Attention/Perception

Question 1

what is lateralization?

Answer 1

different sides of the brain are used for different things

Question 2

what are common symptoms for a right hemispheric stroke?

Answer 2

hemispatial neglect or inattention
deficit and/or neglect of left visual field

Question 3

what are common symptoms of a left hemispheric stroke?

Answer 3

aphasia, Alexia, agraphia, apraxia
slow and cautious behaviour

Question 4

what are common signs and symptoms of mCA strokes?

Answer 4

contralateral semi-spatial neglect or inattention

Question 5

what side of space does the right hemisphere pay attention to?

Answer 5

both the right and left sides of space

Question 6

what side of space does the left side of the brain pay attention to?

Answer 6

only the right side of space

Question 7

unilateral neglect is most common when there is damage to which side?

Answer 7

right

Question 8

what is unilateral neglect related to a deficit in?

Answer 8

attention

Question 9

when people first have a stroke do they know they have neglect?

Answer 9

no, there is a denial of symptoms

Question 10

is neglect just visual?

Answer 10

no its smell, audition, sensation as well

Question 11

does visual imagery show neglect?

Answer 11

yes- people with neglect will only describe the right side of their home if asked to describe it

Question 12

what is a major predictor of poor recovery for ADL?

Answer 12

unilateral neglect

Question 13

what percentage of people with neglect have anosognosia?

Answer 13

20-58%

Question 14

what motor component does the individual not use post stroke?

Answer 14

individual does not use affected limb according to their available motor control

Question 15

what 3 types of neglect are there?

Answer 15

personal neglect (shave one leg)

peri-personal neglect (draw half of a flower, eat one side of plate of food)

extra-personal neglect (people walking into walls, cannot turn left)

usually people have all 3

Question 16

what is egocentric neglect?

Answer 16

you are the centre of the world and you are neglecting everything on the left

Question 17

what is stimulus-centered or allocentric neglect?

Answer 17

you are neglecting the left side of each stimuli

Question 18

if we are assessing with neglect in mind what should we use?

Answer 18

activity analysis
standardized tools

Question 19

what is a standardized neglect assessment?

Answer 19

SNAP: Sunnybrook neglect assessment procedure

Question 20

before we can address that someone has neglect using an assessment, what do we need to do first?

Answer 20

ensure their vision and somatosensation is intact

Question 21

what is an example of activity analysis to assess neglect?

Answer 21

someone puts one sleeve of shirt on

Question 22

what are interventions for neglect based on?

Answer 22

based on whether the person has awareness of their deficits

Question 23

what are remediation strategies for neglect?

Answer 23

scanning training (put a visual anchor on left hand side of a page)

lighthouse strategy

client has to be aware they have neglect or they won’t work

Question 24

what re some compensation strategies for neglect?

Answer 24

present important things on the right hand side

rotate a persons chair 45 degrees to the left

put “call bell” on the right

important conversations occur on the right hand side

Question 25

do tasks transfer when someone has neglect?

Answer 25

Generally, no