Validation of the Catherine Bergego Scale in patients with unilateral spatial neglect after stroke

Carlos Leonardo Sacomani Marques,Gabriel Pinheiro Modolo,José Eduardo Corrente,Taís Regina Da Silva,Maicon Gabriel Gonçalves,Gustavo José Luvizutto,Juli Thomaz De Souza,Rafael Dalle Molle Da Costa,Rodrigo Bazan

doi:10.1590/1980-57642018dn13-010009

Carlos Leonardo Sacomani Marques, Gabriel Pinheiro Modolo + Show 7 more

Open Access

https://doi.org/10.1590/1980-57642018dn13-010009

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Abstract

ABSTRACT.The Catherine Bergego Scale (CBS) is a scale to evaluates the impact of unilateral spatial neglect (USN) on everyday life of patients after stroke.Objective:The aim of this study was to evaluate the reliability and comprehension of the Portuguese version of the CBS for patients with USN after stroke.Methods:This was a cross-sectional study in patients with stroke and USN. The CBS was translated, culturally adapted and applied by two independent investigators. The patients were also evaluated by the Behavioural Inattention Test (BIT), NIHSS, mRS and Barthel scale to assess USN severity, neurological function, disability and autonomy consecutively. Consistency and coherence were analysed using Cronbach’s α, inter-observer reliability by Kappa, and the correlation between the CBS, BIT, NIHSS, mRS, and Barthel was determined using Pearson correlation.Results:Twenty-two patients were evaluated and the observed Cronbach’s α=0.913. For intra-observer reproducibility, the 10 items showed a reasonable and high reliability between evaluators. The CBS showed a negative correlation with the BIT. There was a low correlation between the BIT and NIHSS, mRS and Barthel index.Conclusion:The CBS is an adequate and validated scale for assessing patients with USN after stroke in a Brazilian population.

Highlights

The Catherine Bergego Scale (CBS) is a scale to evaluates the impact of unilateral spatial neglect (USN) on everyday life of patients after stroke
Unilateral spatial neglect (USN) is characterized by the inability to respond to people or objects that are presented on the side contralateral to the lesioned brain, where this symptom cannot be accounted for by either primary motor or sensory deficits
The gold standard test for grading USN severity is a pen-and-paper test that includes line cancellation, star cancellation, and line bisection tasks. This test does not assess functional tasks or activities of daily living (ADLs) in these individuals. Since this instrument is deficient in relating USN to the functioning of these individuals after stroke, the Catherine Bergego Scale (CBS) was devised

Summary

Introduction

The Catherine Bergego Scale (CBS) is a scale to evaluates the impact of unilateral spatial neglect (USN) on everyday life of patients after stroke. The patients were evaluated by the Behavioural Inattention Test (BIT), NIHSS, mRS and Barthel scale to assess USN severity, neurological function, disability and autonomy consecutively. A Escala de Catherine Bergego (CBS) é uma escala para avaliar o impacto da negligência espacial unilateral (USN) no cotidiano de pacientes após AVC. Os pacientes também foram avaliados pelo Behaviour Innatention Test (BIT), NIHSS, mRS e Barthel para avaliar a gravidade da USN, função neurológica, incapacidade e autonomia consecutivamente. This test does not assess functional tasks or activities of daily living (ADLs) in these individuals Since this instrument is deficient in relating USN to the functioning of these individuals after stroke, the Catherine Bergego Scale (CBS) was devised. The CBS tool is used in major clinical studies involving USN after stroke to monitor changes in patient behaviour after specific interventions.[13]

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Results