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Journal Article

Citation

Toyokura M, Nishimura Y, Akutsu I, Watanabe F. Disabil. Rehabil. 2016; 39(5): 503-510.

Affiliation

b Division of Clinical Psychology , Ohta Atami General Hospital , Kooriyama , Japan.

Copyright

(Copyright © 2016, Informa - Taylor and Francis Group)

DOI

10.3109/09638288.2016.1152601

PMID

26986927

Abstract

PURPOSE To investigate clinical significance of a newly developed paper-and-pencil type dual-task (Oiso-DT) for assessing inattention of brain-damaged patients.

METHODS A total of 134 healthy individuals and 44 patients with traumatic brain injury (TBI) were the subjects. Oiso-DT combined a cancelation sub-task and a written calculation sub-task on paper. The performance was scored based on the correct rate (CR) and success rate in the cancelation sub-task, and the number of correct answers and CR in the calculation sub-task for three minutes. Performances of Clinical Assessment for Attention (CAT) developed by The Japan Society for Higher Brain Dysfunction were also measured in TBI patients.

RESULTS Based on a simple and unique definition of cutoff values, abnormal performance was detected more often in the Oiso-DT than in any sub-task of CAT including Symbol Digit Modalities Test, The Memory Updating Test and Paced Auditory Serial Addition Task, etc. although the specificity was comparable.

CONCLUSION This easy-to-use Oiso-DT might be valuable and sensitive for detecting inattention including mild deficit. Implications for Rehabilitation The Oiso-DT, a paper-and-pencil clinical test for assessing inattention demonstrates higher sensitivity for traumatic-brain-injury patients than standard neuropsychological tests. The task performance is evaluated by a simple and unique method without specific equipment or even a personal computer. The Oiso-DT might be valuable for detecting inattention including mild deficit. The Oiso-DT is easily applicable to patients with severe inattention who failed to complete complex tasks like paced auditory serial addition task.


Language: en

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