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Chapter
17
Chapter 17 - Assessments
Assessments
The programs in the Assessments Therapy Category are standardized tests. The Assessments Therapy
Category is divided into four Program Groups: Trail Making, Bell Cancellation Task, Maze Test, and Visual
Scanning and Motor Reaction. The Trail Making Program Group is divided into two therapy programs.
The Balance Assessment Therapy Category is divided into five Program Groups: Berg Balance Scale,
Postural Sway, Sensory and Functional Reach. The Postural Sway and Sensory Program Groups are
divided into two therapy programs.
Trail Making Program Group
The Trail Making Program Group consists of two therapy programs: Part A and Part B. These programs
are designed to provide information about visual search speed, scanning, speed of processing, mental
flexibility, as well as executive functioning.
In Part A, the client is instructed to connect a set of 25 numbered circles as fast as possible while maintaining
accuracy. The client should draw lines connecting the dots in ascending order (1,2,3, etc.).
In Part B, the client is instructed to connect a set of 24 numbered and lettered circles as fast as possible
while still maintaining accuracy. The client should draw lines connecting an alternating pattern of numbers
and letters in ascending order (1,A,2,B,3,C, etc.).
The client is instructed to connect the circles as quickly as possible, without lifting their finger or stylus
from the display screen. The client is timed as they connect the "trail". If the client makes an error, it is
pointed out immediately via auditory feedback and stimuli color change.
The client will need to understand how to complete the assessment before a timed test is recorded.
Sample practice exercises are provided for familiarization, for both Parts A and B, and should be used
prior to the client taking the actual tests. To access the practice exercises, press the Sample Button in
the parameter screen.
Bell Cancellation Task
This program allows for a quantitative and qualitative assessment of visual neglect in the near extra
personal space. The user is asked to identify and touch all 35 bell images embedded within 280 distractors
(houses, horses, etc.). The client will need to understand how to complete the assessment before a timed
test is recorded. A sample practice exercise is provided for familiarization and should be used prior to the
client taking the actual test.
The task consists of seven columns presented on the display screen, each containing five bells and 40
distractors. There are a balanced number of bell targets in each of the quadrants. Note: the client should not
be informed about the location and number of bells and distractors prior to beginning the therapy session.
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