Clock-Drawing in Neurological Disorders

Clock-drawing is a widely used bedside test of constructional ability, but it has never been systematically studied or standardized. We examined 87 clocks drawn by neurologically impaired patients and age-matched controls, and propose a set of criteria for scoring clocks. Patients with probable Alzh...

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Main Authors: Gerald Dal Pan, Yaakov Stern, Mary Sano, Richard Mayeux
Format: Article
Language:English
Published: Wiley 1989-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.3233/BEN-1989-2104
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author Gerald Dal Pan
Yaakov Stern
Mary Sano
Richard Mayeux
author_facet Gerald Dal Pan
Yaakov Stern
Mary Sano
Richard Mayeux
author_sort Gerald Dal Pan
collection DOAJ
description Clock-drawing is a widely used bedside test of constructional ability, but it has never been systematically studied or standardized. We examined 87 clocks drawn by neurologically impaired patients and age-matched controls, and propose a set of criteria for scoring clocks. Patients with probable Alzheimer's disease and other dementias have gross impairments in clock-drawing. These deficits include poor spatial arrangement of numbers, incorrect numerical sequence, insertion of stray lines, and addition of extra numbers. In Alzheimer's disease, the total score on the clock-drawing test correlates with the score on the Modified “Mini-Mental State” Examination. Non-demented patients with Parkinson's disease showed only defects in the spatial organization of the numbers, and non-demented patients with other diseases perform as well as controls.
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spelling doaj-art-df7548dbcf6c4a4a9294a9daddfe03d12025-02-03T05:52:49ZengWileyBehavioural Neurology0953-41801875-85841989-01-0121394810.3233/BEN-1989-2104Clock-Drawing in Neurological DisordersGerald Dal Pan0Yaakov Stern1Mary Sano2Richard Mayeux3Departments of Neurology and Psychiatry, Columbia University, College of Physicians and Surgeons, USADepartments of Neurology and Psychiatry, Columbia University, College of Physicians and Surgeons, USADepartments of Neurology and Psychiatry, Columbia University, College of Physicians and Surgeons, USADepartments of Neurology and Psychiatry, Columbia University, College of Physicians and Surgeons, USAClock-drawing is a widely used bedside test of constructional ability, but it has never been systematically studied or standardized. We examined 87 clocks drawn by neurologically impaired patients and age-matched controls, and propose a set of criteria for scoring clocks. Patients with probable Alzheimer's disease and other dementias have gross impairments in clock-drawing. These deficits include poor spatial arrangement of numbers, incorrect numerical sequence, insertion of stray lines, and addition of extra numbers. In Alzheimer's disease, the total score on the clock-drawing test correlates with the score on the Modified “Mini-Mental State” Examination. Non-demented patients with Parkinson's disease showed only defects in the spatial organization of the numbers, and non-demented patients with other diseases perform as well as controls.http://dx.doi.org/10.3233/BEN-1989-2104
spellingShingle Gerald Dal Pan
Yaakov Stern
Mary Sano
Richard Mayeux
Clock-Drawing in Neurological Disorders
Behavioural Neurology
title Clock-Drawing in Neurological Disorders
title_full Clock-Drawing in Neurological Disorders
title_fullStr Clock-Drawing in Neurological Disorders
title_full_unstemmed Clock-Drawing in Neurological Disorders
title_short Clock-Drawing in Neurological Disorders
title_sort clock drawing in neurological disorders
url http://dx.doi.org/10.3233/BEN-1989-2104
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AT marysano clockdrawinginneurologicaldisorders
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