Value of the Frontal Assessment Battery Tool for Assessing the Frontal Lobe Function in Stroke Patients

Objective To examine the correlation between the Frontal Assessment Battery (FAB) test, which is used to assess the frontal lobe function, and anatomical lesions as well as the ability of the test to detect frontal lobe dysfunction. Methods Records of stroke patients undergoing a FAB test and Mini-M...

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Main Authors: Mihyang Han, Da-Ye Kim, Ja-Ho Leigh, Min-Wook Kim
Format: Article
Language:English
Published: Korean Academy of Rehabilitation Medicine 2020-08-01
Series:Annals of Rehabilitation Medicine
Subjects:
Online Access:http://www.e-arm.org/upload/pdf/arm-19111.pdf
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author Mihyang Han
Da-Ye Kim
Ja-Ho Leigh
Min-Wook Kim
author_facet Mihyang Han
Da-Ye Kim
Ja-Ho Leigh
Min-Wook Kim
author_sort Mihyang Han
collection DOAJ
description Objective To examine the correlation between the Frontal Assessment Battery (FAB) test, which is used to assess the frontal lobe function, and anatomical lesions as well as the ability of the test to detect frontal lobe dysfunction. Methods Records of stroke patients undergoing a FAB test and Mini-Mental State Examination (MMSE) were retrospectively reviewed. The patients were divided into three groups according to the lesions determined by an imaging study: frontal lobe cortex lesions, frontal subcortical circuit lesions, and other lesions. The FAB scores of the three groups were compared using the Kruskal-Wallis test. The validity of the FAB test to detect frontal lobe dysfunction was assessed by a comparison with the Computerized Neuropsychological Function Test (CNT) using the Spearman correlation coefficient. The correlation coefficients between the FAB test and MMSE were analyzed further based on the MMSE cutoff score. Results Patients with frontal cortex lesions had significantly lower total and subtest scores according to the FAB test than the other patients. The FAB test correlated better with the CNT than the MMSE, particularly in the executive function and memory domains. A high MMSE score (r=0.435) indicated a lower correlation with the FAB test score than a low MMSE score (r=0.714). Conclusion The FAB test could differentiate frontal lobe lesions from others in stroke patients and showed a good correlation with the CNT. Moreover, the FAB test can be used in patients with high MMSE scores to detect frontal lobe dysfunction and determine the treatment strategies for stroke patients.
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spelling doaj.art-30db0cdf90cb4a4fb079eb0050d15d0e2023-08-02T01:40:10ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532020-08-0144426127210.5535/arm.191114167Value of the Frontal Assessment Battery Tool for Assessing the Frontal Lobe Function in Stroke PatientsMihyang Han0Da-Ye Kim1Ja-Ho Leigh2Min-Wook Kim3 Department of Rehabilitation Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea Department of Rehabilitation Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea Department of Rehabilitation Medicine, Incheon Hospital of Korea Workers’ Compensation and Welfare Service, Incheon, Korea Department of Rehabilitation Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, KoreaObjective To examine the correlation between the Frontal Assessment Battery (FAB) test, which is used to assess the frontal lobe function, and anatomical lesions as well as the ability of the test to detect frontal lobe dysfunction. Methods Records of stroke patients undergoing a FAB test and Mini-Mental State Examination (MMSE) were retrospectively reviewed. The patients were divided into three groups according to the lesions determined by an imaging study: frontal lobe cortex lesions, frontal subcortical circuit lesions, and other lesions. The FAB scores of the three groups were compared using the Kruskal-Wallis test. The validity of the FAB test to detect frontal lobe dysfunction was assessed by a comparison with the Computerized Neuropsychological Function Test (CNT) using the Spearman correlation coefficient. The correlation coefficients between the FAB test and MMSE were analyzed further based on the MMSE cutoff score. Results Patients with frontal cortex lesions had significantly lower total and subtest scores according to the FAB test than the other patients. The FAB test correlated better with the CNT than the MMSE, particularly in the executive function and memory domains. A high MMSE score (r=0.435) indicated a lower correlation with the FAB test score than a low MMSE score (r=0.714). Conclusion The FAB test could differentiate frontal lobe lesions from others in stroke patients and showed a good correlation with the CNT. Moreover, the FAB test can be used in patients with high MMSE scores to detect frontal lobe dysfunction and determine the treatment strategies for stroke patients.http://www.e-arm.org/upload/pdf/arm-19111.pdfstrokeexecutive functionneuropsychological testsmental status and dementia tests
spellingShingle Mihyang Han
Da-Ye Kim
Ja-Ho Leigh
Min-Wook Kim
Value of the Frontal Assessment Battery Tool for Assessing the Frontal Lobe Function in Stroke Patients
Annals of Rehabilitation Medicine
stroke
executive function
neuropsychological tests
mental status and dementia tests
title Value of the Frontal Assessment Battery Tool for Assessing the Frontal Lobe Function in Stroke Patients
title_full Value of the Frontal Assessment Battery Tool for Assessing the Frontal Lobe Function in Stroke Patients
title_fullStr Value of the Frontal Assessment Battery Tool for Assessing the Frontal Lobe Function in Stroke Patients
title_full_unstemmed Value of the Frontal Assessment Battery Tool for Assessing the Frontal Lobe Function in Stroke Patients
title_short Value of the Frontal Assessment Battery Tool for Assessing the Frontal Lobe Function in Stroke Patients
title_sort value of the frontal assessment battery tool for assessing the frontal lobe function in stroke patients
topic stroke
executive function
neuropsychological tests
mental status and dementia tests
url http://www.e-arm.org/upload/pdf/arm-19111.pdf
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