Comparison of the bicycle drawing test with the rey osterrieth complex figure drawing test in children with neurologic deficits: A measure of validity
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Abstracts of 16th Annual Meeting
administrations of the Category Test (CAT), including the traditional Reitan Category Test
(projection box), Booklet Category Test (BCT), The Short Booklet Category Test (SBCT)
and four computer (IBM compatible) programs. Four hundred subjects (40 in each group),
who were referred for evaluation following minor head injury, were tested for each version
of the CAT. All were tested in an outpatient setting in a private neuropsychological practice,
with the exception of the SBCT, which was administered to stroke patients on an inpatient
rehabilitation unit. Data was collected over a 4-year period and subjects were assigned to
groups on a random basis. With the exception of the SBCT group, the age range for the
subjects was 20-40 and WAIS FSIQ's were used. The age range for the SBCT was 50-75 and
the Peabody Picture Vocabulary Test (PPVT) was used to obtain IQ equivalent scores.
Standard administration procedures were utilized for all versions, with the additional of a
Booklet Category Test (BCT) nonverbal reinforcement group (Ivins & Cunningham, 1989).
When effects due to age and IQ were covaried, statistical analysis indicated no significant
differences among groups on the six different versions. The results, therefore, continue to
suggest that alternative CAT procedures are viable options for testing for organicity, especially when physical and contextual variables limit the use of the more traditional Reitan
Category Test box (Ivins & Gillman, 1994).
Johnson, A., O'Toole, K., Burns, T. G., & Wagner, B.
Comparison of the Bicycle Drawing Test with the Rey Osterrieth Complex Figure Drawing
Test in Children with Neurologic Deficits: A Measure of Validity.
This study examined the validity of the Bicycle Drawing Test (BDT) in comparison with the
Rey Osterrieth Complex Figure Drawing Test (RO) in the diagnosis of constructional
disorders in children with moderate to severe neurologic deficits. Twenty seven children
diagnosed with congenital and acquired neurologic disorders (22 males; average age = 9; 24
fight-handed; 11 diagnosed with traumatic brain injury; 5 diagnosed with learning disabilities; 2 diagnosed with congenital disorders; 9 diagnosed with brain tumors) were evaluated
on two complex and one simple figural tasks (Beery Test of Visual-Motor Integration-VMI).
Scoring was performed by a research assistant blinded to purpose of study. Simple correlation
suggest that the BDT's revised scoring criteria (1994) are valid measures of visuoconstructional skills. The importance of this finding is that the validation of this neuropsychological
measure was conducted with a clinical pediatric population. Future research should focus on
the categories of error types in the BDT and their relationship to other areas of neuropsychological functioning.
Johnson, D. J., & Hartlage, L. C.
Neurobehavioral Recovery Following Unilateral CVA.
Rehabilitation Neuropsychologists are familiar with the neurocognitive and neurobehavioral
sequelae of unilateral cerebral vascular accidents. Traditional research about neurobehavioral
sequelae typically attributed to unilateral CVAs has described the "catastrophic reaction and
la belle indifference" sequelae of left and right unilateral CVAs. However, recent research has
indicated that both right and left CVA patients are depressed. This project studied twenty
consecutive patients admitted to a regional rehabilitation hospital with a diagnosis (confirmed) of unilateral CVAs and followed these patients throughout their course of acute care
rehabilitation. Neurobehavioral sequelae were measured with the qualitative version of the
Behavior Change Inventory, a scale validated to measure behavioral status pre and post
central nervous system insult. Findings indicated that for LCVA patients, there is an initial
catastrophic level of depression which gradually dissipates at time of hospital discharge.
LCVAs also have a high level of rumination which remains constant even at time of
discharge. RCVAs have an initial average level of depression which gradually increases.
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