A1 Journal article (refereed)
Visuaalisen neglectin tunnistamisen haasteet kognitiivisessa ajokykyarviossa : tapaustutkimus (2019)

Parantainen, H., Pyykkönen, H., Liuha, S., Kujala, T., & Wikgren, J. (2019). Visuaalisen neglectin tunnistamisen haasteet kognitiivisessa ajokykyarviossa : tapaustutkimus. Kuntoutus, 42(3), 5-17. https://journal.fi/kuntoutus/article/view/97247

JYU authors or editors

Publication details

All authors or editors: Parantainen, Heidi; Pyykkönen, Hanna; Liuha, Sanna; Kujala, Tuomo; Wikgren, Jan

Journal or series: Kuntoutus

ISSN: 0357-2390

eISSN: 2489-7604

Publication year: 2019

Volume: 42

Issue number: 3

Pages range: 5-17

Publisher: Kuntoutussäätiö

Publication country: Finland

Publication language: Finnish

Persistent website address: https://journal.fi/kuntoutus/article/view/97247

Publication open access: Other way freely accessible online

Publication channel open access: Delayed open access channel


The aim of this study was to clarify how reliably neglect symptoms and driving ability can be evaluated by cognitive paper and pencil tests in clinical assessment. Paper and pencil test performance (Rey, Rey immediate recall, BIT traditional subtests, Vilkki visual search for parallel lines) was compared to the driving simulator performance. Additionally, the visual search was recorded by eye-tracking device during simulator drive. Three neglect patients and 17 healthy controls participated in this study. Ten healthy controls were included in the final analyses. Seven healthy controls quit the study due to simulator sickness and their data was excluded from final analyses. Despite the fact that neglect was not revealed in the cognitive tests and thus there was no reason to doubt the driving ability of two out of three patients, neglect patients’ simulator drive was full of driving errors and perception of the left side was weaker than of the right side. Additionally, all the patients had clear anosognosia. This study suggests that traditional paper and pencil tests are not sensitive enough to recognize left visual neglect in clinical assessment 6–7.5 months after hemorrhage and cannot reliably predict the ability to drive. Based on these findings, it could be said that results of cognitive paper and pencil tests and the patients’ self-evaluation should be considered with caution. Furthermore, additional on-road driving test could complete the assessment of driving ability. It would be important to pay attention to the diversity of neglect symptoms, especially the distance specific symptoms (near versus far space) and anosognosia in neuropsychological rehabilitation.

Keywords: hemispatial neglect; ability to drive; evaluation; cognitive processes; attention; psychological tests; simulators

Free keywords: neglect; hemi-inattention; driving; simulator; assessment

Contributing organizations

Ministry reporting: Yes

Reporting Year: 2019

Last updated on 2022-24-11 at 22:24