以质量求发展，以服务铸品牌

护理学报 ›› 2025, Vol. 32 ›› Issue (3): 43-49.doi: 10.16460/j.issn1008-9969.2025.03.043

• 循证护理 • 上一篇    下一篇

脑卒中单侧空间忽略评估工具的范围综述

陈恩琳1, 莫丰菱1, 庄泽明1, 张明哲1, 周佳坤1, 黄丽芳2, 纪龙飞1, 张莉芳1   

  1. 1.右江民族医学院 护理学院,广西 百色 533000;
    2.右江民族医学院附属医院 神经内科,广西 百色 533000
  • 收稿日期:2024-07-08 出版日期:2025-02-10 发布日期:2025-03-06
  • 通讯作者: 张莉芳（1977-）,女,山西吕梁人,教授,博士,硕士研究生导师,护理学院院长。E-mail:lifang@ymun.edu.cn
  • 作者简介:陈恩琳（1997-）,女,广西贵港人,本科学历,硕士研究生在读,主管护师。
  • 基金资助:
    国家自然科学基金（81860408）; 广西自然科学基金（2018JJA140044）

Assessment tools for unilateral spatial neglect after stroke: a scoping review

CHEN En-lin1, MO Feng-ling1, ZHUANG Ze-ming1, ZHANG Ming-zhe1, ZHOU Jia-kun1, HUANG Li-fang2, JI Long-fei1, ZHANG Li-fang1   

  1. 1. School of Nursing, Youjiang Medical University for Nationalities, Baise 533000, China;
    2. Dept. of Neurology, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise 533000, China
  • Received:2024-07-08 Online:2025-02-10 Published:2025-03-06

PDF (PC)

10

赞

摘要： 目的 总结国内外脑卒中单侧空间忽略（unilateral spatial neglect,USN）评估工具的种类、特点及应用情况。方法 系统检索8个中英文数据库,检索时限为建库至2024年11月5日。提取USN评估工具相关内容,采用范围综述的方法对检索结果进行规范化分析与报告。结果 纳入48篇符合标准的文献,共27个USN评估工具,应用于我国的有12个。纸笔试验及凯瑟琳—波哥量表是较为常用的评估工具;行为测试可测试现实情境下USN情况;现代信息技术类评估工具可以创建更加逼真的环境来评估患者的空间感知和认知能力。结论 应考虑应用情境与评估目的选择适宜的USN评估工具,全面准确诊断USN应综合应用多种评估工具。

关键词: 脑卒中, 单侧空间忽略, 评估工具, 范围综述

Abstract: Objective To summarize the types, characteristics and application of assessment tools for unilateral spatial neglect (USN) after stroke at home and abroad. Methods Eight Chinese and English databases were searched systematically, with a retrieval period spanned from the inception of the databases to November 5, 2024. The content of USN assessment tools was extracted for systematic analysis, and the search results were standardized and reported by the method of scope review. Results A total of 27 USN assessment tools were included in 48 pieces of literature that met the criteria, 12 of which were applied in China. Pen and paper test and Catherine Bergego Scale are commonly used assessment tools. Behavioral testing can test USN in real situations; assessment tools with modern technology allowed for a more accurate assessment of USN by creating simulated environments. Conclusion The appropriate USN assessment tools should be selected considering the application context and assessment purpose, and multiple assessment tools should be comprehensively applied to diagnose USN accurately.

Key words: stroke, unilateral spatial neglect, assessment tools, scoping review

中图分类号: 

  • R473.74
[1] 王陇德, 彭斌, 张鸿祺, 等. 《中国脑卒中防治报告2020》概要[J]. 中国脑血管病杂志, 2022,19(2):136-144.DOI:10.3969/j.issn.1672-5921.2022.02.011.
[2] Feigin VL, Stark BA, Johnson CO, et al.Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019[J]. Lancet Neurol, 2021,20(10):795-820.DOI:10.1016/S1474-4422(21)00252-0.
[3] 陈昕灏, 卢根娣. 缺血性脑卒中后认知障碍危险因素前瞻性队列研究[J]. 护理学报, 2022, 29(18):6-11.DOI:10.16460/j.issn1008-9969.2022.18.006.
[4] Esposito E, Shekhtman G, Chen P.Prevalence of spatial neglect post-stroke: a systematic review[J]. Ann Phys Rehabil Med, 2021,64(5):1-18.DOI:10.1016/j.rehab.2020.10.010.
[5] 王玉龙. 康复功能评定学[M]. 北京: 人民卫生出版社, 2018: 99-100.
[6] Gammeri R, Iacono C, Ricci R, et al.Unilateral spatial neglect after stroke: current insights[J]. Neuropsychiatr Dis Treat, 2020(16):131-152.DOI:10.2147/NDT.S171461.
[7] Barrett AM, Houston KE.Update on the clinical approach to spatial neglect[J]. Curr Neurol Neurosci Rep, 2019,19(5):1-8.DOI:10.1007/s11910-019-0940-0.
[8] Moore M, Milosevich E, Beisteiner R, et al.Rapid screening for neglect following stroke:a systematic search and European Academy of Neurology recommendations[J]. Eur J Neurol, 2022,29(9):2596-2606.DOI:10.1111/ene.15381.
[9] Arksey H, O’Malley L. Scoping studies: towards a methodological framework[J]. Int J Soc Res Methodo, 2005,8(1):19-32.DOI:DOI10.1080/1364557032000119616.
[10] 李玉明, 张莉, 鲁燕莉, 等. 偏瘫患者视觉单侧忽略的评测及康复护理[J]. 中华护理杂志, 1998(2):19-21.
[11] 王强, 田茂, 铃木美保, 等. 轮椅碰撞试验:一种评估行为偏侧忽略的新方法[J]. 中华物理医学与康复杂志, 2004,26(11):683-686.
[12] 李红玲, 岳崴, 樊金兰, 等. 单侧空间忽略的检测方法研究[J]. 中华物理医学与康复杂志, 2005,27(7):405-408.DOI:10.3760/j:issn:0254-1424.2005.07.007.
[13] 王强, 園田茂, 花村美穗, 等. 线分法与行为偏侧忽略的相关性研究[J]. 中华物理医学与康复杂志, 2005,27(9):526-529.
[14] 黄文清, 范小艳. 单侧忽略:用烤箱托盘试验进一步确诊[J]. 神经损伤与功能重建, 2006,1(4):255-256.
[15] 张明明, 刘文平. 脑卒中后发生单侧空间忽略的评测及康复干预[J]. 中国老年学杂志, 2016(4):857-858.DOI:10.3969/j.issn.1005-9202.2016.04.040.
[16] 郭华珍, 恽晓萍, 张慧丽, 等. 左侧空间忽略患者远空间忽略的表现与评定研究[J]. 中国康复理论与实践, 2022,28(5):520-523.DOI:10.3969/j.issn.1006-9771.2022.05.005.
[17] 张波, 杨宇轩, 张晗, 等. 眼动追踪的动态任务评估脑卒中后单侧空间忽略的价值研究[J]. 中国全科医学, 2023,26(32):4020-4025.DOI:10.12114/j.issn.1007-9572.2022.0791.
[18] Albert ML.A simple test of visual neglect[J]. Neurology, 1973,23(6):658-664.DOI:10.1212/WNL.23.6.658.
[19] Schenkenberg T, Bradford DC, Ajax ET.Line bisection and unilateral visual neglect in patients with neurologic impairment[J].Neurology,1980,30(5):509-517.DOI:10.1212/WNL.30.5.509.
[20] Stone S P, Wilson B, Wroot A, et al.The assessment of visuo-spatial neglect after acute stroke[J]. J Neurol Neurosurg Psychiatry, 1991,54(4):345-350.DOI:10.1136/jnnp.54.4.345.
[21] Zoccolotti P, Judica A.Functional evaluation of hemineglect by means of a semistructured scale: personal extrapersonal differentiation[J]. Neuropsychol Rehabil, 1991,1(1):33-44.DOI:10.1080 /09602019108401378.
[22] Ishiai S, Sugishita M, Ichikawa T, et al.Clock-drawing test and unilateral spatial neglect[J]. Neurology, 1993,43(1):106-110.DOI:10.1212/wnl.43.1_part_1.106.
[23] Cocchini G, Beschin N, Jehkonen M.The Fluff Test: a simple task to assess body representation neglect[J].Neuropsychol Rehabil,2001,11(1):17-31.DOI:10.1080/09602010042000132.
[24] Azouvi P, Olivier S, de Montety G, et al. Behavioral assessment of unilateral neglect: Study of the psychometric properties of the Catherine Bergego Scale[J]. Arch Phys Med Rehabil, 2003,84(1):51-57.DOI:10.1053/apmr.2003.50062.
[25] Lee BH, Kang SJ, Park JM, et al.The Character-line Bisection Task: a new test for hemispatial neglect[J]. Neuropsychologia, 2004,42(12):1715-1724.DOI:10.1016/j.neuropsychologia.2004.02.015.
[26] Glocker D, Bittl P, Kerkhoff G.Construction and psychometric properties of a novel test for body representational neglect (Vest Test)[J]. Restor Neurol Neurosci, 2006,24(4-6):303-317.
[27] Kenneth NK. Fong MKLC.Reliability and validity of the Chinese behavioural inatiention test-Hong Kong[J]. Hong Kong Journal of Occupational Therapy, 2007,17(1):23-33.
[28] Buxbaum LJ, Palermo MA, Mastrogiovanni D, et al.Assessment of spatial attention and neglect with a virtual wheelchair navigation task[J]. J Clin Exp Neuropsychol, 2008,30(6):650-660.DOI:10.1080/13803390701625821.
[29] Fordell H, Bodin K, Bucht G, et al.A virtual reality test battery for assessment and screening of spatial neglect[J]. Acta Neurol Scand, 2011, 123(3):167-174.DOI:10.1111/j.1600-0404.2010.01390.x.
[30] Buxbaum LJ, Dawson AM, Linsley D.Reliability and validity of the Virtual Reality Lateralized Attention Test in assessing hemispatial neglect in right-hemisphere stroke[J]. Neuropsychology,2012,26(4):430-441.DOI:10.1037/a0028674.
[31] Jee H, Kim J, Kim C, et al.Feasibility of a Semi-computerized Line Bisection Test for Unilateral Visual Neglect Assessment[J]. Appl Clin Inform, 2015,6(2):400-417.DOI:10.4338/ACI.
[32] Cunningham LJ, O’Rourke K, Finlay C, et al. A preliminary investigation into the psychometric properties of the Dublin Extrapersonal Neglect Assessment (DENA): a novel screening tool for extrapersonal neglect[J]. Neuropsychol Rehabil, 2017,27(3):349-368.DOI:10.1080/09602011.2015.1084334.
[33] Ogourtsova T, Archambault P, Sangani S, et al.Ecological Virtual Reality Evaluation of Neglect Symptoms (EVENS): effects of virtual scene complexity in the assessment of poststroke unilateral spatial neglect[J]. Neurorehabil Neural Repair,2018,32(1):46-61.DOI:10.1177/1545968317751677.
[34] Ten BA, Visser-Meily J, Nijboer T.Dynamic assessment of visual neglect: the mobility assessment course as a diagnostic tool[J]. J Clin Exp Neuropsychol, 2018,40(2):161-172.DOI:10.1080/13803395.2017.1324562.
[35] Stone A, Cooke D, Morton D, et al.Reliability of revised scoring methods for the Schenkenberg Line Bisection Test with adults following stroke: preliminary findings[J]. Br J Occup Ther,2019,82(12):750-758.DOI:10.1177/0308022619866377.
[36] Marques CLS, de Souza JT, Gonᶊalves MG, et al. Validation of the Catherine Bergego Scale in patients with unilateral spatial neglect after stroke[J]. Dement Neuropsychol, 2019,13(1):82-88. DOI:10.1590/1980-57642018dn13-010009.
[37] Montedoro V, Alsamour M, Dehem S, et al.Robot diagnosis test for egocentric and allocentric hemineglect[J]. Arch Clin Neuropsychol, 2019, 34(4):481-494.DOI:10.1093/arclin/acy062/5062655.
[38] Knobel S, Kaufmann BC, Gerber SM, et al.Immersive 3D virtual reality cancellation task for visual neglect assessment: a pilot study[J].Front Hum Neurosci, 2020,25(14):180-189.DOI:10.3389/fnhum.2020.00180.
[39] Kaufmann BC, Cazzoli D, Pflugshaupt T, et al.Eyetracking during free visual exploration detects neglect more reliably than paper-pencil tests[J]. Cortex, 2020,8(129):223-235.DOI:10.1016/j.cortex.2020.04.021.
[40] Kocanaogullari D, Mak J, Kersey J, et al.EEG-based neglect detection for stroke patients[J]. Annu Int Conf IEEE Eng Med Biol Soc, 2020(2020):264-267.DOI:10.1109/EMBC44109.2020.9176378.
[41] Bieth T, Beauvais D, Romeu P, et al.Validation of a new test for early assessment of unilateral neglect in acute stroke: the Rapid Unilateral Neglect Screening (RUNS) test[J]. Ann Phys Rehabil Med, 2021,64(4):1-3.DOI:10.1016/j.rehab.2020.05.006.
[42] Nishida D, Mizuno K, Tahara M, et al.Behavioral assessment of unilateral spatial neglect with the Catherine Bergego Scale (CBS) using the Kessler Foundation Neglect Assessment Process (KF-NAP) in patients with subacute stroke during rehabilitation in Japan[J]. Behav Neurol, 2021, 9(2):1-7.DOI:10.1155/2021/8825192.
[43] Gomes PA, Sorrentino G, Bignami B, et al.Feasibility of assessing post-stroke neglect with eye-tracking glasses during a locomotion task[J]. Ann Phys Rehabil Med, 2021,64(5):1-3.DOI:10.1016/j.rehab.2020.09.004.
[44] Gillen RW, Fusco-Gessick B, Harmon EY.How we assess spatial neglect matters:: Prevalence of spatial neglect as measured by the Catherine Bergego Scale and impact on rehabilitation outcomes[J]. Am J Phys Med Rehabil, 2021,100(5):443-449.DOI:10.1097/PHM.0000000000001710.
[45] Kudo Y, Takahashi K, Sugawara E, et al.Bedside video-oculographic evaluation of eye movements in acute supratentorial stroke patients: a potential biomarker for hemispatial neglect[J]. J Neurol Sci, 2021,15(6):1-6.DOI:10.1016/j.jns.2021.117442.
[46] Kim T, Kim K, Choi C, et al.FOPR test: a virtual reality-based technique to assess field of perception and field of regard in hemispatial neglect[J].J Neuroeng Rehabil, 2021,18(1):1-12.DOI:10.1186/s12984-021-00835-1.
[47] Nelemans KN, Nijboer T, Ten Brink AF, et al.The mobility assessment course: a ready-to-use dynamic measure of visuospatial neglect[J]. J Neuropsychol, 2022,16(3):498-517.DOI:10.1111/jnp.12277.
[48] Villarreal S, Linnavuo M, Sepponen R, et al.Computer-based assessment: dual-task outperforms large-screen cancellation task in detecting contralesional omissions[J]. Front Psychol,2022,12(1):1-15.DOI:10.3389/fpsyg.2021.790438.
[49] Massetti G, Albini F, Casati C, et al.Validation of "Neurit.Space": three digital tests for the neuropsychological evaluation of unilateral spatial neglect[J]. J Clin Med, 2023,12(8):1-20.DOI:10.3390/jcm12083042.
[50] Coelho-Marques J, Hanke J, Schell C, et al.“Look straight ahead”—a new test to diagnose spatial neglect by computed tomography[J]. PloS one, 2023, 18(4):1-11.DOI:10.1371/journal.pone.0284033.
[51] Rosenzopf H, Sperber C, Wortha F, et al.Spatial neglect in the digital age: influence of presentation format on patients’ test behavior[J]. J Int Neuropsychol Soc, 2023,29(7):686-695.DOI:10.1017/S1355617722000790.
[52] Pérennou, Azouvi P, Rousseaux M. Discriminative value of different combinations of tests to detect unilateral neglect in patients with right hemisphere damage[J]. Eur J Neurol, 2023,21(1):1-9.DOI:10.1111/ene.15965.
[53] Ebisu T, Fukunaga M, Murase T, et al.Functional connectivity pattern using resting-state fMRI as an assessment tool for spatial neglect during the recovery stage of stroke: a pilot study[J]. Magn Reson Med Sci, 2023,22(3):313-324.DOI:10.2463/mrms.mp.2022-0010.
[54] Perez-Marcos D, Ronchi R, Giroux A, et al.An immersive virtual reality system for ecological assessment of peripersonal and extrapersonal unilateral spatial neglect[J]. J Neuroeng Rehabil, 2023,20(1):1-12.DOI:10.1186/s12984.
[55] Painter DR, Norwood MF, Marsh CH, et al.Virtual reality gameplay classification illustrates the multidimensionality of visuospatial neglect[J]. Brain Commun, 2024,6(4):1-20.DOI:10.1093/braincomms/fcae145.
[56] Uimonen J, Villarreal S, Laari S, et al.Virtual reality tasks with eye tracking for mild spatial neglect assessment: a pilot study with acute stroke patients[J].Front Psychol, 2024,15(1):1-17.DOI:10.3389/fpsyg.2024.1319944.
[57] Ohama R, Matsumoto S, Ohama Y, et al.A new method for detecting unilateral spatial neglect with tracing tasks using the Rey-Osterrieth complex figure: a pilot study[J]. Neurol Sci, 2024, 45(10):4789-4798.DOI:10.1007/s10072-024-07540-6.
[58] Checketts M, Mancuso M, Fordell H, et al.Current clinical practice in the screening and diagnosis of spatial neglect post-stroke: findings from a multidisciplinary international survey[J]. Neuropsychol Rehabil, 2021,31(9):1495-1526.DOI:10.1080/09602011.2020.1782946.
[59] Ringman JM, Saver JL, Woolson RF, et al.Frequency, risk factors, anatomy, and course of unilateral neglect in an acute stroke cohort[J]. Neurology, 2004,63(3):468-474.DOI:10.1212/01.WNL.0000133011.10689.CE.
[60] Ten BA, Biesbroek JM, Oort Q, et al.Peripersonal and extrapersonal visuospatial neglect in different frames of reference: a brain lesion-symptom mapping study[J]. Behav Brain Res, 2019, 356(1):504-515.DOI:10.1016/j.bbr.2018.06.010.
[61] Bartolomeo P, Chokron S.Orienting of attention in left unilateral neglect[J]. Neurosci Biobehav Rev, 2002, 26(2):217-234.DOI:10.1016/s0149-7634(01)00065-3.
[62] Karnath HO, Rorden C.The anatomy of spatial neglect[J]. Neuropsychologia, 2012, 50(6):1010-1017.DOI:10.1016/j.neuropsychologia.2011.06.027.
[63] Moore MJ, Vancleef K, Riddoch MJ, et al.Recovery of visuospatial neglect subtypes and relationship to functional outcome six months after stroke[J]. Neurorehabil Neural Repair,2021, 35(9):823-835.DOI:10.1177/15459683211032977.
[64] Spaccavento S, Cellamare F, Falcone R, et al.Effect of subtypes of neglect on functional outcome in stroke patients[J]. Ann Phys Rehabil Med, 2017,60(6):376-381.DOI:10.1016/j.rehab.2017.07.245.
[65] Buxbaum LJ, Ferraro MK, Veramonti T, et al.Hemispatial neglect: Subtypes, neuroanatomy, and disability[J]. Neurology, 2004, 62(5):749-756.DOI:10.1212/01.wnl.0000113730.73031.f4.
[66] Andres M, Geers L, Marnette S, et al.Increased cognitive load reveals unilateral neglect and altitudinal extinction in chronic stroke[J]. J Int Neuropsychol Soc, 2019,25(6):644-653.DOI:10.1017/S1355617719000249.
[67] 李铮, 刘宁. 护理学研究方法[M]. 2版.北京:人民卫生出版社, 2018.
[1] 杜易梅, 刘莉, 郭立丽, 卢吉, 付苗苗, 刘杰. 妇科恶性肿瘤患者性健康研究进展[J]. 护理学报, 2025, 32(4): 28-33.
[2] 李垚, 陈小敏, 夏敏, 吴茜, 张琳, 陈叡喆, 葛莉丽, 吴逸梅. 肿瘤患者衰弱评估工具应用的范围综述[J]. 护理学报, 2025, 32(4): 48-52.
[3] 朱天顺, 朱可可, 薛会元, 焦聪聪, 魏长慧, 王贺. 信息框架效应理论在健康管理领域应用的范围综述[J]. 护理学报, 2025, 32(2): 44-49.
[4] 李珂, 贺雨琼, 李雨蔚, 常颖. 脑卒中患者跌倒恐惧干预研究的范围综述[J]. 护理学报, 2025, 32(1): 50-55.
[5] 林丽华, 盖薇, 王语璇, 尹丽丽, 吕郑晗, 陶艳玲. 自我同情在脑卒中患者社会支持与病耻感的中介作用[J]. 护理学报, 2024, 31(9): 15-19.
[6] 李丁丁, 王帅有, 朱杉杉, 郭鑫, 张会敏, 王宏茹, 潘勤. 脑卒中患者支持性照护需求评估工具的范围综述[J]. 护理学报, 2024, 31(9): 48-53.
[7] 郑亚楠, 郭惠娟, 张振香, 蔡姝倩. 脑卒中半失能患者自我接纳的潜在剖面分析及影响因素研究[J]. 护理学报, 2024, 31(8): 1-6.
[8] 王冰冰, 马英芝, 孙小卫, 杨琴, 肖江琴. 中青年脑卒中患者与配偶二元应对潜在剖面分析及影响因素研究[J]. 护理学报, 2024, 31(8): 7-12.
[9] 郭俊晨, 刘超毅, 戴云云, 蒋思珊, 杨索, 谌永毅. 虚拟现实技术在生命末期患者中应用的范围综述[J]. 护理学报, 2024, 31(7): 40-45.
[10] 梅紫琦, 金胜姬, 李玮彤, 柏亚妹, 宋玉磊, 李伊婷, 王萌, 徐桂华. 智能机器人在护理健康教育领域中应用的范围综述[J]. 护理学报, 2024, 31(7): 57-62.
[11] 薛荣, 张开利, 陈保云, 马荣慧, 张雨欣. 中老年脑卒中患者多维衰弱发展轨迹及其影响因素研究[J]. 护理学报, 2024, 31(6): 6-12.
[12] 郑晓婷, 田霞, 王峥, 肖文莉. King达标理论在慢性病家庭护理中应用的范围综述[J]. 护理学报, 2024, 31(5): 56-60.
[13] 王薇, 周演铃, 薛文萍, 张淋淋, 林书球. 老年髋部骨折患者衰弱评估工具的范围综述[J]. 护理学报, 2024, 31(4): 42-47.
[14] 李佳萍, 朱云霞, 朱宇. 乳腺癌化疗患者症状群的范围综述[J]. 护理学报, 2024, 31(4): 60-64.
[15] 蔡佳佳, 施忠英, 黄楚贤. 进食障碍患者情绪调节评估工具的研究进展[J]. 护理学报, 2024, 31(3): 41-45.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!