拍肩的标志:神经认知障碍的一个高度具体的指标
Brad T Tyson1, Laszlo A Erdodi2, Matthew Holcomb3
1Eastside Neuroscience Institute, EvergreenHealth Medical Center, Kirkland, Washington.
概括
拍肩标 (STS) 是一种快速测试神经认知障碍的标志. 阳性STS对这些情况具有高度特异性,在简短的精神状态检查期间有助于诊断.
科学领域:
- 神经学 神经学
- 神经心理学 神经心理学
- 认知科学 认知科学
背景情况:
- 坚持是神经功能障碍的公认指标.
- 拍肩标志 (STS) 是一种易于识别的运动力.
- STS涉及到不适当地继续一个响应.
研究的目的:
- 评估STS在识别神经认知障碍方面的诊断价值.
- 评估神经心理评估的转诊患者的STS.
- 确定STS在认知评估中的实用性.
主要方法:
- 对400名疑似认知衰退的患者进行了五步口头指令.
- 定义一个积极的STS是点击任何一个肩膀超过两次.
- 作为诊断标记物,STS的计算灵敏度,特异性和概率比.
主要成果:
- 在23%的患者中,STS呈阳性,其中96%患有神经认知障碍.
- 对于神经认知障碍,STS显示高特异性 (0.96),但敏感性低 (0.28).
- 这种迹象存在于痴呆症患者的38%,轻度神经认知障碍患者的21%.
结论:
- STS是神经认知障碍的高度特定的指标.
- 尽管敏感度低,但STS是认知评估工具的宝贵补充.
- 阳性STS可以是神经认知障碍简短精神状态检查的关键特征.
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