Assessing Executive Abilities Following Acute Stroke with the Trail Making Test and Digit Span

The Trail Making Test and Digit Span are neuropsychological tests widely used to assess executive abilities following stroke. The Trails B and Digits Backward conditions of these tests are thought to be more sensitive to executive impairment related to frontal lobe dysfunction than the Trails A and...

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Main Authors: Elaine Tamez, Joel Myerson, Lucy Morris, Desirée A. White, Carolyn Baum, Lisa Tabor Connor
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.3233/BEN-2011-0328
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author Elaine Tamez
Joel Myerson
Lucy Morris
Desirée A. White
Carolyn Baum
Lisa Tabor Connor
author_facet Elaine Tamez
Joel Myerson
Lucy Morris
Desirée A. White
Carolyn Baum
Lisa Tabor Connor
author_sort Elaine Tamez
collection DOAJ
description The Trail Making Test and Digit Span are neuropsychological tests widely used to assess executive abilities following stroke. The Trails B and Digits Backward conditions of these tests are thought to be more sensitive to executive impairment related to frontal lobe dysfunction than the Trails A and Digits Forward conditions. Trails B and Digits Backward are also thought to be more sensitive to brain damage in general. Data from the Stroke and Lesion Registry maintained by the Washington University Cognitive Rehabilitation Research Group were analyzed to compare the effects of frontal versus nonfrontal strokes and to assess the effects of stroke severity. Results showed that the performance of patients with frontal and nonfrontal strokes was comparable in each condition of both the Trail Making Test and Digit Span, providing no support for the widely held belief that Trails B and Digits Backward are more sensitive to frontal lobe damage. Further, Trails A was as strongly correlated with stroke severity as Trails B, whereas Digits Backward was more strongly correlated with stroke severity than Digits Forward. Overall, the Trail Making Test and Digit Span are sensitive to brain damage but do not differentiate between patients with frontal versus nonfrontal stroke.
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publishDate 2011-01-01
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series Behavioural Neurology
spelling doaj-art-fe0790cf73ef47d7937a9fc554e551bb2025-08-20T03:25:46ZengWileyBehavioural Neurology0953-41801875-85842011-01-0124317718510.3233/BEN-2011-0328Assessing Executive Abilities Following Acute Stroke with the Trail Making Test and Digit SpanElaine Tamez0Joel Myerson1Lucy Morris2Desirée A. White3Carolyn Baum4Lisa Tabor Connor5Department of Psychology, Washington University, Saint Louis, MO, USADepartment of Psychology, Washington University, Saint Louis, MO, USAProgram in Occupational Therapy, Washington University School of Medicine, Saint Louis, MO, USADepartment of Psychology, Washington University, Saint Louis, MO, USAProgram in Occupational Therapy, Washington University School of Medicine, Saint Louis, MO, USAProgram in Occupational Therapy, Washington University School of Medicine, Saint Louis, MO, USAThe Trail Making Test and Digit Span are neuropsychological tests widely used to assess executive abilities following stroke. The Trails B and Digits Backward conditions of these tests are thought to be more sensitive to executive impairment related to frontal lobe dysfunction than the Trails A and Digits Forward conditions. Trails B and Digits Backward are also thought to be more sensitive to brain damage in general. Data from the Stroke and Lesion Registry maintained by the Washington University Cognitive Rehabilitation Research Group were analyzed to compare the effects of frontal versus nonfrontal strokes and to assess the effects of stroke severity. Results showed that the performance of patients with frontal and nonfrontal strokes was comparable in each condition of both the Trail Making Test and Digit Span, providing no support for the widely held belief that Trails B and Digits Backward are more sensitive to frontal lobe damage. Further, Trails A was as strongly correlated with stroke severity as Trails B, whereas Digits Backward was more strongly correlated with stroke severity than Digits Forward. Overall, the Trail Making Test and Digit Span are sensitive to brain damage but do not differentiate between patients with frontal versus nonfrontal stroke.http://dx.doi.org/10.3233/BEN-2011-0328
spellingShingle Elaine Tamez
Joel Myerson
Lucy Morris
Desirée A. White
Carolyn Baum
Lisa Tabor Connor
Assessing Executive Abilities Following Acute Stroke with the Trail Making Test and Digit Span
Behavioural Neurology
title Assessing Executive Abilities Following Acute Stroke with the Trail Making Test and Digit Span
title_full Assessing Executive Abilities Following Acute Stroke with the Trail Making Test and Digit Span
title_fullStr Assessing Executive Abilities Following Acute Stroke with the Trail Making Test and Digit Span
title_full_unstemmed Assessing Executive Abilities Following Acute Stroke with the Trail Making Test and Digit Span
title_short Assessing Executive Abilities Following Acute Stroke with the Trail Making Test and Digit Span
title_sort assessing executive abilities following acute stroke with the trail making test and digit span
url http://dx.doi.org/10.3233/BEN-2011-0328
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