Verbal IQ

90+

82-89

73-81

< 72

Performance IQ

90+

82-89

73-81

< 72

Impairment Index

0 - .2

.3 - .4

.5 - .7

.8 - 1

Category Test

0 - 25

26 - 45

46 - 64

65 +

TPT Total Time

0’ - 9’

9.1’ - 15.0’

15.1’ - 25.0’

25.1’ +

TPT Memory

8 - 10

7

4 - 6

0 - 3

TPT Localization

7 - 10

6

3 - 5

0 - 2

Seashore Rhythm Test - correct

28 - 30

25 - 27

20 - 24

0 - 19

Speech-Sounds Perception Test - errors

0 - 6

7 - 10

11 - 15

16 +

Finger Tapping - Dominant Hand

55 +

50-54

41 - 49

0 - 40

Finger Tapping - Non-dominant Hand

49 +

45 - 48

37 - 44

0 - 36

Trail Making Test - Part A

0” - 26”

27” - 39”

40” - 51”

52” +

Trail Making Test - Part B

0” - 65”

66” - 85”

86” - 120”

121” +

Tactile Form Recognition - total time

0” - 16”

17” - 23”

24” - 33”

34” +

Bilateral Tactile Stimulation - errors

0

1

2 -3

4 +

Bilateral Auditory Stimulation - errors

0

1

2

3 +

Bilateral Visual Stimulation - errors

0

1

2 -3

4 +

Tactile Finger Recognition - errors

0 - 2

3 - 4

5 - 8

9 +

Finger-tip Number Writing - errors

0 - 3

4 - 6

7 - 11

12 +

Dysnomia

yes

Auditory Verbal Dysgnosia

yes

Visual Number Dysgnosia

yes

Visual Letter Dysgnosia

yes

Body Dysgnosia

yes

Dyscalculia

yes

Dysgraphia

yes

Dyslexia

yes

Constructional Dyspraxia

yes

Central Dysarthria

yes

Spelling Dyspraxia

yes

Right-Left confusion

yes

VIQ/PIQ Difference

0 - 5

6 - 10

11 - 19

20 +

HII and FSIQ

II = 0 - .4 or II = .5 - 1 & FSIQ = < 90

II = .5 - 1 & FSIQ = 90 - 95

II = .5 - 1 & FSIQ = 96 - 100

II = .5 - 1 & FSIQ = 101+

Finger Tapping (1 - non-dom./dom.)

.08 - .12

.13 - .16

.07 - .05

.17 - .21

.04 - (-.03)

.22 +

(-.04) -

TPT (1 - non-dom./dom.)

.38 - .26

.25 - .15

.39 - .42

.14 - .05

.43 - .50

.04 -

.51 +

Grip Strength (1 - non-dom./dom.)

.08 - .12

.13 - .17

.07 - .06

.18 - .20

.05 - .00

.21 +

(-.01) -

Tactile Form Recognition (dom. - nond.)

0 - 1”

2” - 3”

4” - 5”

6” +

Bilateral Tactile Stimulation (r. err. - l. err.)

0

1

2

3 +

Bilateral Auditory Stimulation (r. err.-l. err.)

0

1

2

3 +

Bilateral Visual Stimulation (r. err. - l. err.)

0

1

2

3 +

Tactile Finger Recognition (error % for the hand with largest # of errors in table ->,

use row with total # of errors below)

21 or more

18 - 20

15 - 17

12 - 14

9 - 11

6 - 8

3 - 5

0 - 2

50-54

50-54

50-54

50-55

50-56

50-56

50-59

50

55-57

55-57

55-58

56-58

57-59

57-63

60-67

1 error

58-60

58-62

59-63

59-63

60-63

64-70

68-79

100

61 +

63 +

64 +

64 +

64 +

71 +

80 +

-

Finger-tip Number Writing (use calculations & table above)

Category Test (errors)

>51

TPT Total Time (minutes)

>15.7

TPT Memory (correct)

<5

TPT Localization (correct)

<4

Seashore Rhythm (correct)

<25

Speech-Sound Perception (errors)

>8

Finger Oscillation (Domin. Hand - # of taps in 10 seconds)

<50

Category (errors)

< 25

26-52

53-75

76-105

106-131

132 +

TPT Total Time (minutes)

< 9

9.1-15.6

15.7-21

21.1-29.9

>30 & 14-30 blocks

>30 & 13-0 blocks

TPT Memory (correct)

10-9

8-6

5-4

3-2

1

0

TPT Localization (correct)

10-7

6-5

4-3

2-1

0 & TPT Mem.>0

0 & TPT Mem.=0

Speech-Sounds (errors)

0-3

4-7

8-14

15-25

26-30

31 +

Seashore Rhythm (errors)

0-2

3-5

6-9

10-13

14-18

19 +

Finger Tapping (# - use the worst of two hands)

Dom. Male

Female

Nondom. Male

Femanle

>55

>51

>49

>45

54-50

50-46

48-44

44-40

49-43

45-39

43-37

39-33

42-32

38-28

36-26

32-22

31-20

27-16

25-14

21-10

19-0

15-0

13-0

9-0

Trail Making B Time (min.)

<57

58-87

88-123

124-186

187-275

276 +

Aphasia Screen (errors)

0

1-6

7-15

16-25

26-40

41 +

Spatial Relations (errors, if BD<PC or PA add 2 points)

1

2-3

4-5

6-7

8-9

10-12

Perceptual Exam: Bilateral Simultaneous Stimulation (errors)

0-4

5-12

13-30

31-50

51-80

81 +

Digit Symbol Scaled Score & Perc. Average -1, where (Av-1) = (PA+PC+BD)/3-1

DS>12 & >(Av-1)

DS>12 & <(Av-1)

or

DS=9-11

DS=7-8 & >(Av-1)

DS=7-8 & <(Av-1)

or

DS=5-6 & >(Av-1)

DS=5-6 & <(Av-1)

or

DS=3-4 & >(Av-1)

DS=3-4 & <(Av-1)

or

DS=2-1 & >(Av-1)

DS=2-0 & < (Av-1)

Category Test

>51 errors, after 51 years age becomes the cutoff score

Current learning skill, concept formation, concept utilization, degree of generalization, mental efficiency, vsuo-spatial component, judgement, memory, ability to use external feedback

Sensitive, but not specific to frontal lobe damage

208 items; subtests 5&6 - figure-ground rel-ps; subtest 3 pulls for perseveration; can prorate by adding 15 to # of errors on subtests 1-4 if subjects gives up after subtest 4

Tactual Performance Test

Total time > 15.7’;

Memory < 5 correct;

Localization < 4 correct

motor speed, use of haptic info to guide behavior (spatial but not visual), response to novel situation & type of problem, incidental haptic memory

look at left/right hand differences; primary motor and sensory areas (frontal & parietal)

30% improvement is expected on the second trial; pattern for times (dom/ nond/both = 6:4:3); if takes more than 10 minutes per trial, can stop and prorate 1 min. per unplaced block

Speech-Sounds Perception Test

> 8 errors, >18 errors - suspect malingering

mostly taps sustained attention/concentration, auditory verbal perception, auditory-visual coordination of language processes (reading & sounding)

left mostly, usually 10-12 errors with brain damage, left temporal lesion can give more errors

60 items, 16 min.; requires 4th grade reading level; place recorder equidistant from both ears 1 yard away; can do sample up to 3 times

Seashore Rhythm Test

< 25 correct

best in the battery for sustained attention/ concentration, nonverbal auditory perception

right temporal

30 items, 7 min.

Finger Oscillation Test

< 50 on dominant hand

motor speed; body and arm recruitment - pathognomic for motor control problems

lateralization: 5-15% diff. between hands is expected; primary motor area (frontal lobes)

the average of 5 trials within 5 taps of each other or the average of 10 trials for each hand; start timing with the first tap

Trail Making Test

A > 41‘;

B > 91’;

B should take 2 1/2 - 3 times longer than A

set switching, visual scanning, sequencing, psychomotor speed, B is a whole brain test

if B<<A and errors are mostly switching - lesion is anterior; B<<A - left lesion, A<<B - right lesion

Show first 4 items on tests as well as samples; bring them back to the point before error as soon as they make one; schizophrenics usually do badly on B, have weired elaborations; look for errors confined to one side of the page

Lateral Dominance Exam

grip strength - expect 10% diff. between hands

r/l discrimination, r/l dominance, motor functions, periferal problems

lateralization, primary motor control

give first - easy, determines hand dominance; if one hand moves first and then the action is performed with the other one - suspect periferal impairment; for grip strength need average of two trials within 5 kg. of each other, alternate hands

Reitan-Klove Sensory Perception Exam

pathognomic signs; for tactile form recognition > 5’ discrepancy between hands

tactile, auditory, visual perception problems (subtle - imperceptions on bilat. simult. Stim.-lateralization), finger agnosia (tactile finger recognition), agraphesthesia (fingertip # writing), astereognosis (tactile form recognition)

tactile - parietal, visual - occipital, auditory - temporal

for tactile form recognition always start with right hand, self-correction < 1/2’ is acceptable

Reitan-Indiana Aphasia Screen

pathognomic signs

naming, spelling, reading, # & letter recognition, writing, arithmetic, enunciation, body part identification, apraxia, comprehension, following directions, r/l differentiation, constructional dyspraxia

depending on the sign

get two copies of greek cross for scoring, score a point for each distorted corner (examples in the folder)