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Article| Volume 85, ISSUE 3, P474-478, March 2004

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Acquired brain injury, visual attention, and the useful field of view test: a pilot study

      Abstract

      Calvanio R, Williams R, Burke DT, Mello J, Lepak P, Al-Adawi S, Shah MK. Acquired brain injury, visual attention, and the Useful Field of View Test: a pilot study. Arch Phys Med Rehabil 2004:85:474–8.

      Objective

      To compare the findings of the Useful Field of View (UFOV) test with those of conventional neuropsychologic tests to determine the utility of the UFOV test as a measure of attention in a population with brain injury.

      Design

      Cohort study.

      Setting

      Freestanding rehabilitation hospital.

      Participants

      Fifteen inpatients with severe brain injury.

      Interventions

      Not applicable.

      Main outcome measures

      UFOV test, FIM\T instrument, length of stay (LOS), and standard neuropsychologic testing.

      Results

      The UFOV subtest UF2 correlated strongly with the other 2 subtests, UF1 and UF3. The UF2 subtest correlated most strongly with paper and pencil tests of visual attention. The UF2 predicted 52% of the FIM change and 60% of the LOS variance, second only to admission FIM score, which predicted 75% and 80% of FIM change and LOS variance, respectively.

      Conclusions

      Among the patients in our study, the UFOV test can be used to determine the visual divided attention of patients with acquired brain injury. The results also showed that the UFOV test correlated with LOS and FIM change in patients with acquired brain injury recovering in a rehabilitation facility. Because the UFOV test is much more quickly administered and scored than other measures of attention and divided attention, these results suggest that the UFOV test may provide an easy means to measure a critical variable in the population with head injury.

      Keywords

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      References

        • Dobkin B.H.
        Neurologic rehabilitation.
        FA Davis, Philadelphia1996
        • Stuss D.T.
        • Shallice T.
        • Alexander M.P.
        • Picton T.W.
        A multidisciplinary approach to anterior attentional functions.
        Ann N Y Acad Sci. 1995; 769: 191-211
        • Whyte J.
        • DiPasquale M.C.
        Assessment of vision and visual attention in minimally responsive brain injured patients.
        Arch Phys Med Rehabil. 1995; 76: 804-810
        • Stuss D.T.
        • Stethem L.L.
        • Hugenholtz H.
        • Picton T.
        • Pivik J.
        • Richard M.T.
        Reaction time after head injury.
        J Neurol Neurosurg Psychiatry. 1989; 52: 742-748
      1. Principles of behavioral and cognitive neurology.
        in: Mesulam M. 2nd ed. Oxford Univ Pr, New York2000
        • Swanson J.
        • Posner M.I.
        • Cantwell D.
        • et al.
        Attention-deficit/hyperactivity disorder.
        in: Parasuraman R. The attentive brain. MIT Pr, Cambridge1998: 44-60
        • Ball K.
        • Owsley C.
        • Sloane M.E.
        • Roenker D.L.
        • Bruni J.R.
        Visual attention problems as a predictor of vehicle crashes in older drivers.
        Invest Ophthalmol Vis Sci. 1993; 34: 3110-3123
        • Ball K.K.
        • Beard B.L.
        • Roenker D.L.
        • Miller R.L.
        • Griggs D.S.
        Age and visual search.
        J Opt Soc Am A. 1988; 5: 2210-2219
        • Fisk G.D.
        • Novack T.
        • Mennemeier M.
        • Roenker D.
        Useful field of view after traumatic brain injury.
        J Head Trauma Rehabil. 2002; 17: 16-25
        • Mazer B.L.
        • Sofer S.
        • Korner-Bitensky N.
        • Gelinas I.
        Use of the UFOV to evaluate and retrain visual attention skills in clients with stroke.
        Am J Occup Ther. 2001; 55: 552-557
        • Lezak M.D.
        Neuropsychological assessment.
        in: 3rd ed. Oxford Univ Pr, New York1995
        • Granger C.V.
        • Hamilton B.B.
        UDS report. The Uniform Data System for Medical Rehabilitation Report of First Admissions for 1990.
        Am J Phys Med Rehabil. 1992; 71: 108-113
        • Johnston M.V.
        • Wood K.D.
        • Fiedler R.
        Characteristics of effective and efficient rehabilitation programs.
        Arch Phys Med Rehabil. 2003; 84: 410-418