Fondazione Santa Lucia Clinical and Research Center - IRCCS
Published January 25, 2015 | Version v1
Journal article Open

Italian standardization of the Apples Cancellation Test

Authors/Creators

  • 1. Neurological Rehabilitation Unit, USL 9 Grosseto, Grosseto
  • 2. School of Psychology, University of Birmingham, Birmingham, UK
  • 3. Department of Experimental Psychology, University of Oxford, Oxford, UK
  • 4. Centro Cardinal Ferrari, Fontanellato, Parma
  • 5. Rehabilitation Department, USL2 Umbria
  • 6. Rehabilitation Foundation Institute San Raffaele Giglio, Cefalu, Palermo
  • 7. Neurological Rehabilitation Unit Auxilium Vitae, Volterra, Pisa
  • 8. Neuroscience Department, University of Padova
  • 9. IRCCS Foundation Don Carlo Gnocchi, Florence
  • 10. Rehabilitation Department, USL12 Viareggio, Lucca
  • 11. IRCCS Neurologic Institute Mediterraneo Neuromed, Pozzilli, Isernia
  • 12. Neuro-rehabilitation Unit, Azienda Ospedaliera Universitaria Pisana, Pisa
  • 13. Rehabilitative Foundation Don C. Gnocchi, Sarzana, La Spezia
  • 14. Neurologic Unit, IRCCS Fondazione Maugeri, Cassano Murge, Bari
  • 15. BrainCare, Padua
  • 16. Department of Psychology, Sapienza University of Rome, Rome e IRCCS Santa Lucia Foundation, Rome

Description

Hemispatial neglect due to right parieto-temp- oro-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 clini- cally 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 allo- centric 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 pre- senting three patients with different forms of neglect (egocentric, allocentric and mixed neglect).

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Additional details

Related works

Is cited by
Journal article: 10.1007/s10072-015-2088-2 (DOI)
Is supplemented by
Journal article: 10.1007/s10072-015-2088-2 (DOI)