FunctionaL Assessment Scale of Hemianopia (FLASH): A New Multidisciplinary Tool to Assess Hemianopia in Patients with Severe Acquired Brain Injury
Background: Severe acquired brain injury (sABI) encompasses a range of neurological impairments. Visual dysfunction, particularly homonymous visual field defects (HVFDs) and homonymous hemianopia (HH), commonly afflicts sABI survivors, affecting their cognitive and motor rehabilitation. This study p...
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| Veröffentlicht in: | Healthcare (Basel) 2023-11, Vol.11 (21), p.2883 |
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| description | Background: Severe acquired brain injury (sABI) encompasses a range of neurological impairments. Visual dysfunction, particularly homonymous visual field defects (HVFDs) and homonymous hemianopia (HH), commonly afflicts sABI survivors, affecting their cognitive and motor rehabilitation. This study presents the FunctionaL Assessment Scale of Hemianopia (FLASH), developed to analyze the most common postural behaviors exhibited by sABI patients with hemianopia during activities of daily living. A comparison to traditional static automated perimetry for diagnosing visual field deficits (VFDs) to determine the sensitivity and specificity of the FLASH was used. Additionally, this study also aimed to assess its reliability. Methods: Fifty-six patients (25 F, 31 M, mean age 60.59 ± 14.53) with strokes in the sub-acute phase ( |
| doi_str_mv | 10.3390/healthcare11212883 |
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Visual dysfunction, particularly homonymous visual field defects (HVFDs) and homonymous hemianopia (HH), commonly afflicts sABI survivors, affecting their cognitive and motor rehabilitation. This study presents the FunctionaL Assessment Scale of Hemianopia (FLASH), developed to analyze the most common postural behaviors exhibited by sABI patients with hemianopia during activities of daily living. A comparison to traditional static automated perimetry for diagnosing visual field deficits (VFDs) to determine the sensitivity and specificity of the FLASH was used. Additionally, this study also aimed to assess its reliability. Methods: Fifty-six patients (25 F, 31 M, mean age 60.59 ± 14.53) with strokes in the sub-acute phase (<6 months from the onset) were assessed with both FLASH and a Humphrey Field Analyzer. Results: After removing two items found to be less reliable than others, FLASH showed high sensitivity (81%) and specificity (77%) when compared to static automated perimetry. Inter-rater reliability was also high, with an intra-class correlation coefficient of 0.954, as well as the internal consistency computed by Cronbach’s alpha, equal to 0.874. Conclusion: FLASH could offer a valuable and cost-effective screening tool for VFD in sABI patients during neurorehabilitation, with potential implications for healthcare cost reduction.</description><identifier>ISSN: 2227-9032</identifier><identifier>EISSN: 2227-9032</identifier><identifier>DOI: 10.3390/healthcare11212883</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Automation ; Behavior ; Blindness ; Brain ; Coma ; Committees ; Diagnosis ; Function tests (Medicine) ; Injuries ; Methods ; Patients ; Physical therapists ; Questionnaires ; Rehabilitation ; Risk factors ; Traumatic brain injury</subject><ispartof>Healthcare (Basel), 2023-11, Vol.11 (21), p.2883</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c331t-2f34c509c607d09c5b756fa204e534437b9f2179e940de58f44f56a2d2ed42083</cites><orcidid>0000-0003-2434-3887 ; 0000-0003-1307-8707 ; 0000-0001-6034-0638 ; 0000-0001-8776-8810 ; 0000-0003-0084-3772</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Lucatello, Susanna</creatorcontrib><creatorcontrib>De Angelis, Sara</creatorcontrib><creatorcontrib>Di Lorenzo, Concetta</creatorcontrib><creatorcontrib>Iosa, Marco</creatorcontrib><creatorcontrib>Magnotti, Luisa</creatorcontrib><creatorcontrib>Di Paolo, Marta</creatorcontrib><creatorcontrib>De Luca, Maria</creatorcontrib><creatorcontrib>Buzzi, Maria Gabriella</creatorcontrib><creatorcontrib>Tramontano, Marco</creatorcontrib><title>FunctionaL Assessment Scale of Hemianopia (FLASH): A New Multidisciplinary Tool to Assess Hemianopia in Patients with Severe Acquired Brain Injury</title><title>Healthcare (Basel)</title><description>Background: Severe acquired brain injury (sABI) encompasses a range of neurological impairments. Visual dysfunction, particularly homonymous visual field defects (HVFDs) and homonymous hemianopia (HH), commonly afflicts sABI survivors, affecting their cognitive and motor rehabilitation. This study presents the FunctionaL Assessment Scale of Hemianopia (FLASH), developed to analyze the most common postural behaviors exhibited by sABI patients with hemianopia during activities of daily living. A comparison to traditional static automated perimetry for diagnosing visual field deficits (VFDs) to determine the sensitivity and specificity of the FLASH was used. Additionally, this study also aimed to assess its reliability. Methods: Fifty-six patients (25 F, 31 M, mean age 60.59 ± 14.53) with strokes in the sub-acute phase (<6 months from the onset) were assessed with both FLASH and a Humphrey Field Analyzer. Results: After removing two items found to be less reliable than others, FLASH showed high sensitivity (81%) and specificity (77%) when compared to static automated perimetry. Inter-rater reliability was also high, with an intra-class correlation coefficient of 0.954, as well as the internal consistency computed by Cronbach’s alpha, equal to 0.874. Conclusion: FLASH could offer a valuable and cost-effective screening tool for VFD in sABI patients during neurorehabilitation, with potential implications for healthcare cost reduction.</description><subject>Automation</subject><subject>Behavior</subject><subject>Blindness</subject><subject>Brain</subject><subject>Coma</subject><subject>Committees</subject><subject>Diagnosis</subject><subject>Function tests (Medicine)</subject><subject>Injuries</subject><subject>Methods</subject><subject>Patients</subject><subject>Physical therapists</subject><subject>Questionnaires</subject><subject>Rehabilitation</subject><subject>Risk factors</subject><subject>Traumatic brain injury</subject><issn>2227-9032</issn><issn>2227-9032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNplkU1LAzEQhhdRUNQ_4CngRQ_VfO5uvK1irVA_oHpeYnZiU7ZJTbKKf8NfbIqConN55_DMy8w7RXFA8AljEp_OQfVprlUAQiihdc02ih1KaTWSmNHNX_12sR_jAueShNVM7BQf48HpZL1TU9TECDEuwSU006oH5A2awNIq51dWoaPxtJlNjs9Qg27hDd0MfbKdjdqueutUeEcP3vco-W-f36PWoXuVbHaO6M2mOZrBKwRAjX4ZbIAOnQeVmWu3GML7XrFlVB9h_1t3i8fx5cPFZDS9u7q-aKYjzRhJI2oY1wJLXeKqyyKeKlEaRTEHwThn1ZM0lFQSJMcdiNpwbkSpaEeh4xTXbLc4-vJdBf8yQEztMl8Dfa8c-CG2OUgpZS1xldHDP-jCD8Hl7dZUTbgQvPyhnnN4rXXGp6D02rRtqooKRktBM0W_KB18jAFMuwp2mfNrCW7X_2z__5N9AkB1lCo</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>Lucatello, Susanna</creator><creator>De Angelis, Sara</creator><creator>Di Lorenzo, Concetta</creator><creator>Iosa, Marco</creator><creator>Magnotti, Luisa</creator><creator>Di Paolo, Marta</creator><creator>De Luca, Maria</creator><creator>Buzzi, Maria Gabriella</creator><creator>Tramontano, Marco</creator><general>MDPI AG</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>KB0</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2434-3887</orcidid><orcidid>https://orcid.org/0000-0003-1307-8707</orcidid><orcidid>https://orcid.org/0000-0001-6034-0638</orcidid><orcidid>https://orcid.org/0000-0001-8776-8810</orcidid><orcidid>https://orcid.org/0000-0003-0084-3772</orcidid></search><sort><creationdate>20231101</creationdate><title>FunctionaL Assessment Scale of Hemianopia (FLASH): A New Multidisciplinary Tool to Assess Hemianopia in Patients with Severe Acquired Brain Injury</title><author>Lucatello, Susanna ; 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Visual dysfunction, particularly homonymous visual field defects (HVFDs) and homonymous hemianopia (HH), commonly afflicts sABI survivors, affecting their cognitive and motor rehabilitation. This study presents the FunctionaL Assessment Scale of Hemianopia (FLASH), developed to analyze the most common postural behaviors exhibited by sABI patients with hemianopia during activities of daily living. A comparison to traditional static automated perimetry for diagnosing visual field deficits (VFDs) to determine the sensitivity and specificity of the FLASH was used. Additionally, this study also aimed to assess its reliability. Methods: Fifty-six patients (25 F, 31 M, mean age 60.59 ± 14.53) with strokes in the sub-acute phase (<6 months from the onset) were assessed with both FLASH and a Humphrey Field Analyzer. Results: After removing two items found to be less reliable than others, FLASH showed high sensitivity (81%) and specificity (77%) when compared to static automated perimetry. Inter-rater reliability was also high, with an intra-class correlation coefficient of 0.954, as well as the internal consistency computed by Cronbach’s alpha, equal to 0.874. Conclusion: FLASH could offer a valuable and cost-effective screening tool for VFD in sABI patients during neurorehabilitation, with potential implications for healthcare cost reduction.</abstract><cop>Basel</cop><pub>MDPI AG</pub><doi>10.3390/healthcare11212883</doi><orcidid>https://orcid.org/0000-0003-2434-3887</orcidid><orcidid>https://orcid.org/0000-0003-1307-8707</orcidid><orcidid>https://orcid.org/0000-0001-6034-0638</orcidid><orcidid>https://orcid.org/0000-0001-8776-8810</orcidid><orcidid>https://orcid.org/0000-0003-0084-3772</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Automation Behavior Blindness Brain Coma Committees Diagnosis Function tests (Medicine) Injuries Methods Patients Physical therapists Questionnaires Rehabilitation Risk factors Traumatic brain injury |
| title | FunctionaL Assessment Scale of Hemianopia (FLASH): A New Multidisciplinary Tool to Assess Hemianopia in Patients with Severe Acquired Brain Injury |
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