TY - JOUR
T1 - Clinical utility of the Neuropsychological Assessment Battery (NAB) after unilateral stroke
AU - Pulsipher, Dalin T.
AU - Stricker, Nikki H.
AU - Sadek, Joseph R.
AU - Haaland, Kathleen Y.
N1 - Funding Information:
*Author changed affiliations prior to submission: Akron Children’s Hospital, Neurodevelopmental Science Center, 215 W. Bowery St, Suite 4500, Akron, OH 44308, USA. E-mail: dpulsipher@chmca.org This material is based upon work supported in part by the Department of Veterans Affairs, Office of Research and Development, Clinical Sciences Research and Development Merit grant and Career Scientist Award (to KYH) and Rehabilitation Research and Development Merit grant (to KYH). Address correspondence to: Kathleen Y. Haaland, Ph.D., VA Medical Center, Psychology Service, (116B), Albuquerque, NM 98108 USA. E-mail: khaaland@unm.edu Accepted for publication: April 22, 2013. First published online: May 18, 2013
PY - 2013/8/1
Y1 - 2013/8/1
N2 - The NAB is a comprehensive battery assessing five cognitive domains (Attention, Language, Memory, Spatial, Executive Function). Despite the advantage of co-normative domain data, its clinical utility is not well established because few studies have reported full-battery findings. The aim of this study was to determine if the NAB was sensitive to well documented hemispheric differences in language and spatial skills after unilateral stroke. We compared demographically matched control participants (n = 52) and individuals after left (LHD, n = 36) or right (RHD, n = 33) hemisphere damage due to stroke on the NAB, parts of the Western Aphasia Battery, and traditional visuospatial tasks. Both stroke groups showed impaired NAB Attention, Spatial, and Executive Functions relative to controls, while the LHD group was more impaired than control and RHD groups on Language and Memory modules. LHD patients with aphasia on traditional measures performed worse than control and non-aphasic LHD patients on all NAB domains. RHD patients with spatial impairment on traditional measures performed worse than controls, but not RHD patients without spatial impairment, on the NAB Spatial domain. Findings suggest the NAB is generally comparable to traditional language and visuospatial measures, and it sufficiently detects attention and executive deficits.
AB - The NAB is a comprehensive battery assessing five cognitive domains (Attention, Language, Memory, Spatial, Executive Function). Despite the advantage of co-normative domain data, its clinical utility is not well established because few studies have reported full-battery findings. The aim of this study was to determine if the NAB was sensitive to well documented hemispheric differences in language and spatial skills after unilateral stroke. We compared demographically matched control participants (n = 52) and individuals after left (LHD, n = 36) or right (RHD, n = 33) hemisphere damage due to stroke on the NAB, parts of the Western Aphasia Battery, and traditional visuospatial tasks. Both stroke groups showed impaired NAB Attention, Spatial, and Executive Functions relative to controls, while the LHD group was more impaired than control and RHD groups on Language and Memory modules. LHD patients with aphasia on traditional measures performed worse than control and non-aphasic LHD patients on all NAB domains. RHD patients with spatial impairment on traditional measures performed worse than controls, but not RHD patients without spatial impairment, on the NAB Spatial domain. Findings suggest the NAB is generally comparable to traditional language and visuospatial measures, and it sufficiently detects attention and executive deficits.
KW - Clinical utility
KW - Lateralized
KW - NAB
KW - Unilateral stroke
UR - http://www.scopus.com/inward/record.url?scp=84882453148&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84882453148&partnerID=8YFLogxK
U2 - 10.1080/13854046.2013.799714
DO - 10.1080/13854046.2013.799714
M3 - Article
C2 - 23682731
AN - SCOPUS:84882453148
SN - 1385-4046
VL - 27
SP - 924
EP - 945
JO - Clinical Neuropsychologist
JF - Clinical Neuropsychologist
IS - 6
ER -