Systematic Reviews
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World J Clin Cases. Aug 26, 2022; 10(24): 8625-8633
Published online Aug 26, 2022. doi: 10.12998/wjcc.v10.i24.8625
Assessment tools for differential diagnosis of neglect: Focusing on egocentric neglect and allocentric neglect
Sang-Hyeok Lee, Byeong-Chan Lim, Chan-Young Jeong, Jun-Hyeok Kim, Woo-Hyuk Jang
Sang-Hyeok Lee, Byeong-Chan Lim, Chan-Young Jeong, Jun-Hyeok Kim, Woo-Hyuk Jang, Department of Occupational Therapy, College of Health Science, Kangwon National University, Gangwon-do 25949, South Korea
Author contributions: Lee SH, Lim BC, Jeong CY, and Kim JH contributed to article investigation and collection, review, and writing; Jang WH contributed to conceptualization, editing, and supervision; and all authors have read and agreed to the published version of the manuscript.
Supported by the National Research Foundation of Korea Grant funded by the Korea government, No. 2021R1G1A1093494.
Conflict-of-interest statement: No conflicts of interest are reported by the authors or by any individuals in control of the content of this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Woo-Hyuk Jang, PhD, Professor, Department of Occupational Therapy, College of Health Science, Kangwon National University, 346 Hwangjo-gil, Dogye-eup, Samcheok-si, Gangwon-do 25949, South Korea. wlqtksek@hanmail.net
Received: March 14, 2022
Peer-review started: March 14, 2022
First decision: May 30, 2022
Revised: June 9, 2022
Accepted: July 20, 2022
Article in press: July 20, 2022
Published online: August 26, 2022
Processing time: 154 Days and 17.2 Hours
Abstract
BACKGROUND

There are very few studies on the differential diagnosis between egocentric neglect (EN) and allocentric neglect (AN).

AIM

To investigate the overall trend of the previously developed assessment tools by conducting a descriptive review of the studies on assessment tools that can perform a differential diagnosis of EN and AN.

METHODS

The data were collected by using databases such as Google Scholar, PubMed, and ScienceDirect. The most commonly used search terms were “neglect”, “stroke”, “egocentric neglect”, and “allocentric neglect”.

RESULTS

A total of seven studies that met the inclusion criteria were selected and analyzed. We were able to confirm the research process, test method, and differential diagnosis criteria of the seven presented assessment tools from four studies on paper-based tests and three studies on computerized tests. The majority of the tests were carried out via the cancellation method using stimuli such as everyday objects or numbers. EN distinguished the left from right based on the test paper, while AN distinguished the left from right based on stimuli. In order to perform differential diagnosis, the difference in the number of left and right responses or non-responses was used based on the EN and AN criteria.

CONCLUSION

It was confirmed that all the seven assessment tools can effectively perform differential diagnosis of EN and AN. This study may provide important data that can be used in clinical practice for differential diagnosis and future intervention planning for neglect patients.

Keywords: Egocentric neglect; Allocentric neglect; Brain damage; Assessment tools; Cancellation

Core Tip: The purpose of this study was to investigate the overall trend of the previously developed assessment tools by conducting a descriptive review of the studies on assessment tools that can perform a differential diagnosis of egocentric neglect (EN) and allocentric neglect (AN). It was confirmed that all the seven assessment tools can effectively perform differential diagnosis of EN and AN. This study may provide important data that can be used in clinical practice for differential diagnosis and future intervention planning for neglect patients.