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The Puzzles Test and the Red Shapes Test as new diagnostic tools for neglect syndrome

Published online by Cambridge University Press:  01 September 2022

V. Propustina ,
G. Stepanov ,
D. Yurina ,
N. Varako ,
M. Kovyazina ,
S. Vasilyeva  and
V. Daminov
V. Propustina
Affiliation:
Lomonosov Moscow State University, Faculty Of Psychology, Moscow, Russian Federation
G. Stepanov
Affiliation:
Lomonosov Moscow State University, Faculty Of Psychology, Moscow, Russian Federation
D. Yurina*
Affiliation:
Lomonosov Moscow State University, Faculty Of Psychology, Moscow, Russian Federation
N. Varako
Affiliation:
Lomonosov Moscow State University, Faculty Of Psychology, Moscow, Russian Federation Research Center of Neurology, Department Of Neurorehabilitation And Physiotherapy, Moscow, Russian Federation
M. Kovyazina
Affiliation:
Lomonosov Moscow State University, Faculty Of Psychology, Moscow, Russian Federation Research Center of Neurology, Department Of Neurorehabilitation And Physiotherapy, Moscow, Russian Federation
S. Vasilyeva
Affiliation:
Pirogov National Medical and Surgical Center, Medical Rehabilitation Clinic, Moscow, Russian Federation
V. Daminov
Affiliation:
Pirogov National Medical and Surgical Center, Medical Rehabilitation Clinic, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Neuropsychological methods for diagnosing neglect syndrome (NS) are focused on identifying the inability of patients to respond to stimuli localized in contralesional space. There are a large number of methods capable of diagnosing spatial neglect, but at the same time having various limitations and restrictions in their use.

Objectives

To devise and to test universal diagnostic techniques for visuospatial neglect detection.

Methods

1) A.R. Luria test battery; Trail Making Test (Part A); the Bells Test; 2) Authors’ methods: the Puzzles Test, the Red Shapes Test. A total of 47 patients after stroke with right hemisphere damage participated in the study and were divided into a target (18 patients with NS) and a control (29 patients without NS) groups. The Puzzles Test consists of three tasks: turning over cards, completing a sentence using cards with letters, completing a picture. The Red Shapes Test consisted in the search for a variable number of geometric shapes. Objective indicators of the study: total task completion time, the number of left omissions.

Results

The sensitivity of the tests to NS was examined using the Mann-Whitney U-test. Differences in the number of omissions and task completion time between patients with and without spatial neglect were statistically significant regarding all tasks: turning over cards (p=0.01), completing a sentence (p<0.001), completing a picture (p<0.001), finding geometric shapes (p<0.01).

Conclusions

The Puzzles Test and Red Shapes Test along with the foreign tests (the Bells Test, Trail Making Test) are sufficiently effective methods for spatial neglect detection.

Disclosure

No significant relationships.

Keywords

neuropsychological assessmentspatial neglectunilateral neglectvisuospatial search
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S879
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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