The mobility assessment course: A ready‐to‐use dynamic measure of visuospatial neglect

Katinka N. Nelemans; Tanja C. W. Nijboer; Antonia F. Ten Brink

doi:10.1111/jnp.12277

The mobility assessment course: A ready‐to‐use dynamic measure of visuospatial neglect

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

The Mobility Assessment Course (MAC) is a tool to measure visuospatial neglect in a dynamic fashion. Although the MAC has been shown to dissociate between patients with and without neglect, it remains unclear whether it is applicable in clinical settings. We evaluated the MAC regarding its (1) feasibility as a diagnostic tool as part of standard care, (2) construct validity, and (3) underlying constructs and potential confounders. A consecutive sample of stroke patients admitted to inpatient rehabilitation completed the MAC, shape cancellation, line bisection, and/or Catherine Bergego Scale (CBS) as part of the standard assessment. To assess feasibility, we computed the percentage of patients who completed the MAC. Construct validity was tested by evaluating MAC performance between patients with and without neglect and controls. Finally, a regression analysis was conducted to assess underlying constructs and potential confounders of MAC performance (i.e., level of mobility and lesion side). The MAC was completed by 82% of patients (N = 182/223; of whom 145 completed all tasks). Patients with neglect performed worse on the MAC (indicating more severe neglect) compared to patients without neglect and controls. The MAC had a lower sensitivity and higher specificity than paper-and-pencil tasks and the CBS. Performance on shape cancellation, line bisection, and CBS were predictors of MAC performance. Level of mobility and lesion side did not predict MAC scores, indicating that these factors do not confound its reliability. To conclude, the MAC is an easy-to-implement tool to evaluate neglect in a dynamic manner, which can be administered in addition to conventional paper-and-pencil tasks.

Original language	English
Pages (from-to)	498-517
Number of pages	20
Journal	Journal of Neuropsychology
Volume	16
Issue number	3
Early online date	20 Apr 2022
DOIs	https://doi.org/10.1111/jnp.12277
Publication status	Published - Sept 2022

Bibliographical note

Funding Information:
We would like to thank rehabilitation centre De Hoogstraat their time and participation. We thank the research assistants for their help in testing the patients. KnowledgeBrokers Neglect Study Group: Eugenie Brinkhof – physical therapist, Oscar Haver – rehabilitation physician, Marike Jansen – occupational therapist, Cindy van de Moosdijk – neuropsychologist, Anja Timmerarends – van Eck – nurse specialist.

Publisher Copyright:
© 2022 The Authors. Journal of Neuropsychology published by John Wiley & Sons Ltd on behalf of The British Psychological Society.

Keywords

catherine bergego scale
mobility assessment course
neuropsychological assessment
stroke
unilateral neglect

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Journal of Neuropsychology - 2022 - Nelemans - The mobility assessment course A ready‐to‐use dynamic measure ofFinal published version, 823 KBLicence: CC BY

Cite this

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title = "The mobility assessment course: A ready‐to‐use dynamic measure of visuospatial neglect",

abstract = "The Mobility Assessment Course (MAC) is a tool to measure visuospatial neglect in a dynamic fashion. Although the MAC has been shown to dissociate between patients with and without neglect, it remains unclear whether it is applicable in clinical settings. We evaluated the MAC regarding its (1) feasibility as a diagnostic tool as part of standard care, (2) construct validity, and (3) underlying constructs and potential confounders. A consecutive sample of stroke patients admitted to inpatient rehabilitation completed the MAC, shape cancellation, line bisection, and/or Catherine Bergego Scale (CBS) as part of the standard assessment. To assess feasibility, we computed the percentage of patients who completed the MAC. Construct validity was tested by evaluating MAC performance between patients with and without neglect and controls. Finally, a regression analysis was conducted to assess underlying constructs and potential confounders of MAC performance (i.e., level of mobility and lesion side). The MAC was completed by 82\% of patients (N = 182/223; of whom 145 completed all tasks). Patients with neglect performed worse on the MAC (indicating more severe neglect) compared to patients without neglect and controls. The MAC had a lower sensitivity and higher specificity than paper-and-pencil tasks and the CBS. Performance on shape cancellation, line bisection, and CBS were predictors of MAC performance. Level of mobility and lesion side did not predict MAC scores, indicating that these factors do not confound its reliability. To conclude, the MAC is an easy-to-implement tool to evaluate neglect in a dynamic manner, which can be administered in addition to conventional paper-and-pencil tasks.",

keywords = "catherine bergego scale, mobility assessment course, neuropsychological assessment, stroke, unilateral neglect",

author = "Nelemans, \{Katinka N.\} and Nijboer, \{Tanja C. W.\} and \{Ten Brink\}, \{Antonia F.\}",

note = "Funding Information: We would like to thank rehabilitation centre De Hoogstraat their time and participation. We thank the research assistants for their help in testing the patients. KnowledgeBrokers Neglect Study Group: Eugenie Brinkhof – physical therapist, Oscar Haver – rehabilitation physician, Marike Jansen – occupational therapist, Cindy van de Moosdijk – neuropsychologist, Anja Timmerarends – van Eck – nurse specialist. Publisher Copyright: {\textcopyright} 2022 The Authors. Journal of Neuropsychology published by John Wiley \& Sons Ltd on behalf of The British Psychological Society.",

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doi = "10.1111/jnp.12277",

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AU - Ten Brink, Antonia F.

N1 - Funding Information: We would like to thank rehabilitation centre De Hoogstraat their time and participation. We thank the research assistants for their help in testing the patients. KnowledgeBrokers Neglect Study Group: Eugenie Brinkhof – physical therapist, Oscar Haver – rehabilitation physician, Marike Jansen – occupational therapist, Cindy van de Moosdijk – neuropsychologist, Anja Timmerarends – van Eck – nurse specialist. Publisher Copyright: © 2022 The Authors. Journal of Neuropsychology published by John Wiley & Sons Ltd on behalf of The British Psychological Society.

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N2 - The Mobility Assessment Course (MAC) is a tool to measure visuospatial neglect in a dynamic fashion. Although the MAC has been shown to dissociate between patients with and without neglect, it remains unclear whether it is applicable in clinical settings. We evaluated the MAC regarding its (1) feasibility as a diagnostic tool as part of standard care, (2) construct validity, and (3) underlying constructs and potential confounders. A consecutive sample of stroke patients admitted to inpatient rehabilitation completed the MAC, shape cancellation, line bisection, and/or Catherine Bergego Scale (CBS) as part of the standard assessment. To assess feasibility, we computed the percentage of patients who completed the MAC. Construct validity was tested by evaluating MAC performance between patients with and without neglect and controls. Finally, a regression analysis was conducted to assess underlying constructs and potential confounders of MAC performance (i.e., level of mobility and lesion side). The MAC was completed by 82% of patients (N = 182/223; of whom 145 completed all tasks). Patients with neglect performed worse on the MAC (indicating more severe neglect) compared to patients without neglect and controls. The MAC had a lower sensitivity and higher specificity than paper-and-pencil tasks and the CBS. Performance on shape cancellation, line bisection, and CBS were predictors of MAC performance. Level of mobility and lesion side did not predict MAC scores, indicating that these factors do not confound its reliability. To conclude, the MAC is an easy-to-implement tool to evaluate neglect in a dynamic manner, which can be administered in addition to conventional paper-and-pencil tasks.

AB - The Mobility Assessment Course (MAC) is a tool to measure visuospatial neglect in a dynamic fashion. Although the MAC has been shown to dissociate between patients with and without neglect, it remains unclear whether it is applicable in clinical settings. We evaluated the MAC regarding its (1) feasibility as a diagnostic tool as part of standard care, (2) construct validity, and (3) underlying constructs and potential confounders. A consecutive sample of stroke patients admitted to inpatient rehabilitation completed the MAC, shape cancellation, line bisection, and/or Catherine Bergego Scale (CBS) as part of the standard assessment. To assess feasibility, we computed the percentage of patients who completed the MAC. Construct validity was tested by evaluating MAC performance between patients with and without neglect and controls. Finally, a regression analysis was conducted to assess underlying constructs and potential confounders of MAC performance (i.e., level of mobility and lesion side). The MAC was completed by 82% of patients (N = 182/223; of whom 145 completed all tasks). Patients with neglect performed worse on the MAC (indicating more severe neglect) compared to patients without neglect and controls. The MAC had a lower sensitivity and higher specificity than paper-and-pencil tasks and the CBS. Performance on shape cancellation, line bisection, and CBS were predictors of MAC performance. Level of mobility and lesion side did not predict MAC scores, indicating that these factors do not confound its reliability. To conclude, the MAC is an easy-to-implement tool to evaluate neglect in a dynamic manner, which can be administered in addition to conventional paper-and-pencil tasks.

KW - catherine bergego scale

KW - mobility assessment course

KW - neuropsychological assessment

KW - stroke

KW - unilateral neglect

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DO - 10.1111/jnp.12277

M3 - Article

SN - 1748-6645

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JO - Journal of Neuropsychology

JF - Journal of Neuropsychology

IS - 3

ER -

The mobility assessment course: A ready‐to‐use dynamic measure of visuospatial neglect

Abstract

Bibliographical note

Keywords

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