Mancuso Mauro, Rosadoni S, Capitani D, Bickerton W L, Humphreys G W, De Tanti A, Zampolini M, Galardi G, Caputo M, De Pellegrin S, Angelini A, Bartalini B, Bartolo M, Carboncini M C, Gemignani P, Spaccavento S, Cantagallo A, Zoccolotti P, Antonucci G
Neurological Rehabilitation Unit, USL 9 Grosseto, Grosseto, Italy,
Neurol Sci. 2015 Jul;36(7):1233-40. doi: 10.1007/s10072-015-2088-2. Epub 2015 Jan 25.
Hemispatial neglect due to right parieto-temporo-frontal lesions has a negative impact on the success of rehabilitation, resulting in poor functional gain. Recent research has shown that different types of neglect can impact in a different way on rehabilitation outcomes. The availability of a sensitive test, useful for distinguishing egocentric and allocentric forms of neglect, may be clinically important as all current clinical instruments fail to distinguish between these forms of disturbance, yet they differentially predict outcome. The Apples Test is a new instrument useful to evaluate both egocentric and allocentric forms of neglect. In order to establish Italian norms for this diagnostic instrument the test was administered to a sample of 412 healthy people of both genders (201 M and 211 F), aged from 20 to 80 years enrolled from 14 different rehabilitation centers in Italy. Based on the data, we established pathological performance cut-offs for the accuracy score (total omission errors), the asymmetry score for egocentric neglect (omission error difference), the asymmetry score for allocentric neglect (commission error difference) and execution time. The usefulness of the Apples Test for diagnostic purposes is illustrated by presenting three patients with different forms of neglect (egocentric, allocentric and mixed neglect).
右侧顶颞额叶病变所致的半侧空间忽视对康复成功产生负面影响，导致功能改善不佳。最近的研究表明，不同类型的忽视对康复结果的影响方式不同。一种敏感的测试方法对于区分自我中心性和异我中心性忽视形式很有用，这在临床上可能很重要，因为目前所有临床工具都无法区分这些干扰形式，但它们对结果的预测却有所不同。苹果测试是一种用于评估自我中心性和异我中心性忽视形式的新工具。为了建立该诊断工具的意大利常模，对来自意大利14个不同康复中心的412名年龄在20至80岁之间的健康男女（201名男性和211名女性）进行了测试。基于这些数据，我们确定了准确性得分（总遗漏错误）、自我中心性忽视的不对称得分（遗漏错误差异）、异我中心性忽视的不对称得分（误判错误差异）和执行时间的病理表现临界值。通过展示三名患有不同形式忽视（自我中心性、异我中心性和混合性忽视）的患者，说明了苹果测试在诊断方面的实用性。
