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Spatial Neglect and Assessment Methods

Beyond Visual Symptoms and Paper-Based Tests

Live Virtual Course by Joan Toglia PhD, OTR/L and Peii Chen PhD

Description: This live virtual course is designed to provide in‐depth information on spatial neglect, including its impact on function, participation, outcomes, client experiences, varied subtypes, clinical manifestations during activities, and clinical assessment strategies. Assessment tools will be reviewed with a focus on how to use varied methods that capture the wide range of clinical manifestations of spatial neglect. Client experiences and different types of performance errors that can occur within everyday tasks or situations will be analyzed, interpreted, and discussed. Clinical cases and videotapes of clients will be integrated throughout the workshop to illustrate the variety of clinical symptoms as well as the reasoning strategies used for choosing different assessments. In addition to PowerPoint slides and video clips, this course will use active learning methods such as worksheets, polling questions, case scenarios, and interactive discussions with optional use of the chat feature. These methods will be utilized to assess learning outcomes stated below. This course is a prerequisite for part 2, Treatment for Spatial Neglect

 Audience: This course is designed for Occupational Therapists or other Health Professionals who have at least 1 year of experience working with adults with stroke or other acquired brain injury. Content level is Intermediate.

Instructors: Joan Toglia PhD, OTR/L, FAOTA and Peii Chen, PhD

CEUs: Contact hours for this course are 3 hours and 15 minutes (not including a 15 minute break) or .325 CEUs

Dates and Times: All course times are New York or Eastern Time (ET)

Friday, January 17th, 2025, 9:00am - 12:30 pm (ET)

Course Fee: $115.00

Course Outline

Introduction and Overview of Spatial Neglect (40 minutes, Peii Chen)

  • Spatial neglect: Terminology clarification, mechanism, and definition.

  • Research-informed facts: prevalence, impact on functional outcome and participation, recovery, caregiver burden, therapists’ perspective

Neglect Subtypes: Functional Observations, Implications, and Assessment (85 minutes, Joan Toglia)

  • Client perspectives and experiences

  • Variations in clinical characteristics, subtypes of neglect, and implications for everyday function

  • Clinical scenarios of observed discrepancies in functional performance

  • Assessing the person’s perspective of performance or self-awareness.

Functional Assessment and Spatial Neglect (40 minutes, Peii Chen and Joan Toglia)

  • Rating spatial neglect during functional activities (CBS vs. KF-NAP)

  • Additional functional assessments of spatial neglect

Application and Clinical Assessment Case Scenarios (20 minutes, Joan Toglia and Peii Chen)

Summary and Practice Implications (10 minutes)


Learning Outcomes

1.      Describe at least 5 different ways that spatial neglect can impact occupational performance or participation.

2.      Analyze and differentiate between 3 clinical descriptions of spatial neglect symptoms during functional activities.

3.      Analyze activity demands and other factors that may be impacting spatial neglect and functional performance for at least 2 clinical scenarios

4.      Differentiate between the clinical presentation of a visual field cut and spatial neglect and its implication for function.

5.      Apply knowledge of spatial neglect to selecting appropriate assessment tools for 2 different clinical scenarios.

Sample WORKSHOP PARTICIPANT COMMENTS

  • This course was helpful in identifying the subtleties of the different types of neglect, or in the less obvious presentations of neglect

  • Absolutely brilliant course, will recommend it to colleagues for sure, and very keen to get into the course on treatment!

  • Really explicit, clear information about the experience of neglect and the different presentations of neglect and how to identify them/ their impact on function. The clinical scenarios were great!

  • A practical approach to assessing spatial neglect. It increased my knowledge and confidence in the subtypes of neglect and how to differentiate between them.

  • Overall, this was an engaging and informative class. I appreciated the video examples and explanations of each client example.

  • All was very informative and useful -especially understanding the different taxonomies and the importance of understanding how activity demands impact neglect symptoms

  • I liked the focus on assessment being multimodal and of appropriate challenge level- that intact performance on a simple task does not rule out the presence of SN.

  • It was great to learn about the variety of assessments and resources available.

  • One of my favourite PD events so far, all really interesting and relevant info, well presented.