Cermak S A, Katz N, McGuire E, Greenbaum S, Peralta C, Maser-Flanagan V
Boston University, Sargent College of Allied Health Professions, Department of Occupational Therapy, Massachusetts 02215, USA.
Am J Occup Ther. 1995 Jun;49(6):500-6. doi: 10.5014/ajot.49.6.500.
The Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) measures the cognitive performance of persons with cerebrovascular accident (CVA). Although this assessment was developed and standardized in Israel, it is frequently used in the United States. The purpose of this study was to identify whether differences in performance on the LOTCA existed between Americans and Israelis who have had strokes. Additionally, this study was designed to compare the performance of persons with right CVA with the performance of persons with left CVA because the normative data for the LOTCA does not include separate information for these two groups.
The LOTCA was administered to 25 Americans with CVA (19 right CVA and 6 left CVA) and 56 Israelis with CVA (26 right CVA and 30 left CVA).
On the majority of LOTCA subtests, there were no significant differences between American and Israeli subjects. Only one subtest, Orientation to Time, revealed significant differences between Americans and Israeli subjects both for subjects with right CVA and subjects with left CVA. Examination of subjects with right CVA versus subjects with left CVA also indicated few differences. Only one subtest, Pegboard Construction, revealed significant differences between subjects with right CVA and subjects with left CVA for both American and Israeli subjects.
The LOTCA is an appropriate tool for occupational therapists to use in assessing Americans who have had strokes. In addition, for the most part, the subtests of the LOTCA assess cognitive-perceptual abilities that are not specific to the right or left cerebral hemisphere.
洛温斯坦认知作业疗法评定量表（LOTCA）用于测量脑血管意外（CVA）患者的认知表现。尽管该评估是在以色列开发并标准化的，但在美国也经常使用。本研究的目的是确定中风后的美国人和以色列人在LOTCA测试中的表现是否存在差异。此外，本研究旨在比较右侧CVA患者和左侧CVA患者的表现，因为LOTCA的常模数据并未包括这两组的单独信息。
对25名美国CVA患者（19名右侧CVA和6名左侧CVA）和56名以色列CVA患者（26名右侧CVA和30名左侧CVA）进行LOTCA测试。
在大多数LOTCA子测试中，美国和以色列受试者之间没有显著差异。只有一个子测试，即时间定向，显示右侧CVA受试者和左侧CVA受试者在美国和以色列受试者之间均存在显著差异。对右侧CVA受试者和左侧CVA受试者的检查也表明差异很少。只有一个子测试，即钉板结构测试，显示美国和以色列受试者中右侧CVA受试者和左侧CVA受试者之间存在显著差异。
LOTCA是职业治疗师评估中风后美国人的合适工具。此外，在很大程度上，LOTCA的子测试评估的是并非特定于右侧或左侧大脑半球的认知感知能力。
