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Comparative analysis of the effects of the computer-based and paper-based trail making tests on oxygenation in the prefrontal cortex. | LitMetric

AI Article Synopsis

  • The Trail Making Test (TMT) assesses executive functions and cerebral oxygenation in the prefrontal cortex, providing insights into brain activation during the task.
  • This study compared cerebral oxygenation and task performance between computer-based and paper-based versions of the TMT among 32 healthy adults, using near-infrared spectroscopy to measure oxygenation levels.
  • Findings revealed significant differences, with the computer-based version showing lower accuracy and longer task times compared to the paper version, suggesting a need for further improvements to enhance the computer-based TMT for clinical use.

Article Abstract

The trail making test (TMT) is a commonly used tool for evaluating executive functions, and the activation of cerebral oxygenation in the prefrontal cortex (PFC) during the test can reflect the participation of executive function. This study aimed to compare the differences in cerebral oxygenation in the PFC between the computer- and paper-based versions of the TMT and provide a theoretical basis for the optimization and clinical application of the computer-based version. A total of 32 healthy adult participants completed the computer- and paper-based TMT Types A and B. Cerebral oxygenation changes in the PFC were monitored during the experiment using near-infrared spectroscopy. Moreover, average changes in oxyhemoglobin (Δoxy-Hb) levels at the baseline and during activation periods in different types of testing were compared and analyzed. The number of correct connections in the computer-based version Type B was less than that in the paper-based version Type B (p < .001). The task time of the computer-based version was longer than that of the paper-based version (p < .001). The B/A ratio of the number of correct connections in the computer-based version was lower than that in the paper-based version (p < .001). The Δoxy-Hb in the PFC of the paper-based version was higher than that of the computer-based version (p < .001). Significant differences in oxygenation in the PFC were observed between the paper- and computer-based versions of TMT. After further improvement and correction in the subsequent development of the computer-based TMT, and taking into account the psychological feelings and preferences of the participants when performing different versions of the TMTs, the computer-based TMT is expected to play a good auxiliary role in clinical evaluation.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348744PMC
http://dx.doi.org/10.1186/s12868-024-00886-9DOI Listing

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