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

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

2 RBMT-3

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 **

4 RBMT-3 NOVEL TASK ADD VIDEO

5 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

6 MINI INVENTORY OF RIGHT BRAIN INJURY-SECOND EDITION (MIRBI-2) PIMENTAL & KINGSBURY, 2000 20 – 80 years 30 minutes

7 MIRBI-2

8 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

9 MIRBI ADD INFO ON SCORING

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

11 TEST OF MEMORY AND LEARNING – SECOND EDITION (TOMAL-2) REYNOLDS & VORESS, 2007 5 to 59 years 30 - 60 minutes

12 TOMAL-2 2012 MSHA Conference

13 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)

14 TOMAL-2 FACIAL MEMORY SUBTEST INSERT VIDEO

15 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

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

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

18 DYNAVISION

19 ABCD ADD INFO

20 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

21 MILD SEVERITY/HIGH FUNCTIONING COGNITION

22 ADD VIDEO

23 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

24 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

25 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

26 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

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

28 TEST OF EVERYDAY ATTENTION (TEA) ROBERTSON, I. ET AL, 1994 18 to 80 years 45 – 60 minutes

29 TEA 2012 MSHA Conference

30 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)

31 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

32 TEA – ELEVATOR COUNTING WITH DISTRACTION INSERT VIDEO CLIP

33 TEA – ELEVATOR COUNTING WITH REVERSAL INSERT VIDEO CLIP

34 TEA – VISUAL ELEVATOR INSERT VIDEO CLIP

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

36 RANDT MEMORY TEST RANDT, C.T. & BROWN, E.R., 1983 ages 20 to 90 45 minutes

37 RANDT MEMORY TEST 2012 MSHA Conference

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

39 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

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

41 BADS


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