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Development of the Halifax Visual Scanning Test: A New Measure of Visual-Spatial Neglect for Personal, Peripersonal, and Extrapersonal Space

Published online by Cambridge University Press:  16 April 2019

Christiane E. Whitehouse ,
Janet Green ,
Sarah M. Giles ,
Rosanna Rahman ,
Jamesie Coolican  and
Gail A. Eskes
Christiane E. Whitehouse
Affiliation:
Department of Psychology and Neuroscience, Dalhousie University, Nova Scotia
Janet Green
Affiliation:
Department of Psychology and Neuroscience, Dalhousie University, Nova Scotia
Sarah M. Giles
Affiliation:
Department of Family Medicine, University of Ottawa, Ottawa, Canada
Rosanna Rahman
Affiliation:
Capital and Coast District Health Board, Wellington Regional Hospital, New Zealand
Jamesie Coolican
Affiliation:
IWK Health Centre, Nova Scotia
Gail A. Eskes*
Affiliation:
Department of Psychology and Neuroscience, Dalhousie University, Nova Scotia Department of Psychiatry, Dalhousie University, Nova Scotia
*
Correspondence and reprint requests to: Gail Eskes, Cognitive Health and Recovery Research Laboratory, Brain Repair Centre, 1348 Summer Street, Halifax, NS, B3H 4R2. E-mail: gail.eskes@dal.ca
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Abstract

Objectives: Visual-spatial neglect is a common attentional disorder after right-hemisphere stroke and is associated with poor rehabilitation outcomes. The presence of neglect symptoms has been reported to vary across personal, peripersonal, and extrapersonal space. Currently, no measure is available to assess neglect severity equally across these spatial regions and may be missing subsets of symptoms or patients with neglect entirely. We sought to provide initial construct validity for a novel assessment tool that measures neglect symptoms equally for these spatial regions: the Halifax Visual Scanning Test (HVST). Methods: In Study I, the HVST was compared to conventional measures of neglect and functional outcome scores (wheelchair navigation) in 15 stroke inpatients and 14 healthy controls. In Study II, 19 additional controls were combined with the control data from Study I to establish cutoffs for impairment. Patterns of neglect in the stroke group were examined. Results: In Study I, performance on all HVST subtests were correlated with the majority of conventional subtests and wheelchair navigation outcomes. In Study II, neglect-related deficits in visual scanning showed dissociations across spatial regions. Four inpatients exhibited symptoms of neglect on the HVST that were not detected on conventional measures, one of which showed symptoms in personal and extrapersonal space exclusively. Conclusions: The HVST appears a useful measure of neglect symptoms in different spatial regions that may not be detected with conventional measures and that correlates with functional wheelchair performance. Preliminary control data are presented and further research to add to this normative database appears warranted. (JINS, 2019, 25, 490–500)

Keywords

Perceptual disordersHemispatial neglectAttentionStroke rehabilitationAssessmentPatient outcomes
Type
Regular Research
Information
Journal of the International Neuropsychological Society , Volume 25 , Issue 5 , May 2019 , pp. 490 - 500
Copyright
Copyright © The International Neuropsychological Society 2019 

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