Clinimetric properties of relevant criteria for assessing writing and drawing orientation after right hemisphere stroke

Writing and drawing orientation is rarely assessed in clinical routine, although it might have a potential value in detecting impaired verticality perception after right hemispheric stroke (RHS). Assessment tools and criteria must be conceived and validated. We therefore explored the clinimetric pro...

Full description

Saved in:

Bibliographic Details
Published in:	Journal of neuroscience methods Vol. 394; p. 109900
Main Authors:	Lafitte, R., Diaine, F., Dai, S., Carré, O., Dupierrix, E., Jolly, C., Piscicelli, C., Pérennou, D.
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier B.V 01-07-2023 Elsevier
Subjects:	Clinical assessment Cognitive Sciences Drawing errors Human health and pathology Humans Life Sciences Neurons and Cognition Neuropsychological assessment Reproducibility of Results Right hemispheric stroke Space Perception Spatial cognition disorders Spatial dysgraphia Stroke Verticality representation Writing Writing and drawing orientation tests Drawing errors Writing and drawing orientation tests Neuropsychological assessment Spatial cognition disorders Verticality representation Right hemispheric stroke Spatial dysgraphia Clinical assessment
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Writing and drawing orientation is rarely assessed in clinical routine, although it might have a potential value in detecting impaired verticality perception after right hemispheric stroke (RHS). Assessment tools and criteria must be conceived and validated. We therefore explored the clinimetric properties of a set of quantitative writing and drawing orientation criteria, their ranges of normality, and their tilt prevalence in RHS individuals. We asked 69 individuals with subacute RHS and 64 matched healthy controls to write three lines and to copy the Gainotti Figure (house and trees). We determined six criteria referring to the orientation of writing and drawing main axes: for writing, the line and margin orientations, and for drawing, the tree, groundline, wall, and roofline orientations. Orientations were measured by using an electronic protractor from specific landmarks positioned by independent evaluators. The set of criteria fulfilling all clinimetric properties (feasibility, measurability, reliability) comprised the line orientation of the writing and the wall and roofline orientations of the drawing. Writing and drawing tilts were frequent after RHS (about 30% by criterion). So far, graphomotor orientation was mostly tested qualitatively and could not be objectively appreciated in absence of validated tools and criteria, and without ranges of normality. Writing and drawing tilts may now be assessed both in routine clinical practice and research. Our study paves the way for investigating the clinical determinants of graphomotor tilts, including impaired verticality perception, to better understand their underlying mechanisms. •The tilted writing and drawing might be frequent after right hemispheric stroke.•Tools for their quantification are missing.•Writing lines and simple drawing lines are reliable criteria.•Writing and drawing tilts are frequent after right hemispheric stroke.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0165-0270 1872-678X
DOI:	10.1016/j.jneumeth.2023.109900