Identifying Spatial Neglect in Chronic Right Hemisphere Stroke Survivors Using the RHDBank Outcomes.
Purpose: The chronicity of spatial neglect (SN) and the utility of existing diagnostic measures used by speech-language pathologists remain poorly understood. In this retrospective study, we examined how the RHDBank test battery informs the identification of SN after right hemisphere brain damage (R...
| Publicado en: | Journal of Speech, Language & Hearing Research Vol. 67; no. 2; pp. 511 - 524 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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American Speech-Language-Hearing Association
Feb2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=175404826&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 175404826 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Feb2024 vid: 67 iid: 2 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 175404826 10.1044/2023_JSLHR-23-00285 ppf: 511 ppct: 13 formats: fmt: @attributes: type: P size: 1.2MB tig: atl: Identifying Spatial Neglect in Chronic Right Hemisphere Stroke Survivors Using the RHDBank Outcomes. aug: au: Minga, Jamila Rich, Timothy Boukrina, Olga Chen, Peii Hreha, Kimberly affil: Department of Head and Neck Surgery & Communication Sciences and Department of Neurology, Duke University, Durham, NC. Center for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ. Occupational Therapy Doctorate Division, Department of Orthopaedic Surgery, Duke University, Durham, NC. su: Stroke Retrospective studies Cognitive therapy Cerebral hemispheres Unilateral neglect Databases Videoconferencing Mann Whitney U Test Questionnaires Descriptive statistics Chi-squared test Research funding Data analysis software Cluster analysis (Statistics) Disease complications sug: subj: Stroke Retrospective studies Cognitive therapy All Other Business Support Services Cerebral hemispheres Unilateral neglect Databases Videoconferencing Mann Whitney U Test Questionnaires Descriptive statistics Chi-squared test Research funding Data analysis software Cluster analysis (Statistics) Disease complications ab: Purpose: The chronicity of spatial neglect (SN) and the utility of existing diagnostic measures used by speech-language pathologists remain poorly understood. In this retrospective study, we examined how the RHDBank test battery informs the identification of SN after right hemisphere brain damage (RHD) during the chronic phase of recovery. Method: Data from 29 right hemisphere stroke survivors were extracted from the RHDBank, including SN tests, for which we performed laterality index scoring: a 51-item demographic survey, the Apples Test, the Indented Paragraph Test, and the clock drawing task from the Cognitive Linguistic Quick Test (CLQT). Two groups (SN+ and SN-) were identified using the Apples Test. A hierarchical cluster analysis explored CLQT performance clusters in association with SN, and group comparisons of demographic variables and test scores were conducted. Results: Ten patients were identified as having SN+ (34%) using the Apples Test. The Indented Paragraph Test and the CLQT’s clock drawing test identified only two of the 20 stroke survivors with SN+. Cluster analyses showed that domain and task scores on the CLQT carried information to classify participants into SN+ and SN- in concordance with performance on the Apples Test. Participants in the SN+ cluster had moderately impaired attention and executive function skills and mildly impaired visuospatial skills. Conclusions: The Apples Test differentiated SN in a group of chronic right hemisphere stroke survivors. Using multiple measures from the CLQT seemed to capture a greater range of problems than clock drawing and paragraph reading tests alone. Therefore, the RHDBank test battery as a whole-and in part the CLQT, Apples Test, and Indented Paragraph Test-can detect certain subtypes of SN in the chronic deficit profile after RHD and is a starting point for diagnostic integration by speech-language pathologists. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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