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Evaluation of Motor Impairment in C. elegans Models of Amyotrophic Lateral Sclerosis
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Trail Making Test error analysis in classic motor neuron disease.

Foteini Christidi1, Evangelia Kararizou, Nikolaos I Triantafyllou

  • 1Neuropsychological Lab, A' Department of Neurology, Eginition Hospital, Medical School, National and Kapodistrian University, 72-74 Vas. Sofias Avenue, 115 28, Athens, Greece. christidi.f.a@gmail.com

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
|November 20, 2012
PubMed
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Neuropsychological assessment using the Quantified Process Approach (QPA) revealed higher error rates on the Trail Making Test Part B in classic motor neuron disease (cMND) patients. Error analysis offers valuable insights beyond completion time for cMND cognitive evaluation.

Area of Science:

  • Neuropsychology
  • Neurology

Background:

  • Classic motor neuron disease (cMND) often involves cognitive flexibility deficits.
  • Non-traditional scoring in neuropsychological assessments, like the Quantified Process Approach (QPA), enables detailed pattern analysis of test performance.

Purpose of the Study:

  • To investigate error rates on the Trail Making Test Part B (TMT-B) in patients with cMND using the QPA.
  • To compare TMT-B error patterns between cMND patients and healthy controls.

Main Methods:

  • The Quantified Process Approach (QPA) was applied to analyze error rates on the Trail Making Test (TMT) Part B.
  • Twenty-six non-demented patients with cMND and 26 matched healthy controls participated.

Main Results:

  • cMND patients demonstrated significantly higher total error rates on the TMT-B compared to controls.

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  • A notable percentage of cMND patients made errors on TMT-B even with normal completion times, significantly more than controls.
  • No significant correlations were found between TMT errors and other executive function/attention measures.
  • Conclusions:

    • Error analysis via QPA enhances the clinical utility of the TMT for cMND assessment.
    • Incorporating QPA error analysis alongside time-to-completion scores is recommended for neuropsychological evaluations in cMND.