Published online Aug 6, 2023. doi: 10.12998/wjcc.v11.i22.5236
Peer-review started: March 6, 2023
First decision: May 31, 2023
Revised: June 8, 2023
Accepted: July 11, 2023
Article in press: July 11, 2023
Published online: August 6, 2023
Processing time: 148 Days and 6 Hours
Neglect can be divided into two types using apple cancellation test (apple test): Egocentric neglect (EN) and allocentric neglect (AN). However, in South Korea, apple test results and decision criteria are still largely dependent on tests by foreign countries.
To establish a new South Korea standard and improve the accuracy of neglect assessment, the apple experiment was standardized in this study.
This study was conducted on 223 healthy subjects for a total of 7 mo from August 2021 to February 2022. Standardization was carried out using the original apple test developed by Bickerton in 2011. In scoring for the apple test, total omission error refers to the number of missed targets (full apple) in the entire test sheet (left, middle, and right area). The score for EN is the difference between the cor-rect number of right area and the correct number of left area (excluding the middle area). For AN, the score is difference between the number of left opening apples and number of right opening apples (including the middle area). Linear regression analysis was used for standardization using the general characteristics of subjects and the results of the apple test.
The cut-off score, which is the standard value indicating the pathological condition by combining the results of all subjects, is as follows: Total omission error (5), error for EN (2), and error for AN (2). Also, differences in cut-off score according to age were found.
This study will be helpful in facilitating a more accurate differential diagnosis of neglect.
Core Tip: This study attempted to standardize the apple cancellation test for differential diagnosis of neglect in Korea. As a result, various cut-off scores are presented to establish criteria for diagnosing egocentric and allocentric neglect. In addition, the appropriate time to perform the test according to age and education level is also presented. We hope that this study will be useful for future studies.