Katz N, Cermak S, Shamir Y
Hebrew University Jerusalem, Faculty of Medicine, School of Occupational Therapy of Hadassah, Israel.
Percept Mot Skills. 1998 Apr;86(2):539-50. doi: 10.2466/pms.1998.86.2.539.
The purpose of this study was to examine the pattern of attentional deficits in children with right and left hemiplegic cerebral palsy. Unilateral neglect and visuospatial deficits are common findings following right brain injury in adults. It has been suggested by some that children may show a similar pattern. Children were tested on several paper-and-pencil measures of neglect. It was hypothesized that (a) on the left side of the page, children with left hemiplegia (right hemispheric damage) will score significantly lower than both the control group and the right hemiplegia group and (b) on the right side of the page, there will be no significant difference between the control group and the right and left hemiplegic groups. Participants included 32 children with cerebral palsy, 15 with left hemiplegia, 17 with right hemiplegia, and 32 matched controls. The ages ranged from 5 years 10 months to 12 years 6 months; all had normal intelligence. Inventories included 3 subtests of the Conventional part of the Behavioral Inattention Test, the Mesulam Symbol Cancellations tests, and the Rey Osterrieth Complex Figure, copy and recall. Analysis indicated that children with left hemiplegia scored significantly more poorly than controls on seven of the eight measures on the left side of the page, but they did not consistently score more poorly than children with right hemiplegia. Moreover, the poorer performance of the children with left hemiplegia was not specific only to the left side of the page; they also scored significantly lower than the controls on five of the eight measures on the right side. These findings suggest that children with left hemiplegia may have relatively greater attentional and perceptual problems than children with right hemiplegia, but they do not clearly indicate a left unilateral neglect. Results also indicate that children with right hemiplegia have attentional and perceptual problems relative to controls, particularly on the more complex tasks of high demand.
本研究的目的是检查右偏瘫和左偏瘫脑瘫患儿的注意力缺陷模式。单侧忽视和视觉空间缺陷是成人右脑损伤后的常见表现。一些人认为儿童可能表现出类似的模式。对儿童进行了多项纸笔式忽视测试。研究假设为：(a) 在页面左侧，左偏瘫（右半球损伤）儿童的得分将显著低于对照组和右偏瘫组；(b) 在页面右侧，对照组与右偏瘫组和左偏瘫组之间无显著差异。参与者包括32名脑瘫儿童，其中15名左偏瘫，17名右偏瘫，以及32名匹配的对照组。年龄范围为5岁10个月至12岁6个月；所有人智力正常。测试量表包括行为注意力测试常规部分的3个分测验、梅苏拉姆符号删除测验以及雷-奥斯特里思复杂图形测验（临摹和回忆）。分析表明，左偏瘫儿童在页面左侧的八项测量中有七项得分显著低于对照组，但他们的得分并不总是比右偏瘫儿童差。此外，左偏瘫儿童较差的表现并不只局限于页面左侧；他们在页面右侧的八项测量中的五项得分也显著低于对照组。这些发现表明，左偏瘫儿童可能比右偏瘫儿童存在相对更严重的注意力和感知问题，但并未明确显示出左侧单侧忽视。结果还表明，右偏瘫儿童相对于对照组存在注意力和感知问题，尤其是在需求较高的更复杂任务中。
