The Frontal Lobe Score: part I: construction of a mental status of frontal systems
| Autor: | Udo Kischka, M Beckson, U Rauchfleisch, T M Ettlin, M Gaggiotti, D F Benson |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Physical Therapy Sports Therapy and Rehabilitation Audiology Neuropsychological Tests Mental Status Tests Sensitivity and Specificity Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Mental status examination Rating scale Reference Values Severity of illness medicine Humans Statistical analysis Prospective Studies Prospective cohort study Psychiatry Normal control Aged Brain Diseases medicine.diagnostic_test Mental Disorders Rehabilitation 030229 sport sciences Middle Aged Frontal Lobe Frontal lobe Female 0305 other medical science Psychology |
| Zdroj: | Clinical rehabilitation. 14(3) |
| ISSN: | 0269-2155 |
| Popis: | Objective: To develop a bedside mental status examination to assess the behavioural effects of damage to the frontal lobes. Design: A prospective clinical comparison of patients with cerebral lesions of different locations. Subjects: A total of 118 subjects were examined: 27 patients with cerebral lesions confined to the frontal lobes, 25 patients with cerebral lesions without involvement of the frontal lobes, 18 patients with mixed frontal/nonfrontal lesions, and 48 normal control subjects. Measures: Twenty-three mental status tests, clinical examinations and rating scales that had been reported as indicative of frontal lobe function were brought together. By statistical analysis, 12 tests and a neurobehavioural rating scale were selected. These constitute the Frontal Lobe Score (FLS). Results: The FLS detected pure frontal lesions with a sensitivity of 77.7%. It discriminated patients with frontal lesions from normal control subjects with a specificity of 100%. Differentiation from patients with nonfrontal lesions was obtained with a specificity of 84%. Conclusion: The Frontal Lobe Score is a useful screening instrument for the clinical detection of effects of frontal lobe damage. |
| Databáze: | OpenAIRE |
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