Catherine Bergego Scale

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. Greater percentage of stroke survivor with right hemispheric CVD suffer from unilateral neglect.[1][2] 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.[3] Functional assessment is a new paradigm in assessing for unilateral neglect and one example of this functional assessment is Catherine Bergego Scale, CBS.[4] 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.[5] [6]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


ICC =0.96 to 0.98

Resources[edit | edit source]

Find additional information here:

References[edit | edit source]

  1. Kerkhoff G, Schenk T. Rehabilitation of neglect: an update. Neuropsychologia. 2012 May 1;50(6):1072-9.
  2. Husain M. Hemineglect. Scholarpedia. 2008 Feb 6;3(2):3681.
  3. Ferber S, Karnath HO. How to assess spatial neglect-line bisection or cancellation tasks?. Journal of clinical and experimental neuropsychology. 2001 Oct 1;23(5):599-607.
  4. Checketts M, Mancuso M, Fordell H, Chen P, Hreha K, Eskes GA, Vuilleumier P, Vail A, Bowen A. Current clinical practice in the screening and diagnosis of spatial neglect post-stroke: Findings from a multidisciplinary international survey. Neuropsychological Rehabilitation. 2021 Oct 21;31(9):1495-526.
  5. Azouvi P, Olivier S, De Montety G, Samuel C, Louis-Dreyfus A, Tesio L. Behavioral assessment of unilateral neglect: study of the psychometric properties of the Catherine Bergego Scale. Archives of physical medicine and rehabilitation. 2003 Jan 1;84(1):51-7.
  6. Marques CL, Souza JT, Gonçalves MG, Silva TR, Costa RD, Modolo GP, Corrente JE, Bazan R, Luvizutto GJ. Validation of the Catherine Bergego Scale in patients with unilateral spatial neglect after stroke. Dementia & neuropsychologia. 2019 Jan;13:82-8.