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The brief executive language screen: sensitivity and specificity in acute to early sub-acute stroke.
Phillips, Mia R; Byrne, Jessica; Gibson, Emily C; Gilbert, Casey; Ford, Lucy; Marsh, Georgia; Chow, Jessica; Robinson, Gail A.
Afiliación
  • Phillips MR; Queensland Brain Institute, the University of Queensland, St Lucia, QLD, Australia.
  • Byrne J; Neuropsychology Research Unit, School of Psychology, the University of Queensland, St Lucia, QLD, Australia.
  • Gibson EC; Neuropsychology Research Unit, School of Psychology, the University of Queensland, St Lucia, QLD, Australia.
  • Gilbert C; Neuropsychology Research Unit, School of Psychology, the University of Queensland, St Lucia, QLD, Australia.
  • Ford L; Queensland Brain Institute, the University of Queensland, St Lucia, QLD, Australia.
  • Marsh G; Neuropsychology Research Unit, School of Psychology, the University of Queensland, St Lucia, QLD, Australia.
  • Chow J; Neuropsychology Research Unit, School of Psychology, the University of Queensland, St Lucia, QLD, Australia.
  • Robinson GA; Neuropsychology Research Unit, School of Psychology, the University of Queensland, St Lucia, QLD, Australia.
Top Stroke Rehabil ; : 1-13, 2024 Jun 04.
Article en En | MEDLINE | ID: mdl-38833512
ABSTRACT

INTRODUCTION:

Propositional language and underlying executive functions can be impaired post-stroke and affect communication and quality of life. Current stroke screening tools are largely tailored to patients with aphasia, being either non-verbal or focussed on core language skills such as naming and repetition. The Brief Executive Language Screening Test (BELS) is a newly developed cognitive screening tool that assesses memory, oral apraxia, core language, as well as propositional language and associated executive functions that can be impacted and overlooked in stroke patients without aphasia. This study examines BELS sensitivity and specificity, and performance in acute to early sub-acute stroke relative to controls.

METHOD:

Cross-sectional BELS data from 88 acute left and right hemisphere stroke patients (within 7 weeks of stroke) and 116 age-matched healthy controls were compared using independent samples t-tests. ROC Curve Analysis was performed to determine a cutoff score for the BELS.

RESULTS:

Left and right stroke patients were reduced on all propositional language subtests, and executive function subtests of inhibition, strategy, and selection. Differences were also observed for Oral Apraxia, Naming, and Memory. By contrast, Word Comprehension and Repetition, and Sentence Completion Initiation (after corrections applied) did not differ between groups. A total BELS score of 79.25/100 was highly sensitive (.89) and specific (.89) when classifying stroke patients and healthy controls.

CONCLUSION:

The BELS is brief, sensitive, suitable for bedside administration, and can aid in detection and rehabilitation of subtle executive language impairments. This in turn will help improve relationships and quality of life post-stroke.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Top Stroke Rehabil Asunto de la revista: ANGIOLOGIA / REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Top Stroke Rehabil Asunto de la revista: ANGIOLOGIA / REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido