Ec. Hills et Ds. Geldmacher, THE EFFECT OF CHARACTER AND ARRAY TYPE ON VISUAL-SPATIAL SEARCH QUALITY FOLLOWING TRAUMATIC BRAIN INJURY, Brain injury, 12(1), 1998, pp. 69-76
Disorder; of visuomotor function are common following traumatic brain
injury (TBI), but spatially directed visual attention has received lit
tle study in this population. 'Cancellation' testing is a common, beds
ide method for assessing directed attention, which can provide informa
tion on how task properties influence visual scanning and search follo
wing severe TBI. Groups of 20 individuals after severe TBI and 21 heal
thy control subjects were matched for age and education. Participants
performed finger tapping tests to assess motor speed as well as four c
ancellation tests employing letter and geometric figure stimuli in ran
dom and structured arrays. Control and TBI groups differed significant
ly on measures of accuracy, task completion time, and search quality.
There was no significant effect of stimulus or array type on accuracy
or time. Figure targets in a higher search quality, suggesting a right
hemispheric dominance effect on these tasks. The findings support a d
eficit in visuomotor scanning performance in TBI beyond a purely motor
effect. Interactions between stimulus and array types suggest that he
mispheric cooperation is required for the optimal performance of these
tasks, and that interhemispheric communication may be preferentially
compromised by TBI.