RIVERMEAD BEHAVIOURAL MEMORY TEST-THIRD EDITION (RBMT-3) WILSON, GREENFIELD, CLARE, ET AL, 2008 Adolescents/Adults (ages 16 to 89) 30 minutes.

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Presentation transcript:

RIVERMEAD BEHAVIOURAL MEMORY TEST-THIRD EDITION (RBMT-3) WILSON, GREENFIELD, CLARE, ET AL, 2008 Adolescents/Adults (ages 16 to 89) 30 minutes

RBMT-3

FIRST & SECOND NAMES – DELAYED RECALL BELONGINGS – DELAYED RECALL APPOINTMENTS – DELAYED RECALL PICTURE RECOGNITION – DELAYED RECOGNITION STORY – IMMEDIATE & DELAYED RECALL FACE RECOGNITION – DELAYED RECOGNITION ROUTE – IMMEDIATE & DELAYED RECALL MESSAGES – IMMEDIATE & DELAYED RECALL ORIENTATION & DATE NOVEL TASK – IMMEDIATE & DELAYED RECALL **

RBMT-3 NOVEL TASK ADD VIDEO

RBMT-3 NORMED ON UNINJURED POPULATION IN RBMT-3 – 2 VERSIONS SCORING: YOU HAVE THE OPTION OF A SCREENING SCORE OR A FULL TEST SCORE SCORE CORRELATES WITH SEVERITY RATINGS OF SEVERELY IMPAIRED, MODERATELY IMPAIRED, MILDLY IMPAIRED OR AVERAGE MEMORY 2012 MSHA Conference

MINI INVENTORY OF RIGHT BRAIN INJURY-SECOND EDITION (MIRBI-2) PIMENTAL & KINGSBURY, – 80 years 30 minutes

MIRBI-2

MIRBI-2 SENSITIVE TO COMMON RIGHT BI DEFICITS ASSESSES THE FOLLOWING: ATTENTION ABILITY TO EXPLAIN INCONGRUITIES ABSURDITIES FIGURATIVE LANGUAGE SIMILARITIES AFFECTIVE LANGUAGE EMOTIONS AND AFFECT PROCESSING UNDERSTANDING HUMOR, PRAXIS, AND EXPRESSIVE ABILITY

MIRBI ADD INFO ON SCORING

MIRBI SCORING: TOTAL MIRBI POINT SCORE THAT CORRELATES TO SEVERITY LEVEL: -PROFOUND -SEVERE -MODERATE-SEVERE -MODERATE -MILD-MODERATE -MILD -NORMAL

TEST OF MEMORY AND LEARNING – SECOND EDITION (TOMAL-2) REYNOLDS & VORESS, to 59 years minutes

TOMAL MSHA Conference

TOMAL-2 MEMORY FOR STORIES (MFS) FACIAL MEMORY (FM) WORD SELECTIVE REMINDING (WSR) VISUAL SELECTIVE REMINDING (VSR) OBJECT RECALL (OR) ABSTRACT VISUAL MEMORY (AVM) DIGITS FORWARD (DF) VISUAL SEQUENTIAL MEMORY (VSM)

TOMAL-2 FACIAL MEMORY SUBTEST INSERT VIDEO

TOMAL-2 PAIRED RECALL (PR) MEMORY FOR LOCATION (MFL) MANUAL IMITATION (MI) LETTERS FORWARD (LF) DIGITS BACKWARD (DB) LETTERS BACKWARD (LB) 2 VERBAL DELAYED RECALL TASKS

TOMAL CORE INDEXES VERBAL MEMORY INDEX NONVERBAL MEMORY INDEX COMPOSITE MEMORY INDEX. SUPPLEMENTARY INDEXES VERBAL DELAYED RECALL INDEX

TOMAL LEARNING INDEX ATTENTION AND CONCENTRATION INDEX SEQUENTIAL MEMORY INDEX FREE RECALL INDEX ASSOCIATIVE RECALL INDEX SCALED SCORES, STANDARD SCORES, %ILES

DYNAVISION

ABCD ADD INFO

SUMMARY OF EVALUATION FOR MODERATE COGNITIVE IMPAIRMENT FOR INDIVIDUALS AT MODERATE IMPAIRMENT LEVEL, OFTEN HAVE STRENGTH AND DEFICIT AREAS – IDENTIFY THEM PATIENTS AT THIS LEVEL MAY HAVE MANY DEFICIT AREAS – ASSESS TO DETERMINE WHAT IS PRIORITY FOR TREATMENT USE SPECIFIC SUBTESTS VERSUS TESTS IN THEIR ENTIRETY

MILD SEVERITY/HIGH FUNCTIONING COGNITION

ADD VIDEO

MILDLY IMPAIRED COGNITION “ALTHOUGH POST-MTBI SYMPTOMS QUICKLY AND COMPLETELY RESOLVE IN THE VAST MAJORITY OF CASES, A SIGNIFICANT NUMBER OF PATIENTS WILL COMPLAIN OF LASTING PROBLEMS THAT MAY CAUSE SIGNIFICANT DISABILITY.” BLYTH, B. & BAZARIAN, J. 2010

MILD SEVERITY/HIGH FUNCTIONING COGNITION RANCHO LEVELS 8, 9, 10 FIM/FAM COGNITIVE SCORES OF HIGH 5, 6 ASHA NOMS COGNITIVE SCORES OF HIGH 5, 6

MILDLY IMPAIRED COGNITION A PERSON AT THIS LEVEL “LOOKS FINE” AND CAN HAVE A CONVERSATION WITH SOMEONE WITHOUT THEM REALIZING ANYTHING IS WRONG THE COGNITION OF MANY PERSONS AT THIS LEVEL ARE DETERMINED TO BE “FINE” BY INEXPERIENCED CLINICIANS THESE PERSONS WILL HAVE DIFFICULTY WITH INDEPENDENT LIVING AND/OR VOCATIONAL SKILLS. AWARENESS OF DEFICITS IS USUALLY GOOD

MILDLY IMPAIRED COGNITION DEFICITS LIE IN: -MILD DIFFICULTY RECOGNIZING SUBTLE SOCIAL CUES -HIGH LEVEL ATTENTION -MULTI-STEP REASONING -COMPLEX THOUGHT ORGANIZATION -COMPLEX EXECUTIVE FUNCTION -REDUCED PROCESSING SPEED

EVALUATION OF MILDLY IMPAIRED COGNITION TEA RANDT MEMORY TEST BADS FAVRES DKEFS WCST EFRT

TEST OF EVERYDAY ATTENTION (TEA) ROBERTSON, I. ET AL, to 80 years 45 – 60 minutes

TEA 2012 MSHA Conference

TEA HAS 8 SUBTESTS: MAP SEARCH (VISUAL SCANNING/ATTENTION) ELEVATOR COUNTING (SIMPLE SUSTAINED AUDITORY ATTN) ELEVATOR COUNTING WITH DISTRACTION (AUDITORY ATTN WITH DISTRACTION) VISUAL ELEVATOR (VISUAL ALTERNATING ATTENTION) ELEVATOR COUNTING WITH REVERSAL (ALTERNATING AUDITORY ATTENTION)

TEA TELEPHONE SEARCH (VISUAL SCANNING) TELEPHONE SEARCH WHILE COUNTING (DUAL ATTENTION) LOTTERY (AUDITORY ATTENTION ENDURANCE) WITH THE EXCEPTION OF THE FINAL SUBTEST, ALL OTHER SUBTESTS ASSESS PROCESSING SPEED AND SOME ASSESS ACCURACY AND PROCESSING SPEED

TEA – ELEVATOR COUNTING WITH DISTRACTION INSERT VIDEO CLIP

TEA – ELEVATOR COUNTING WITH REVERSAL INSERT VIDEO CLIP

TEA – VISUAL ELEVATOR INSERT VIDEO CLIP

TEA NORMED ON HEALTHY POPULATION SCORING WITH SCALED SCORES; CAN DETERMINE STANDARD DEVIATION AND Z- SCORES

RANDT MEMORY TEST RANDT, C.T. & BROWN, E.R., 1983 ages 20 to minutes

RANDT MEMORY TEST 2012 MSHA Conference

RANDT MEMORY TEST SUBTESTS: GENERAL INFORMATION FIVE ITEMS* PAIRED WORDS* SHORT STORY* PICTURE RECALL* INCIDENTAL LEARNING *HAVE 24 HOUR RECALL TRIALS

RANDT MEMORY TEST HAS 5 VERSIONS – GOOD FOR PRE-/POST- TREATMENT NORMED ON HEALTHY POPULATION; NORMS ARE IN 10-YEAR INCREMENTS OBTAIN SCALED SCORES PER SUBTEST AND STANDARD SCORES FOR: ACQUISITION AND RECALL DELAYED RECALL TOTAL MEMORY SCORE

BEHAVIOURAL ASSESSMENT OF THE DYSEXECUTIVE SYNDROME (BADS) WILSON, B., ALDERMAN, N., BURGESS, P., EMSLIE, H. & EVANS, J. 16 to 87 years 40 minutes

BADS