Heart and Stroke Foundation Centre for Stroke Recovery (Sunnybrook Site), Toronto, ON, Canada.
J Clin Exp Neuropsychol. 2012;34(4):359-68. doi: 10.1080/13803395.2011.645016. Epub 2012 Jan 20.
Although it is currently not known whether early assessment and treatment of hemispatial neglect improves rehabilitation outcome, identification in the acute phase of post stroke is important for nursing, counseling families, and planning intervention strategies. Previous tests of neglect either fail to detect mild forms of neglect or are too lengthy for use at the bedside. We tested and selected an efficient, small battery of tests to address this gap. Two hundred and twenty-four stroke patients completed the Sunnybrook Neglect Assessment Procedure (SNAP). Normal performance was determined from a population of 100 normal elderly volunteers. The SNAP was shown to be a highly reliable and valid instrument. Factor analysis showed good internal consistency, suggesting that performance on each subtest is positively correlated with the others. The SNAP is a useful and reliable tool to assess neglect at the bedside in acute stroke patients.
尽管目前尚不清楚早期评估和治疗偏侧空间忽略是否能改善康复效果，但在脑卒中急性期识别偏侧空间忽略对于护理、向家属提供咨询以及规划干预策略非常重要。既往的忽略检测要么无法发现轻度的忽略，要么因为耗时太长而无法在床边使用。我们对一系列有效的小型检测进行了测试和选择，以填补这一空白。224 名脑卒中患者完成了森尼布鲁克忽略评估程序（SNAP）。正常表现是从 100 名正常老年志愿者的人群中确定的。SNAP 被证明是一种高度可靠和有效的工具。因子分析显示出良好的内部一致性，这表明每个子测试的表现与其他表现呈正相关。SNAP 是一种有用且可靠的工具，可用于评估急性脑卒中患者床边的忽略情况。
