Flavie Bompaire
Contribution of the Arc de Triomphe construction test to the quantification of dysexecutive syndrome.
Summary
Executive functions refer to high-level cognitive processes that enable an individual to implement adapted behaviours in order to achieve specific goals, particularly in situations that are new, complex or require adaptation.
Their quantification is delicate in clinical practice because it requires the analysis of a cognitive component and a behavioral component that are uncorrelated from each other, but both responsible for disability in daily life.
Moreover the tests aiming at measuring dysexecutive syndrom should have a threshold that on the one hand allows the evaluation of subjects with high intellectual performances without ceiling effect, and on the other hand to have the property to quantify the impairment in the most severely affected patients.
The SmartFlat for Dysexecutive Syndrome Stratification (SDS2) protocol is a prospective longitudinal observational study that aims at quantifying the cognitive and behavioral impairment of executive functions in brain-injured patients, through neuropsychological tests and semi-ecological tasks compared to a control group.
In this study, subjects are followed for 3 years (4 visits). The patients’group is evaluated with neurocognitive explorations validated in the cognitive and ecological assessment of dysexcutive syndrome and all subjects (control and patients) perform two semi-ecological tasks : a cooking task (chocolate cake) and a Lego® construction task (the Arc de Triomphe construction test) with digitalized data acquisition (3 external repositories and an egocentric repository with eye-tracking measurements).
The data obtained make it possible to capture the variations of performance for the two tasks in the control group and in the patients’group, in a prospective manner, and to compare them in the patients’group to the cognitive and brain imaging data.
This work presents the data acquired in the SDS2 protocol to this day, the contribution of the Arc de Triomphe construction task in addition to the more classic cooking task, the links observed between cognitive and ecological measurements and brain radiological data to give anatomical consistency to the already known tests and those developed in this work.
Supervision
Jury
- Damien Ricard, PU-PH, Service de Santé des Armées, Université Paris Cité, Directeur
- Jérémy Besnard, PU, HDR, Université d’Angers, Rapporteur
- Audrey Henry, PU, HDR, Université de Reims, Rapporteur
- Mathilde Chevignard, PU-PH, Université Paris Est Val de Marne, Examinatrice
- Nathalie Ehrlé, PU-HDR, Université Paris Cité, Examinatrice
- Bernard Michel, PU, Université Aix Marseille, Examinateur