Luria-Nebraska Neuropsychological Battery

What is Luria-Nebraska Neuropsychological Battery (LNNB) ?

Purpose: It aims to evaluate patients with neuropsychological impairment.

Population: 15 years old and above.

Score: Fourteen points.

Time: (90-150) minutes.

Author: Charles J. Golden, Thomas A. Hammeke and Arnold D. Purisch.

Publisher: Western Psychological Services.

Description: The Luria-Nebraska Neuropsychological Battery (LNNB) is a standardized test battery based on Aleksandr R. Luria’s advanced cortical function theory. LNNB used to screen and evaluate patients with neuropsychological impairment. Contrary to the more psychological and quantitative approach adopted by most Western clinical neuropsychologists, Luria uses unstructured qualitative techniques to assess patients with neurological impairment. Golden and his colleagues tried to integrate Luria’s technology into clinical neuropsychology in the United States.

Clinicians use the battery as an examination tool to determine if there is a serious brain injury or to learn more about known brain injuries. It is also used to determine the patient’s ability in neuropsychological functions. For example, LNNB can be used to determine which intellectual or cognitive tasks a patient may or may not be able to complete. Batteries can also be used to determine the root cause of patient behavior. More specifically, information about the location and nature of brain damage or dysfunction that caused patient problems is collected.

Scoring: The LLNB consists of 269 items in the following 11 clinical scales and 3 summary scales:

Clinical scales

  1. Reading
  2. Writing
  3. Arithmetic
  4. Visual
  5. Memory
  6. Expressive language
  7. Receptive language
  8. Motor function
  9. Rhythm
  10. Tactile
  11. Intellectual processes

Summary scale

  1. Pathognomonic,
  2. Right hemisphere
  3. Left hemisphere

The probability of brain damage is assessed by comparing an individual’s score on each of the 11 clinical scales in the battery with a critical level appropriate for that person’s age and educational level. For example, if a person’s score is five to seven above the critical level, then they are most likely to show signs of neurological dysfunction. A score of eight or more above the critical level indicates a clear history of neurological disease.

Reliability and Validity: A number of studies have had a positive impact on LNNB. When compared with the Halstead-Reitan neuropsychological battery, it is found that they are roughly equivalent in the hands of experienced clinical neuropsychologists in distinguishing experienced mental patients from brain-injured people. The total hit rate of each battery is about 80%. It was also found that LNNB separates patients with brain injury from those with pseudoneuropathy, with a hit rate of about 80%. The hit rates of the other groups are as follows: idiopathic seizure group (77.3%), brain injury secondary seizure group (88.9%) and normal people (87.5%).

Specification: Patients with neuropsychological impairment.

Suggested use: Suggested use includes screening and neuropsychological evaluation of patients with neurological impairment.

Reference:

  • Golden, Charles J., and Shawna M. Freshwater. “Luria-Nebraska Neuropsychological Battery” In Understanding Psychological Assessment: Perspectives on Individual Differences, edited by William I. Dorfman and Michael Hersen. New York: Kluwer Academic/Plenum Publishers, 2001.
  • Moses, James A., Jr., Ph.D., Charles J. Golden, Ph.D., Rona Ariel, Ph.D., and John L. Gustavson, Ph.D. Interpretation of the Luria-Nebraska Neuropsychological Battery. Volume 1. New York: Grune and Stratton, 1983.
  • Golden, Charles J., Shawna M. Freshwater, and Jyothi Vayalakkara. “The Luria-Nebraska Neuropsychological Battery.” In Neuropsychological Assessment in Clinical Practice: A Guide to Test Interpretation and Integration, edited by Gary Groth-Marnat. New York: John Wiley and Sons, 2000.

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