Catherine Bergego Scale
Overview[edit | edit source]
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.
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:
Forgets to groom or shave the left part of his/her face Experiences difficulty in adjusting his/her left sleeve or slipper Forgets to eat food on the left side of his/her plate Forgets to clean the left side of his/her mouth after eating 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) 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) 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
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
