Behavioral Assessment of Unilateral Spatial Neglect with the Catherine Bergego Scale (CBS) Using the Kessler Foundation Neglect Assessment Process (KF-NAP) in Patients with Subacute Stroke during Rehabilitation in Japan

Nishida, Daisuke; Mizuno, Katsuhiro; Tahara, Masatoshi; Shindo, Shiori; Watanabe, Yuki; Ebata, Hiroki; Tsuji, Takao

doi:10.1155/2021/8825192

Cited by 7 publications

(5 citation statements)

References 17 publications

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“…In this version, real-life situations are simulated to be more directly observed. This review of the CBS showed its relevance in clinical practice with 14 Italian (Pitteri & Chen, 2018) and 22 Japanese USN patients (Nishida et al, 2021), but a large-scale validation of the KF-NAP is still needed.…”

Section: Resultsmentioning

confidence: 99%

Clinical assessment of unilateral spatial neglect dissociations and heterogeneities: A narrative synthesis.

Guilbert¹

2023

Neuropsychology

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Objective: Unilateral spatial neglect (USN) is a neuropsychological syndrome whose symptoms differ considerably between patients. Several heterogeneities and dissociations have been described between processing stages, spatial regions, reference frames, or sensory modalities. However, in clinical practice, current routine tests rarely assess the different USN subtypes. There is a real lack of practice guidance for clinicians to help them choosing the right USN assessment tools for specific USN aspects. Method: The present article is a narrative synthesis based on a systematic literature search of (a) the dissociations and heterogeneities that can appear in USN and of (b) the different clinical tools available for their assessment. Results: Several tools have been developed to better assess USN heterogeneities. This review highlights their potential relevance and advocates for their widespread use in a clinical practice context. However, it also raised the issue of the lack of standardized clinical tools for the evaluation of some USN aspects. Conclusion: While USN heterogeneities and dissociations are difficult to assess in current clinical practice, there is a real need to improve their assessment. This will allow clinicians to establish the individual USN profile of each patient not only in terms of severity but also of impaired aspects in order to provide them the rehabilitation program that suits the best their needs. Key PointsQuestion: This article aims at reviewing the dissociations and heterogeneities that can appear in unilateral spatial neglect and the different clinical tools available for its assessment. Findings: While a few tools have been developed to assess different unilateral spatial neglect aspects, some heterogeneities and/or dissociations are not considered in clinical practice. Importance: By reviewing unilateral spatial neglect assessment tools, the present article could guide clinicians during their diagnosis. Next Steps: Improving unilateral spatial neglect assessment is now critical to better understand each patient's profile and to propose individualized rehabilitation programs.

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Section: Resultsmentioning

confidence: 99%

Clinical assessment of unilateral spatial neglect dissociations and heterogeneities: A narrative synthesis.

Guilbert¹

2023

Neuropsychology

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“…Patients were assessed for SN by occupational therapists who followed the Kessler Foundation Neglect Assessment Process (KF-NAP ® ) for scoring on the Catherine Bergego Scale [ 21 , 22 ]. The KF-NAP is a highly sensitive measure [ 23 , 24 ], with good interrater reliability [ 23 , 25 ] and strong correlation with other tests [ 23 , 24 ], as well as other measures of functional status [ 3 , 23 , 24 ]. KF-NAP includes the following 10 categories: Limb awareness, personal belongings, dressing, grooming, gaze orientation, auditory attention, navigation, collisions, having a meal, and cleaning after a meal.…”

Section: Methodsmentioning

confidence: 99%

Prism Adaptation Treatment Predicts Improved Rehabilitation Responses in Stroke Patients with Spatial Neglect

Vilimovský

Chen²,

Hoidekrová³

et al. 2022

Healthcare

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Spatial neglect (SN) impedes functional recovery after stroke, leading to reduced rehabilitation gains and slowed recovery. The objective of the present study was to investigate whether integrating prism adaptation treatment (PAT) into a highly intensive rehabilitation program eliminates the negative impact of spatial neglect on functional and motor recovery. We examined clinical data of the 355 consecutive first-time stroke patients admitted to a sub-acute inpatient neurorehabilitation program that integrated PAT. The 7-item Motor Functional Independence Measure, Berg Balance Scale, and Motor Activity Log were used as main outcome measures. We found that 84 patients (23.7%) had SN, as defined by a positive score on the Catherine Bergego Scale via the Kessler Foundation Neglect Assessment Process (KF-NAP®). Although 71 patients (85%) received PAT, the presence of SN at baseline, regardless of PAT completion, was associated with lower functional independence, higher risk of falls, and a lower functional level of the affected upper limb both at admission and at discharge. The severity of SN was associated with inferior rehabilitation outcomes. Nonetheless, patients with SN who received PAT had similar rehabilitation gains compared to patients without SN. Thus, the present study suggests that integrating PAT in an intensive rehabilitation program will result in improved responses to regular therapies in patients with SN.

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“…Four instruments assessed perception and included Behavioural Inattention Test (BIT) [58][59][60][61], Catherine Bergego scale (CBS)/Kessler Foundation Neglect Assessment Process (KF-NAP) [24,25,[62][63][64][65][66][67][68], Neglect test battery based on neuropsychological tests and ADL tasks [69] and Wheelchair Collision Test (WCT) [70]. Perception was assessed through self-care activities (CBS/KF-NAP, WCT) [24,25,[62][63][64][65][66][67][68] and instrumental activities (BIT, Neglect test battery) [58][59][60][61].…”

Section: Instrumentsmentioning

confidence: 99%

Measurement properties of performance-based instruments for assessing mental function during activity and participation in persons with stroke: A systematic review

Kristensen,

van Tulder,

Rosenbæk

et al. 2023

Scandinavian Journal of Occupational Therapy

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Behavioral Assessment of Unilateral Spatial Neglect with the Catherine Bergego Scale (CBS) Using the Kessler Foundation Neglect Assessment Process (KF-NAP) in Patients with Subacute Stroke during Rehabilitation in Japan

Cited by 7 publications

References 17 publications

Clinical assessment of unilateral spatial neglect dissociations and heterogeneities: A narrative synthesis.

Clinical assessment of unilateral spatial neglect dissociations and heterogeneities: A narrative synthesis.

Prism Adaptation Treatment Predicts Improved Rehabilitation Responses in Stroke Patients with Spatial Neglect

Measurement properties of performance-based instruments for assessing mental function during activity and participation in persons with stroke: A systematic review

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