Guide to facilitate clinical decision-making regarding the standardized USN assessments that are appropriate for specific clients at different phases of their recovery post stroke.

[1]  K. Heilman,et al.  The what and how of neglect , 1994 .

[2]  N. Dohi,et al.  Factor analysis of the components of 12 standard test batteries, for unilateral spatial neglect, reveals that they contain a number of discrete and important clinical variables. , 2001, Brain injury.

[3]  M. Riddoch,et al.  Hemineglect. Part 1. The nature of hemineglect and its clinical assessment in stroke patients: an overview , 1999 .

[4]  J. Grotta,et al.  Graded neurologic scale for use in acute hemispheric stroke treatment protocols. , 1987, Stroke.

[5]  G. Vallar.  Left spatial hemineglect: An unmanageable explosion of dissociations? no , 1994 .

[6]  B. Agrell,et al.  Neglect in elderly stroke patients: A comparison of five tests , 1997, Psychiatry and clinical neurosciences.

[7]  Luigi Tesio,et al.  Behavioral assessment of unilateral neglect: study of the psychometric properties of the Catherine Bergego Scale. , 2003, Archives of physical medicine and rehabilitation.

[8]  M. Riddoch,et al.  Evaluation of a test battery for hemineglect in elderly stroke patients for use by therapists in clinical practice. , 2000, NeuroRehabilitation.

[9]  Kerstin Tham,et al.  The baking tray task: a test of spatial neglect. , 1996, Neuropsychological rehabilitation.

[10]  Laurel J Buxbaum,et al.  Treatments of unilateral neglect: a review. , 2002, Archives of physical medicine and rehabilitation.

[11]  L. Pizzamiglio,et al.  Incidence and evolution of the hemineglect disorder in chronic patients with unilateral right brain damage. , 1989, The International journal of neuroscience.

[12]  A. Sunderland,et al.  The natural history of visual neglect after stroke. Indications from two methods of assessment. , 1987, International disability studies.

[13]  E. Herman,et al.  Spatial neglect: new issues and their implications for occupational therapy practice. , 1992, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[14]  T. Cassidy,et al.  The association of visual field deficits and visuo-spatial neglect in acute right-hemisphere stroke patients. , 1999, Age and ageing.

[15]  K. Greve,et al.  Interrater Reliability of Three Clock Drawing Test Scoring Systems , 2001, Applied neuropsychology.

[16]  C. Ugur,et al.  Characteristics of falling in patients with stroke , 2000, Journal of neurology, neurosurgery, and psychiatry.

[17]  K Sundet,et al.  To drive or not to drive: neuropsychological assessment for driver's license among stroke patients. , 1995, Scandinavian journal of psychology.

[18]  L. Gauthier,et al.  Evaluation of left visuospatial neglect: Norms and discrimination power of two tests. , 1990 .

[19]  P. Friedman,et al.  Perceptual impairment after stroke: improvements during the first 3 months. , 1992, Disability and rehabilitation.

[20]  Anne Henderson,et al.  The reliability and validity of visuospatial inattention tests with stroke patients , 1994 .

[21]  Friedman Pj.  Spatial neglect in acute stroke: the line bisection test. , 1990 .

[22]  M M Mesulam,et al.  Visual hemispatial inattention: stimulus parameters and exploratory strategies. , 1988, Journal of neurology, neurosurgery, and psychiatry.

[23]  N. Lincoln,et al.  Screening for perceptual problems in acute stroke patients , 1990 .

[24]  M. Troubat,et al.  Rehabilitation of very severe unilateral neglect by visuo-spatio-motor cueing: Two single case studies , 2000 .

[25]  G. Humphreys,et al.  Congnitive Deficits Following Stroke , 1995 .

[26]  G. Denes,et al.  Unilateral spatial neglect and recovery from hemiplegia: a follow-up study. , 1982, Brain : a journal of neurology.

[27]  M. Sugishita,et al.  Clock‐drawing test and unilateral spatial neglect , 1993, Neurology.

[28]  Pierluigi Zoccolotti,et al.  Psychometric Characteristics of Two Semi-structured Scales for the Functional Evaluation of Hemi- inattention in Extrapersonal and Personal Space , 1992 .

[29]  Y. Cate,et al.  Relationship between performance on tests of basic visual functions and visual-perceptual processing in persons after brain injury. , 2000, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[30]  M. Albert.  A simple test of visual neglect , 1973, Neurology.

[31]  Mahoney Fi,et al.  FUNCTIONAL EVALUATION: THE BARTHEL INDEX. , 1965 .

[32]  S. Matthey,et al.  The Rivermead Perceptual Assessment Battery: Its Relationship to Selected Functional Activities , 1998 .

[33]  N. Lincoln,et al.  An evaluation of screening measures for cognitive impairment after stroke. , 2002, Age and ageing.

[34]  B. Wilson,et al.  Development of a behavioral test of visuospatial neglect. , 1987, Archives of physical medicine and rehabilitation.

[35]  N. Katz,et al.  Validity of the Behavioral Inattention Test (BIT): relationships with functional tasks. , 1995, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[36]  T. Schenkenberg,et al.  Line bisection and unilateral visual neglect in patients with neurologic impairment , 1980, Neurology.

[37]  L. Costa,et al.  Patterns of behavioral deficit associated with visual spatial neglect. , 1969, Cortex; a journal devoted to the study of the nervous system and behavior.

[38]  R. Tallis,et al.  Reasons for variability in the reported rate of occurrence of unilateral spatial neglect after stroke. , 1999, Stroke.

[39]  D. Perani,et al.  Unilateral neglect: Personal and extra-personal , 1986, Neuropsychologia.

[40]  P. Azouvi,et al.  Functional consequences and awareness of unilateral neglect : study of an evaluation scale , 1996 .

[41]  L S Lange,et al.  The assessment of visuo-spatial neglect after acute stroke. , 1991, Journal of neurology, neurosurgery, and psychiatry.

[42]  M. Chen-Sea.  Validating the Draw-A-Man Test as a personal neglect test. , 2000, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[43]  G. Vallar.  Spatial hemineglect in humans , 1998, Trends in Cognitive Sciences.

[44]  T. Feinberg,et al.  Ipsilateral extinction in the hemineglect syndrome. , 1990, Archives of neurology.

[45]  Pierluigi Zoccolotti,et al.  Functional evaluation of hemineglect by means of a semistructured scale: Personal extrapersonal differentiation , 1991 .

[46]  D. Kersel,et al.  Screening tests for visual neglect following stroke , 1993 .

[47]  R. Harvey,et al.  Recovery of functional status after right hemisphere stroke: relationship with unilateral neglect. , 2001, Archives of physical medicine and rehabilitation.

[48]  K. Ragnarsson,et al.  Relationship among CT scans, neurological exam, and neuropsychological test performance in right-brain-damaged stroke patients. , 1988, Journal of clinical and experimental neuropsychology.

[49]  M. Corbetta,et al.  A PET study of visuospatial attention , 1993, The Journal of neuroscience : the official journal of the Society for Neuroscience.

[50]  J. Marler,et al.  Measurements of acute cerebral infarction: a clinical examination scale. , 1989, Stroke.

[51]  R. Stout,et al.  ALBERT'S TEST: A NEGLECTED TEST OF PERCEPTUAL NEGLECT , 1986, The Lancet.

[52]  J. Orgogozo.  Advantages and Disadvantages of Neurological Scales , 1998, Cerebrovascular Diseases.

[53]  L. Pizzamiglio,et al.  The Wundt-Jastrow illusion in the study of spatial hemi-inattention , 1988, Neuropsychologia.

[54]  A. Todd-Pokropek,et al.  Who goes home? Predictive factors in stroke recovery. , 1985, Journal of neurology, neurosurgery, and psychiatry.

[55]  G. Gainotti.  Emotional behavior and hemispheric side of the lesion. , 1972, Cortex; a journal devoted to the study of the nervous system and behavior.

[56]  L. Kalra,et al.  The influence of visual neglect on stroke rehabilitation. , 1997, Stroke.

[57]  J. Edmans,et al.  The Rey Figure Copy as a Screening Instrument for Perceptual Deficits after Stroke , 1998 .

[58]  C. Skilbeck,et al.  An activities index for use with stroke patients. , 1983, Age and ageing.

[59]  A. Koivisto,et al.  Visual neglect as a predictor of functional outcome one year after stroke , 2000, Acta neurologica Scandinavica.

[60]  R. Gianutsos,et al.  Visual imperception in brain-injured adults: multifaceted measures. , 1983, Archives of physical medicine and rehabilitation.

[61]  Ian H. Robertson,et al.  Personal Versus Extrapersonal Neglect: A Group Study of their Dissociation Using a Reliable Clinical Test , 1997, Cortex.

[62]  S. Matthey,et al.  The Clinical Usefulness of the Rivermead Perceptual Assessment Battery: Statistical Considerations , 1993 .