Catherine Bergego Scale: Difference between revisions

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It can be administered as self-completion questionnaires or interview-based questionnaires.
It can be administered as self-completion questionnaires or interview-based questionnaires.


 
The instrument is free to use.
== Instrument  ==
== Instrument  ==


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The items included are:
The items included are:


Forgets to groom or shave the left part of his/her face
# Forgets to groom or shave the left part of his/her face
Experiences difficulty in adjusting his/her left sleeve or slipper
# Experiences difficulty in adjusting his/her left sleeve or slipper
Forgets to eat food on the left side of his/her plate
# Forgets to eat food on the left side of his/her plate
Forgets to clean the left side of his/her mouth after eating
# Forgets to clean the left side of his/her mouth after eating
Experiences difficulty in looking towards the left
# Experiences difficulty in looking towards the left
Forgets about a left part of his/her body (e.g. forgets to put his/her upper limb on the armrest, or his/her left foot on the wheelchair rest, or forgets to use his/her left harm when he/she needs to)
# Forgets about a left part of his/her body (e.g. forgets to put his/her upper limb on the armrest, or his/her left foot on the wheelchair rest, or forgets to use his/her left harm when he/she needs to)
Has difficulty in paying attention to noise or people addressing him/her from the left
# Has difficulty in paying attention to noise or people addressing him/her from the left
Collides with people or objects on the left side, such as doors or furniture (either while walking or driving a wheelchair)
# Collides with people or objects on the left side, such as doors or furniture (either while walking or driving a wheelchair)
Experiences difficulty in finding his/her way towards the left when traveling in familiar places or in the rehabilitation unit
# Experiences difficulty in finding his/her way towards the left when traveling in familiar places or in the rehabilitation unit
Experiences difficulty finding his/her personal belongings in the room or bathroom when they are on the left side
# Experiences difficulty finding his/her personal belongings in the room or bathroom when they are on the left side


== Psychometric Properties  ==
== Psychometric Properties  ==


===== Reliability and validity =====
===== Reliability and validity =====
Acute stroke
'''Acute stroke'''
 
ICC ranges from 0.59 to 0.99
ICC ranges from 0.59 to 0.99


Stroke
'''Stroke'''
 
ICC =0.96 to  0.98
ICC =0.96 to  0.98



Revision as of 15:31, 29 May 2022

Original Editor - Tolulope Adeniji
Top Contributors - Tolulope Adeniji

Overview[edit | edit source]

Unilateral neglect or hemineglect is one of the common challenges associated with post-stroke symptoms. About 30% of stroke survivors have been reported to have unilateral neglect. Thus assessment of this attention disorder called unilateral neglect is essential in managing Unilateral neglect. Unilateral neglect can be evaluated with a traditional test such as single letter cancellation and line bisection. Functional assessment is a new paradigm in assessing for unilateral neglect and one example of this functional assessment is Catherine Bergego Scale, CBS. Functional assessment tools provide a continuum on unilateral neglect affectation regarding activities of daily living that may be affected in this condition.

Intended Population[edit | edit source]

Stroke patients who are 18 years of age and above.

Method of Use[edit | edit source]

Healthcare workers can administer this instrument at the patient's bedside or in the physiotherapy clinic. it is a performance assessment type and it has both clinician-rated as well as self-reported version.

Equipment[edit | edit source]

Paper and pencil

Training[edit | edit source]

no special training required

Mode and Cost of Instrument[edit | edit source]

It can be administered as self-completion questionnaires or interview-based questionnaires.

The instrument is free to use.

Instrument[edit | edit source]

This instrument is a 10 items scale. Each item is scored on a scale of 0 to 3, with zero meaning there is no neglect, and 1 represents mild neglect where the patient will cross midline after the right side is attended to first. On the CBS scale, 2 represents moderate neglect where the patient has clear and consistent left side omissions, and 3 represents severe neglect. The item scores are summed up to obtain a total. A score of 0 means no neglect, and 30 means several neglects. A 1 to 10 means Mild Behavioural Neglect, 10-20 Moderate Behavioural neglect and 21 to 30 means severe behavioural neglect.

The items included are:

  1. Forgets to groom or shave the left part of his/her face
  2. Experiences difficulty in adjusting his/her left sleeve or slipper
  3. Forgets to eat food on the left side of his/her plate
  4. Forgets to clean the left side of his/her mouth after eating
  5. Experiences difficulty in looking towards the left
  6. Forgets about a left part of his/her body (e.g. forgets to put his/her upper limb on the armrest, or his/her left foot on the wheelchair rest, or forgets to use his/her left harm when he/she needs to)
  7. Has difficulty in paying attention to noise or people addressing him/her from the left
  8. Collides with people or objects on the left side, such as doors or furniture (either while walking or driving a wheelchair)
  9. Experiences difficulty in finding his/her way towards the left when traveling in familiar places or in the rehabilitation unit
  10. Experiences difficulty finding his/her personal belongings in the room or bathroom when they are on the left side

Psychometric Properties[edit | edit source]

Reliability and validity[edit | edit source]

Acute stroke

ICC ranges from 0.59 to 0.99

Stroke

ICC =0.96 to 0.98

Resources[edit | edit source]

Find additional information here: https://www.sralab.org/rehabilitation-measures/catherine-bergego-scale-kessler-foundation-neglect-assessment-process

References[edit | edit source]