Neuropsychological Batteries

1. Luria-Nebraska Second most common batter Pluripotential –any lobe or part to the brain may be involved in different functions Many areas Complex functions 11 scales

2. Luria-Nebraska 2-4 hours of administer Portable

3. HALSTEAD-REITAN 1935 Laboratory opened to study impact of impairments

4. HALSTEAD-REITAN 1935 Laboratory opened to study impact of impairments. Observations involved work and social settings Observations form: Seven steps to rehabilitation

5. HALSTEAD-REITAN SEVEN STEPS TO REHABILITATION 1. assessment of the child 2. assessment of the environment 3. Predictions about short and long term outcome 4. Development of an ideal plan 5. Assessment of resources 6. Development of a realistic intervention plan 7. ongoing assessment

6. HALSTEAD-REITAN SEVEN STEPS TO REHABILITATION 1. assessment of the child Child’s neuropsychological ability structure Variables related to the lesion

7. HALSTEAD-REITAN SEVEN STEPS TO REHABILITATION 2. assessment of the environment The demands of the environment Learning Work Social interactions Social interactions II Immediate demands of the child Long range demands (For the adult)

8. HALSTEAD-REITAN SEVEM STEPS TO REHABILITATION 3. Predictions about short and long term outcome Predictions regarding short and log term behavioral outcomes

9. HALSTEAD-REITAN SEVEM STEPS TO REHABILITATION 4. Development of an ideal plan Availability of remedial resources The family Facilities and programs Therapists

10. HALSTEAD-REITAN SEVEM STEPS TO REHABILITATION 5. Assessment of resources The realistic remedial plan Realistic intervention

11. HALSTEAD-REITAN SEVEM STEPS TO REHABILITATION 7. ongoing assessment The ongoing relationship between neuropsychological assessment and intervention Ongoing monitoring

12. HALSTEAD-REITAN Inadequacy in brain functioning – requires a large range of tests 1944 Halstead joined – Ralph Reitan 1950 Reitan contributed several tests to the assessment procedures Patients assessed by Halstead – Reitan neuropsych battery often receive the full MMPI to evaluate their emotional state in response to medical situation.

13. Full Halstead – Reitan Neuropsychological Battery is available in different versions for \ • Children • For Adults – • large number of studies validate Halstead an Reitan procedures • Most of the studies on performance testing – show specific subscales of the Halstead – Reitan battery are associated with dysfunction in one of the two hemispheres in the brain HALSTEAD-REITAN

14. Tactile • Visuals • Auditory problems on one side of the body • These damages or affects / appendages – indicate damage in the opposite hemisphere of the brain • Problem on right side – indicates damage on left side of the brain • Later studies confide that the Halstead – Reitan can locate tumors or lesions in the right or left hemisphere of the brain • And/or in the front or back portion of the brain • This is in a significant number of cases HALSTEAD-REITAN

15. By studying performance in an organized systematic way – • Neuropsychologists have been able to provide important information about the location and the impact of the brain problems • Critics of the Halstead – Reitan battery point out that the major advantage of the test may not be worth the effort in applying the measures • Checklist • The batter can assist in locating injury • Localizing either the left or right hemisphere as problematic • Advantage may be meager – in relation to the many hours it takes to complete the test. • MRI and CT may be more efficient for locating injury HALSTEAD-REITAN

16. 9 Components • 1. Halstead category test – • 2.Tactual test (time, memory, localization) • 3. Rhythm test • 4. Speech sounds perception test • 5. finger oscillation test • Related procedures • Trail making test • Strength of grip test • Sensory perceptual examination HALSTEAD-REITAN THE TEST

17. 9 Components • 1. Halstead category test – • Concept formation , cognitive skills This test is learning experiment for current learning skills , mental efficiency abstract concept formation HALSTEAD-REITAN THE TEST

18. 9 Components • 1. Halstead category test – • 2.Tactual test (time, memory, localization) • Shaped block to wholes of the same shape • Motor speed • Tactual • Kinesthetic psychomotor • Psychomotor • The patient must put variously shaped blocks into holes of the same shape • The test assesses several abilities • Including motor speed tactual and kinesthetic psychomotor performance as well as memory HALSTEAD-REITAN THE TEST 2. Tactual Test – time, memory, locale

19. 9 Components • 3. Rhythm test • Rhythm different? Same? • Auditory perception? • Concentration? • Attention? • Thirty pairs of rhythm beats are presented and the patient is to identify which pairs are the same and which are different HALSTEAD-REITAN THE TES The Rhythm Test 3.

20. 9 Components • 1. Halstead category test – • 2.Tactual test (time, memory, localization) • 3. Rhythm test • 4. Speech sounds perception test • Chosen word after hearing it. • Auditory / visual coordination • Language and concentration • Sixty nonsense words are presented on a tape recorder • Hear each word – patient mush choose the word from four alternatives presented visually • Test measures auditory verbal perception • Auditory visual coordination • Some aspects of language and concertation HALSTEAD-REITAN THE TEST Speech sounds perception test – 4.

21. 9 Components • 1. Halstead category test – • 2.Tactual test (time, memory, localization) • 3. Rhythm test • 4. Speech sounds perception test • 5. finger oscillation test • Motor speed – right and left • Hand preference • The patient taps the index finger as rapidly as possible alternating hands on consecutive trials • The test is used to analyze motor speed • Right left hand preference HALSTEAD-REITAN THE TEST Finger oscillation 5.

22. 9 Components • 1. Halstead category test – • 2.Tactual test (time, memory, localization) • 3. Rhythm test • 4. Speech sounds perception test • 5. finger oscillation test • 6. Related procedures • Coupled procedures • Following tests below are given in conjunction with the Halstead Reitman battery HALSTEAD-REITAN THE TEST

23. 9 Components • 1. Halstead category test – • 2.Tactual test (time, memory, localization) • 3. Rhythm test • 4. Speech sounds perception test • 5. finger oscillation test • 6. Related procedures • A. 7. trail making test – • Connect numbers and letters a s rapidly as possible. • Theist test requires patients to connect numbers and letters as rapidly as possible – the test measures • speed • Visual scanning • Ability to process information in sequence HALSTEAD-REITAN THE TEST RELATED PROCEDURES Rail making test This test measures Speed Visual scanning Ability to processes into in sequence

24. 9 Components • 1. Halstead category test – • 2.Tactual test (time, memory, localization) • 3. Rhythm test • 4. Speech sounds perception test • 5. finger oscillation test • Related procedures • Trail making test • Strength of grip test • Uses hand dynamometer – measure strength of grip in each hand HALSTEAD-REITAN THE TEST Subtest 2/3 Strength in grip test This test measures grip strength both hands using a mechanical device

25. 9 Components • 1. Halstead category test – • 2.Tactual test (time, memory, localization) • 3. Rhythm test • 4. Speech sounds perception test • 5. finger oscillation test • Related procedures • Trail making test • Strength of grip test • Sensory perceptual examination HALSTEAD-REITAN THE TEST

26. 9 Components • Sensory perceptual examination • Sensory modalities - • Touch • Hearing • Vision • Patient receives information into one side of the body • Stimuli on one side of the body is perceive • Do other areas reduce sensations? • Test is used to determine whether stimluli presented on one side of the body are perceived when presented alone • Used to determine whether competition with other stimulation reduces the perception fo the stimulius HALSTEAD-REITAN THE TEST Subetst 3/3 sensory perceptual examination -

27. 9 Components • Sensory perceptual examination • Sensory modalities - • Touch • Hearing • Vision • Patient receives information into one side of the body • Stimuli on one side of the body is perceive • Do other areas reduce sensations? • Test is used to determine whether stimuli presented on one side de of the body are perceived when presented alone • Used to determine whether competition with other stimulation reduces the perception of the stimulus HALSTEAD-REITAN THE TEST Subtests 3/3 sensory perceptual examination -

28. Most widely used fixed batter • Modern version developed in 1985 • 8 tests • Intelligence ran: Weschler adult intelligence scale • Personality – Minnesota multiphasic personality inventory HALSTEAD-REITAN THE TEST -

29. LURIA – NEBRASKA Neuropsychological battery[LNNB] A standardized battery test that identifies neuropsychological deficiencies by measuring functioning on 14 - fourteen scales 269 separately administered items Selected empirically on the basis of their sensitivity to behavioral impairment resulting from brain damage Assess brain damage

30. LURIA – NEBRASAKA Neuropsychological battery[LNNB] A different approach Luria – expert on functions of the human brain

31. HALSTEAD-REITAN 1935 Laboratory opened to study impact of impairments. Observations forma Observations involved work and social settings Seven steps to rehabilitation

32. HALSTEAD-REITAN 1935 Laboratory opened to study impact of impairments. Observations forma Observations involved work and social settings Seven steps to rehabilitation

33. HALSTEAD-REITAN 1935 Laboratory opened to study impact of impairments. Observations forma Observations involved work and social settings Seven steps to rehabilitation

34. ADULTS NERUOPSYCHOTEST

35. Clinical nEUropsYCH • Used for investigation of research clinical opportunity • Evaluate the status of central nervous system • Conglomerate tests – link brain to behavior • Identify brain areas to behaviors • Left brain reading • Identify tumors • Identify specific problems

36. Problem locations • Problems: frontal lobes -Impaired retrieval of info • Left handed – programs left side of brain (¾) • Left hemisphere- control of language • Superior temporal gyrus – Wernicke's aphasia • Right handed – right hemisphere damage – inability to copy or draw objects – difficulties assembling certain objects.

37. Problem locations[NUERAL MANIPULATION] • Neural systems rather than specific single structures • Complicated circuits • Dense interconnections between different locations in the brain • Localized problems as • Problems with brain’s complex interconnections

38. Wechsler memory scale • 13 subtests • Auditory verbal memory • Immediate recall • Delayed • Delayed recognition • Refresh – memory boost reminder -? Stimulus thus for memory test.

39. Wechsler memory scale • 13 subtests • Visual memory • Series of shapes in right order latter • Verbal memory

40. Wechsler memory scale • 13 subtests • Working memory – Wechsler AIS • Hold info in head use it. • 13 different subtests • Specific memory tasks – • Suit the questions • Word paints • Pairs

41. Wechsler memory scale • 13 subtests • Geometric designs • Color patterns • Delayed recalls 30 min • Memory deficits • Detoxed alcoholics • Memory deficits – schizophrenia • Older adults

42. WMS-R • 13 subtests • Validity of WMS – R • Detect memory deficits

43. WMS-R

44. CVLTCalifornia Verbal learning tests • Memory test

45. CVLTCalifornia Verbal learning tests • Shopping list – 16 items • Presented 5 times • Spices, • Etc. • 14-15 • 20 min later • Learning – memory – categoarize0 • Expedients learning list • Chunking strategy

46. CVLTCalifornia Verbal learning tests • Learning vs. input • Poor learning strategies • Strategies for memorization • Memory vs. memorization • Recall / recognition

47. CVLTCalifornia Verbal learning tests • Several lists • Distraction • Concentric information • Specific complaints of memory tested

48. CVLTCalifornia Verbal learning tests • Several lists • Distraction • Concentric information • Specific complaints of memory tested

49. Flexible battery • Used more commonly • Dementia • Alzheimer – • Memory – • Stroke • Hemisphere • Population spec. • Variety of test s • Test one function

50. Fixed battery