Neglect

Authors

Affiliations

Nate Yomogida, B.S., SPT

Doctor of Physical Therapy

B.S. in Kinesiology

Chloë Kerstein, B.S., SPT

Doctor of Physical Therapy

B.A. in Neuroscience

DDX

An important aspect of neurological assessment is to separate hemianopsia from neglect.

Screening questions to DDX Hemianopsia and Neglect¹

Does the patient?	Hemianopsia	Neglect
Complain of having difficulty seeing items or state the inability to find things?	Yes	No
Miss details in one visual field?	Yes	Yes
Locate lost items once cued to the location	Yes	No
Attempt to make eye contact during conversations regardless of where the therapist stands?	Yes	No
Spontaneously use both UE when needed for a task?	Yes	No
Spontaneously compensate for loss of vision by turning head?	No	Yes
Walk/propel into things on one side without noticing?	No	Yes
Lose track of limbs, letting them fall off footrests or table without repositioning?	No	Yes
Seem to forget position of affected hand and drop or spill items?	No	Yes

References

1.

Fell DW, Lunnen KY, Rauk RP. Lifespan Neurorehabilitation: A Patient-Centered Approach from Examination to Intervention and Outcomes. F.A. Davis Company; 2019.