By Morris Freedman, Larry Leach, Edith Kaplan, Gordon Winocur, Kenneth Shulman, Dean C. Delis
Written by way of a multidisciplinary crew of specialists in neurobehavior, this concise, well-illustrated publication presents normative facts on clock drawing from a while 20 to ninety years. a realistic advisor to the quantitative evaluate of clock drawing, it additionally takes a process-oriented method of qualitative impairment. The authors speak about clock drawing as a neuropsychological attempt tool and the reason for choosing particular time settings, in addition to the root for utilizing assorted clock stipulations. The booklet includes quite a few examples of clocks drawn through sufferers with cognitive impairment because of dementia, metabolic encephalopathy, aggravating mind harm, disconnection syndrome and focal mind lesions. perception into adjustments in clock drawing skill that can symbolize the earliest markers of cognitive decline in dementia also are provided. This quantity could be of curiosity to clinicians and researchers in neuropsychology, neurology, psychiatry, geriatric drugs, language remedy, and occupational treatment.
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Additional resources for Clock Drawing: A Neuropsychological Analysis
In contrast, subjects with multi-infarct dementia performed better than those with Alzheimer's disease. Abnormalities in the multi-infarct dementia group consisted primarily of errors in the numbers, as well as impaired spacing of the numbers. 4 vs. 1). Dementia and Related Disorders 45 Rouleau et al. (1992) studied clock-drawing ability in patients with Alzheimer's disease and Huntington's disease. Both groups had been equated for severity of dementia on the Mattis Dementia Rating Scale (DRS).
1984). The Parkinson's patients also met standard diagnostic criteria (Adams & Victor, 1989; Weiner & Lang, 1989). , 1973; Mattis, 1988). The DRS correlates well with the Weschler Adult Intelligence Scale and measures cognitive function along the factors of attention, perseveration, constructional ability, conceptualization, and memory. Because a score of less than 123 has been used as a cutoff for dementia (Montgomery & Costa, 1983), we applied this criterion to separate the patients with Parkinson's disease into subgroups with dementia and without dementia.
865. 845 (all/? 841. 740 (all/? 695. Test-retest reliability as measured by Spearman rank-order correlations were very low and insignificant except for one condition, the examiner clock at "11:10" (r = Normative Study 31 Figure 2-15 Examples of superfluous marks or hands. (A) Superfluous mark representing a second hand; 74-year-old male. (B) "Christmas tree"; 81-year-old female. (C) and (D) Minutes indicated as a concrete interpretation for 11:10 (C) and 8:20 (D); 81-year-old female. 02). This apparent lack of reliability reflects the restricted range of scores across the various conditions.