Value of the Frontal Assessment Battery Tool for Assessing the Frontal Lobe Function in Stroke Patients
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective To examine the correlation between the Frontal Assessment Battery (FAB) test, which is used to assess the frontal lobe function, and anatomical lesions as well as the ability of the test to detect frontal lobe dysfunction. Methods Records of stroke patients undergoing a FAB test and Mini-Mental State Examination (MMSE) were retrospectively reviewed. The patients were divided into three groups according to the lesions determined by an imaging study: frontal lobe cortex lesions, frontal subcortical circuit lesions, and other lesions. The FAB scores of the three groups were compared using the Kruskal-Wallis test. The validity of the FAB test to detect frontal lobe dysfunction was assessed by a comparison with the Computerized Neuropsychological Function Test (CNT) using the Spearman correlation coefficient. The correlation coefficients between the FAB test and MMSE were analyzed further based on the MMSE cutoff score. Results Patients with frontal cortex lesions had significantly lower total and subtest scores according to the FAB test than the other patients. The FAB test correlated better with the CNT than the MMSE, particularly in the executive function and memory domains. A high MMSE score (r=0.435) indicated a lower correlation with the FAB test score than a low MMSE score (r=0.714). Conclusion The FAB test could differentiate frontal lobe lesions from others in stroke patients and showed a good correlation with the CNT. Moreover, the FAB test can be used in patients with high MMSE scores to detect frontal lobe dysfunction and determine the treatment strategies for stroke patients.
Abstract
Objective To examine the correlation between the Frontal Assessment Battery (FAB) test, which is used to assess the frontal lobe function, and anatomical lesions as well as the ability of the test to detect frontal lobe dysfunction. Methods Records of stroke patients undergoing a FAB test and Mini-Mental State Examination (MMSE) were retrospectively reviewed. The patients were divided into three groups according to the lesions determined by an imaging study: frontal lobe cortex lesions, frontal subcortical circuit lesions, and other lesions. The FAB scores of the three groups were compared using the Kruskal-Wallis test. The validity of the FAB test to detect frontal lobe dysfunction was assessed by a comparison with the Computerized Neuropsychological Function Test (CNT) using the Spearman correlation coefficient. The correlation coefficients between the FAB test and MMSE were analyzed further based on the MMSE cutoff score. Results Patients with frontal cortex lesions had significantly lower total and subtest scores according to the FAB test than the other patients. The FAB test correlated better with the CNT than the MMSE, particularly in the executive function and memory domains. A high MMSE score (r=0.435) indicated a lower correlation with the FAB test score than a low MMSE score (r=0.714). Conclusion The FAB test could differentiate frontal lobe lesions from others in stroke patients and showed a good correlation with the CNT. Moreover, the FAB test can be used in patients with high MMSE scores to detect frontal lobe dysfunction and determine the treatment strategies for stroke patients.
참고문헌 (40)
- Hoffmann M, "The human frontal lobes and frontal network systems : an evolutionary, clinical, and treatment perspective", ISRN Neurol, 2013, pp.892459~ (2013)
- Stuss DT, "Executive functions and the frontal lobes : a conceptual view", Psychol Res, 63, pp.289~298 (2000)
- Estevez-Gonzalez A, "Frontal lobes : the executive brain", Rev Neurol, 31, pp.566~577 (2000)
- Kokubo K, "Executive dysfunction in patients with putaminal hemorrhage", J Stroke Cerebrovasc Dis, 24, pp.1978~1985 (2015)
- Laplane D, "Obsessive-compulsive and other behavioural changes with bilateral basal ganglia lesions:a neuropsychological, magnetic resonance imaging and positron tomography study", Brain, 112(Pt 3), pp.699~725 (1989)
- Bhatia KP, "The behavioural and motor consequences of focal lesions of the basal ganglia in man", Brain, 117(Pt 4), pp.859~876 (1994)
- Cohen OS, "The frontal assessment battery as a tool for evaluation of frontal lobe dysfunction in patients with Parkinson disease", J Geriatr Psychiatry Neurol, 25, pp.71~77 (2012)
- Zucchella C, "Neuropsychological testing", Pract Neurol, 18, pp.227~237 (2018)
- Lima CF, "The Frontal Assessment Battery(FAB)in Parkinson’s disease and correlations with formal measures of executive functioning", J Neurol, 255, pp.1756~1761 (2008)
- Takagi R, "The frontal assessment battery at bed side(FAB)in patients with Parkinson’s disease", No To Shinkei, 54, pp.897~902 (2002)
- Biundo R, "Diagnostic and screening power of neuropsychological testing in detecting mild cognitive impairment in Parkinson’s disease", J Neural Transm(Vienna), 120, pp.627~633 (2013)
- Slachevsky A, "Frontal assessment battery and differential diagnosis of frontotemporal dementia and Alzheimer disease", Arch Neurol, 61, pp.1104~1107 (2004)
- Castiglioni S, "The frontal assessment battery does not differentiate frontotemporal dementia from Alzheimer’s disease", Dement Geriatr Cogn Disord, 22, pp.125~131 (2006)
- Cunha PJ, "The frontal assessment battery(FAB)reveals neurocognitive dysfunction in substance-dependent individuals in distinct executive domains : abstract reasoning, motor programming, and cognitive flexibility", Addict Behav, 35, pp.875~881 (2010)
- Paviour DC, "Can the frontal assessment battery(FAB)differentiate bradykinetic rigid syndromes? Relation of the FAB to formal neuropsychological testing", Neurocase, 11, pp.274~282 (2005)
- Kopp B, "Performance on the Frontal Assessment Battery is sensitive to frontal lobe damage in stroke patients", BMC Neurol, 13, pp.179~ (2013)
- Fu C, "Comparison of the Mini-Mental State Examination and Montreal Cognitive Assessment executive subtests in detecting post-stroke cognitive impairment", Geriatr Gerontol Int, 17, pp.2329~2335 (2017)
- Trzepacz PT, "Relationship between the Montreal Cognitive Assessment and Mini-Mental State Examination for assessment of mild cognitive impairment in older adults", BMC Geriatr, 15, pp.107~ (2015)
- Dubois B, "The FAB : a Frontal Assessment Battery at bedside", Neurology, 55, pp.1621~1626 (2000)
- Gualtieri CT, "Reliability and validity of a computerized neurocognitive test battery, CNS Vital Signs", Arch Clin Neuropsychol, 21, pp.623~643 (2006)
- 김연희, "뇌손상 환자의 인지기능 평가를 위한 전산화 신경심리검사의 유용성", Annals of Rehabilitation Medicine, 25(2), pp.209~216 (2001), 대한재활의학회
- 강창구, "Neurocognitive Dysfunction According to Hypoperfusion Territory in Patients With Moyamoya Disease", Annals of Rehabilitation Medicine, 41(1), pp.1~8 (2017), 대한재활의학회
- Cho HY, "Effects of computer assisted cognitive rehabilitation on brain wave, memory and attention of stroke patients : a randomized control trial", J Phys Ther Sci, 27, pp.1029~1032 (2015)
- 김지연, "뇌졸중 환자의 일상 활동 수행에 영향을 미치는 인지요인 분석 -전산화 신경인지기능검사 중심으로-", 한국산학기술학회논문지, 12(12), pp.5715~5721 (2011), 한국산학기술학회
- de Oliveira MO, "Computerized Neurocognitive Test(CNT)in mild cognitive impairment and Alzheimer’s disease", Dement Neuropsychol, 8, pp.112~116 (2014)
- Mataix-Cols D, "Is the use of the wooden and computerized versions of the Tower of Hanoi puzzle equivalent", Appl Neuropsychol, 9, pp.117~120 (2002)
- Parsey CM, "Applications of technology in neuropsychological assessment", Clin Neuropsychol, 27, pp.1328~1361 (2013)
- Kwon JS, "Development and standardization of the computerized memory assessment for Korean adults", J Korean Neuropsychiatr Assoc, 41, pp.347~358 (2002)
- 하규섭, "한국 성인 인지기능 평가를 위한 전산화 검사도구의 개발과 표준화 과정 및 요인분석", 신경정신의학, 41(3) (2002), 대한신경정신의학회
- 류인균, "한국 성인 고위인지기능 평가를 위한 전산화 도구의 개발과 표준화", 신경정신의학, 41(3) (2002), 대한신경정신의학회
- Appollonio I, "The Frontal Assessment Battery(FAB) : normative values in an Italian population sample", Neurol Sci, 26, pp.108~116 (2005)
- Lipton AM, "Subscores of the FAB differentiate frontotemporal lobar degeneration from AD", Neurology, 65, pp.726~731 (2005)
- Dong Y, "Brief screening tests during acute admission in patients with mild stroke are predictive of vascular cognitive impairment 3-6months after stroke", J Neurol Neurosurg Psychiatry, 83, pp.580~585 (2012)
- Nys GM, "Restrictions of the Mini-Mental State Examination in acute stroke", Arch Clin Neuropsychol, 20, pp.623~629 (2005)
- Sundar U, "Post-stroke cognitive impairment at 3 months", Ann Indian Acad Neurol, 13, pp.42~46 (2010)
- Oshima E, "Frontal assessment battery and brain perfusion imaging in Alzheimer’s disease", Int Psychogeriatr, 24, pp.994~1001 (2012)
- Lee JH, "Functional neuroanatomical correlates of the frontal assessment battery performance in Alzheimer disease : a FDG-PET study", J Geriatr Psychiatry Neurol, 28, pp.184~192 (2015)
- Brugger F, "Do executive dysfunction and freezing of gait in Parkinson’s disease share the same neuroanatomical correlates?", J Neurol Sci, 356, pp.184~187 (2015)
- Nakamura-Palacios EM, "Gray matter volume in left rostral middle frontal and left cerebellar cortices predicts frontal executive performance in alcoholic subjects", Alcohol Clin Exp Res, 38, pp.1126~1133 (2014)
- Demakis GJ, "Frontal lobe damage and tests of executive processing : a meta-analysis of the category test, stroop test, and trail-making test", J Clin Exp Neuropsychol, 26, pp.441~450 (2004)