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Do Neglect Assessments Detect Neglect Differently?

Emily S Grattan1, Michelle L Woodbury2

  • 1Emily S. Grattan, PhD, OTR/L, is Postdoctoral Scholar, Department of Health Science and Research, Medical University of South Carolina, Charleston; grattan@musc.edu.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|April 20, 2017
PubMed
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Different assessment tools vary in their ability to detect neglect in stroke survivors. Functional and virtual reality assessments identified neglect more often than traditional paper-and-pencil methods.

Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Clinical Psychology

Background:

  • Unilateral neglect is a common and debilitating consequence of stroke.
  • Accurate detection of neglect is crucial for effective rehabilitation planning.
  • Existing assessment tools may differ in their sensitivity to detect neglect.

Purpose of the Study:

  • To compare the effectiveness of various assessment tools in detecting unilateral neglect in individuals post-stroke.
  • To investigate whether different types of assessments (paper-and-pencil, functional, virtual reality) yield different detection rates for neglect.

Main Methods:

  • A case series study was conducted with participants who had experienced a stroke.
  • A battery of five neglect assessments, including paper-and-pencil, functional, and virtual reality-based tools, was administered.

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  • Assessments were completed over one to two sessions, totaling approximately two hours per participant.

    • Main Results:

    • All twelve participants demonstrated neglect on at least three of the administered assessments.
    • Functional and virtual reality assessments detected neglect more frequently compared to paper-and-pencil assessments.
    • Significant performance differences were observed between paper-and-pencil and functional assessment types.

    Conclusions:

    • The choice of assessment tool significantly influences the detection of unilateral neglect in stroke patients.
    • The complexity of neglect suggests that a multi-faceted assessment approach may be necessary for comprehensive evaluation.
    • Virtual reality and functional assessments show promise for enhanced neglect detection in clinical settings.