Exploring the Association Between Overstay Fixation During an Electronic Trail Making Test and Cognitive Functional Independence After Stroke.

Background/Aims: The aim of the present study was to examine the potential association between a specific gaze behavior, "overstay fixations," observed during the Trail Making Test, and cognitive functional independence after stroke. Methods: This study was a cross-sectional, observational study. Ho...

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Publicado en:NeuroRehabilitation Vol. 58; no. 2; pp. 251 - 261
Autores principales: Akiyama, Ryoto, Kondo, Ken, Noguchi, Naoto, Kim, Siyeong, Lee, Bumsuk
Formato: pictorial research tables/charts Journal Article
Publicado: Sage Publications Inc. Mar2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2026
      vid: 58
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/10538135251407111
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        atl: Exploring the Association Between Overstay Fixation During an Electronic Trail Making Test and Cognitive Functional Independence After Stroke.
      aug:
        au:
          Akiyama, Ryoto
          Kondo, Ken
          Noguchi, Naoto
          Kim, Siyeong
          Lee, Bumsuk
        affil: Graduate School of Health Sciences, Gunma University, Maebashi, Gunma, Japan
      sug:
        subj:
          Stroke Rehabilitation
          Eye Movements
          Neuropsychological Tests
          Cognition Evaluation
          Functional Assessment
          Activities of Daily Living
          Human
          Male
          Female
          Stroke Patients
          Nonexperimental Studies
          Cross Sectional Studies
          Correlational Studies
          Wilcoxon Signed Rank Test
          Correlation Coefficient
          Spearman's Rank Correlation Coefficient
          Data Analysis Software
          Processing Speed
          Attention
          Executive Function
          Adult
          Middle Age
          Aged
          Inpatients
          Eye Movement Measurements
          Comparative Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background/Aims: The aim of the present study was to examine the potential association between a specific gaze behavior, "overstay fixations," observed during the Trail Making Test, and cognitive functional independence after stroke. Methods: This study was a cross-sectional, observational study. Hospitalized patients with mild stroke (n = 12) and healthy young adults (n = 19) performed the electronic version of Trail Making Test. The number of overstay fixations and the total completion time were measured. In the patients with mild stroke, the total time in conventional Japanese version of Trail Making Test and the cognitive scores in Functional Independence Measure were measured. Findings: The mild stroke group showed significantly more overstay fixations as task difficulty increased (p = 0.005). A significant correlation existed between the overstay fixations during the electronic version of Trail Making Test part A and the cognitive Functional Independence Measure scores for Comprehension (r = -0.643) and Memory (r = -0.610). Multiple regression revealed that the total time and overstay fixations in the electronic version of the Trail Making Test were more strongly associated with the Comprehension score (R² = 0.850) compared with the total time in the paper-based Trail Making Test (R² = 0.397). Similarly, the Memory score showed stronger associations with the total time and overstay fixations in the electronic version of the Trail Making Test (R² = 0.684) than with the total time in the paper-based version (R² = 0.391). Conclusions: The overstay fixation was associated with specific domains of cognitive functional independence in patients with mild stroke.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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