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Related Experiment Videos

The Trail Making Test A and B: a technical note on structural nonequivalence

E D Rossini1, M A Karl

  • 1Faculty of Psychology, Roosevelt University, Chicago, IL 60605.

Perceptual and Motor Skills
|April 1, 1994
PubMed
Summary

The Trail Making Test (TMT) involves drawing lines. TMT B requires significantly more line length than TMT A, challenging assumptions about cognitive load versus motor skills.

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Area of Science:

  • Neuropsychology
  • Cognitive Psychology
  • Motor Function Assessment

Background:

  • The Trail Making Test (TMT) is widely used to assess cognitive functions.
  • Previous research has focused on the cognitive demands of TMT A and TMT B.
  • The motor component, specifically the length of drawn lines, has been less emphasized.

Purpose of the Study:

  • To compare the length of drawn lines in Trail Making Test A and Trail Making B for adults and children.
  • To challenge the assumption that differences between TMT A and TMT B are solely due to cognitive load.
  • To highlight the potential underestimation of the motor component in TMT interpretation.

Main Methods:

  • Quantitative analysis of the structural aspect of the TMT.
  • Measurement of the total length of lines drawn to complete TMT A and TMT B.

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  • Comparison of line lengths between adult and school-aged child versions of the TMT.
  • Main Results:

    • Trail Making Test B requires a significantly greater length of drawn lines compared to Trail Making Test A.
    • This difference was observed in both adult (32% longer) and school-aged child (27% longer) populations.
    • The findings suggest a substantial motor component in TMT B that may be overlooked.

    Conclusions:

    • The increased line length in TMT B indicates a more significant motor demand than often assumed.
    • Interpretations of TMT B performance should consider both cognitive and motor factors.
    • Further research is needed to fully elucidate the interplay of cognitive and motor skills in TMT performance.