• Title/Summary/Keyword: Line bisection test

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Status of Occupational Therapists on Unilateral Neglect Test Tools Usage and Symptom Classification

  • Jang, Woo-Hyuk
    • The Journal of Korean Physical Therapy
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    • v.29 no.5
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    • pp.271-275
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    • 2017
  • Purpose: The aim of this study was to investigate the current status of the use of neglect test tools and the awareness for egocentric neglect (EN) and allocentric neglect (AN). Methods: A survey questionnaire was distributed to occupational therapists attending continuing education at the Daegu-Gyeongbuk branch on April 16. A total 143 responses were collected, and with the exception of 5 incomplete responses, 138 of them were analyzed. Results: The most commonly used unilateral neglect test tools were the line bisection test (86 responses, 62.3%), cancellation test (35 responses, 25.4%), copy and drawing test (7 responses, 5.1%). In a follow-up survey of 86 respondents who used line bisection tests as the most commonly used test, the majority (82 responses, 95.3%2) were found to use the 20-line test paper. In question about the familiarity and education experience for test manual, only 20 responses (23.2%) and 3 responses (3.5%) answered 'Yes'. In a question about the experience of a manual and the article for the manual, 25 responses (29.1%) answered 'Yes'. In the question regarding the separation of EN and AN on the unilateral neglect test, 44 responses (31.9%) were 'distinction' and 94 responses (68.1%) were 'no distinction'. Conclusion: Information on the guidance and interpretation of the line bisection test is lacking and the concept of EN and AN was insufficient.

The Effect of Pseudoneglect on Visual Perception and Driving : Using a Driving Simulator (가성무시가 시지각과 운전수행에 미치는 영향 : 드라이빙 시뮬레이터를 이용하여)

  • Jang, Sung-Lee;Ku, Bon-Dae;Na, Duk-Lyul;Lee, Jang-Han
    • 한국HCI학회:학술대회논문집
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    • 2009.02a
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    • pp.1233-1238
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    • 2009
  • This study's aim was to confirm that pseudoneglect affects visual attention through car laterality, using a driving simulator with either bisection or quadrisection strategies being applied to road usage. On the pencil and paper tests, the left quadrisection and bisection marks deviated significantly to the left. While driving, the car was significantly lateralized to the right of the lane regardless of conditions. However, in terms of relative laterality, the biggest left laterality occurred on roads 1(bisection), while the smallest left laterality occurred on roads 2 (right quadrisection). Thus, the effect of pseudoneglect was demonstrated in both the pencil and paper tests and the driving simulation task. Also, roads 2 and 4, which were driven on the right side of the lane, showed a tendency for drivers to avoid the centerline, as this was the expected cause of right laterality. This study demonstrated that the pseudoneglect phenomenon can occur in a routine driving task.

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The Effect of Visual Cue Deprivation for the Head Alignment on Unilateral Neglect Patient: Case Report (편측 무시 환자에서 시각 정보 차단이 머리 위치 정렬에 미치는 영향: 사례 연구)

  • Chang, Jong-Sung;Park, Jung-Mi;Lee, Mi-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.3
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    • pp.337-342
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    • 2013
  • PURPOSE: The Unilateral neglect is characterized by difficulty shifting attention to the side of space opposite the brain lesion and frequently reducing use of contralesional extremities. This study was to identify whether the visual deprivation was responsible for head position on unilateral neglect patient after stroke. METHODS: A patient with left middle cerebral artery infarction participated in the study. We assessed neglect using line bisection and star cancellation test. Patient was instructed to maintain correct alignment of trunk and head in a sit position. We evaluated degree of head lateral tilting and rotation. Then, patient was blocked visual input. Also, we evaluated head position in the same way. RESULTS: He scored 3 points in the line bisection test and 9 points star cancellation test. In postural evaluation, he had deviated posture such as lateral head tilting and rotation. After visual cue deprivation, patient showed different head position which was decreased degree of head tilting and rotation. CONCLUSION: For vertical body orientation, it was used multiple sensory references including the vestibular, somatosensory, and visual system. This finding suggested that abnormal posture of neglect patient could be related to the visual input. It has important clinical implications in terms of understanding the neglect.

Effect of Visual neglect for hemiplegia to motor recovery (시각무시가 편마비 환자의 운동 기능회복에 미치는 영향)

  • Kim, Yong-Kwon
    • Journal of Korean Physical Therapy Science
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    • v.10 no.1
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    • pp.18-29
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    • 2003
  • The purpose of this study by examine the effect of visual neglect on hemiplegia motor recovery are showing trouble which can be raised by visual neglect and helping the patient's ADL and functional recovering. Among the patients who are being taken physical therapy in many other hospitals in Busan From February 1st 2002 to august 31st, we chose 20 patients as control group who did not have symptoms of visual neglect and 20 other patients who did have as case group. We used Albert's test and line bisection as visual neglect test, and MAS as motor recovery. The average age of the patient group is 51.55 and that of control is 44.9. The men's rate is higher than women' s in both groups. Although the rate of left hemiplegia is higher than right hemiplegia in case group, that of right hemiplegia is higher than left hemiplegia in control group. There is much lesion site of basal ganglia in case group. There is the most amount of transformation of MAS when visual neglect is shorter than 1.5centimeter. Each change of MAS point before and after therapy in case group and control group is revealed $6.5{\pm}4.37$ and $12.5{\pm}5.95$.

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Assessments of Spatial Neglect : Comparison of KF-NAP (Kessler Foundation - Neglect Assessment Process) and Pencil-Paper test (편측 공간무시 환자의 평가: KF-NAP(Kessler Foundation - Neglect Assessment Process)과 지필검사의 비교)

  • Jeong, Eun-Hwa
    • Therapeutic Science for Rehabilitation
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    • v.7 no.1
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    • pp.27-35
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    • 2018
  • Objective : The aim of this study was to identify correlation between KF-NAP and Pencil-Paper test(Line bisection test, Letter cancellation, Albert's test) and to determine the high sensitive assessment tool for spatial neglect. Method : Thirty-two stroke patients who admitted to an inpatient rehabilitation unit at the medical center in Seoul from September, 2014 to September, 2015 were included in our research. They all have spatial neglect (male=19, female=13, the average age 61.8). KF-NAP and Pencil-Paper test were performed within 7 days. The detection of spatial neglect was analyzed by total scores of each assessments. Results : The highest sensitivity assessments of spatial neglect was KF-NAP. The detection of spatial neglect through KF-NAP was 93.8% (Line bisection test 53.1, Letter cancellation 53.1%, Albert's test 37.5%). Line bisection test (r=.430), Letter cancellation(r=.641), Albert's test(r=.398) and KF-NAP scores had significant correlation(p<0.05). Conclusion : KF-NAP is higher sensitive in comparison with Pencil-Paper test for detection of spatial neglect as the assessment tool of spatial neglect during activities daily livings of patients and neglect severity could be assessed with KF-NAP. Therefore, KF-NAP is recommended for assessment of spatial neglect.

The Effect of Light Stimulation on the Reduction of Unilateral Neglect of Stroke Patients: Single Subject Research Design (뇌졸중 환자에게 불빛 자극이 편측무시 감소에 미치는 영향: 단일 사례 연구)

  • Lee, Ho-Seung
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.2
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    • pp.61-69
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    • 2012
  • Objective : The purpose of this study was to investigate the effect of left visual stimuli for reducing the severity of unilateral neglect. Method : This research used a reversal design(ABAB) of single case study. The subject was a 60-year-old male patient who had left unilateral neglect. Remedial approach is more valuable method than compensatory approach in term of reducing the unilateral neglect. One of the method of remedial approach is controlled sensory stimulation. Result : I performed the line bisection test before and after the stimulation, and while doing that, put blinking lights to the patient from the left side. The average errors in the line bisection test decreased in B B', the intervention period, compared with A A'. The MVPT left response behavior score increased from 13 to 18. Conclusion : This shows that the light stimulation is effective in the reduction of unilateral neglect.

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The Effect of Listening to Music for the Reduction of Unilateral Neglect in Chronic Stroke: A Single Subject Study (음악 감상이 만성기 뇌졸중 환자의 편측무시에 미치는 영향 : 단일대상 연구)

  • Lee, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.2 no.2
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    • pp.67-75
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    • 2013
  • Objective : This study aims to investigate the effect of listening to music for the reduction of unilateral neglect in stroke patients. Methods : This study used a single subject (A-B) design for a stroke patient with unilateral neglect. The subject was trained for 12 sessions in total. Unilateral neglect was measured using a line bisection test and catherine bergego scale. Results : The line bisection test showed decreased mean error scores of treatment period(B) compared with baseline period(A). and catherine bergego scale showed slightly decreased total scores of treatment period(B) compared with baseline period(A). Conclusion : The listening to music showed a beneficial effect for the reduction of unilateral neglect.

The Effect of Listening to Music for the Reduction of Unilateral Neglect in Chronic Stroke: A Single Subject Study (음악 감상이 만성기 뇌졸중 환자의 편측무시에 미치는 영향: 단일대상 연구)

  • Lee, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.2 no.1
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    • pp.57-65
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    • 2013
  • Objective : This study aims to investigate the effect of listening to music for the reduction of unilateral neglect in stroke patients. Methods : This study used a single subject (A-B) design for a stroke patient with unilateral neglect. The subject was trained for 12 sessions in total. Unilateral neglect was measured using a line bisection test and catherine bergego scale. Results : The line bisection test showed decreased mean error scores of treatment period(B) compared with baseline period(A). and catherine bergego scale showed slightly decreased total scores of treatment period(B) compared with baseline period(A). Conclusion : The listening to music showed a beneficial effect for the reduction of unilateral neglect.

The Effects of Auditory Stimulus Using Music on Unilateral Neglect in Patients With Stroke: A single-subject design (음악을 통한 청각자극이 만성 뇌졸중 환자의 편측무시에 미치는 영향: 단일대상연구)

  • Park, Jin-Hyuck;Park, Ji-Hyuk;Park, Hae-Yean
    • Therapeutic Science for Rehabilitation
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    • v.5 no.1
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    • pp.33-42
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    • 2016
  • Objective : The purpose of this study was to verify the effects of auditory stimulus using music on unilateral neglect in patients with stroke. Methods : This study used a single subject (ABA) design. The subject who showed unilateral neglect caused by stroke received auditory stimulus using music for 60 minutes per sessions. A total of 20 sessions were conducted. The unilateral neglect was measured by the Star cancellation test and Line bisection test during each session, and Catherine Bergego Scale was used to evaluate the degree of unilateral neglect in daily life pre-and post-test. Also, Positive Affect and Negative Affect Schedule was used to test subject's emotional status. Results : During the intervention period, the results of the Star cancellation test and Line bisection test showed the trend of reduction of unilateral neglect symptom and the effects of intervention were maintained after intervention. After intervention, the results of CBS indicated decreased unilateral neglect symptom in activities of daily living and the results of PANAS indicated increased positive affect. Conclusions : The result of this study indicate that auditory stimulus has a positive effect on the unilateral neglect, and may be considered as alternative choice in clinical occupational therapy for reducing unilateral neglect.

The Comparison Between CBS and Pencil and Paper Test in Patients With Unilateral Neglect (편측무시 환자에서 관찰을 통한 Catherine Bergego Scale과 지필 검사 간 비교)

  • Heo, Eun-Young;Kwon, Hyuk-Cheol;Hwang, Ki-Cheol
    • Therapeutic Science for Rehabilitation
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    • v.2 no.1
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    • pp.48-56
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    • 2013
  • Purpose : To identify the correlation between CBS and pencil and paper test, and to test the sensitivity of above tests about unilateral neglect. Mostly used tool of pencil and paper test is line bisection and albert test. CBS is behavioral neglect test. Methods : The subjects of study were 44 stroke patients with left hemiplegia. Data were analyzed for Pearson correlation, paired t-test and ANOVA using SPSS program. The significance level was ${\alpha}<.01$. Results : The results of the study was as follow: 1. CBS had a significant correlation of line bisection and Albert test. 2. CBS was more sensitive than the pencil and paper in unilateral neglect. 3. CBS had high correlations with ADL than the pencil and paper test. Conclusion : The result showed that CBS was more useful than a pencil and paper test to distinguish unilateral neglect and available to diagnose anosognosia. Therefore, it should be considered applying CBS to inspect and cure unilateral neglect.