The Italian Journal of Neurological Sciences

, Volume 17, Issue 4, pp 305–309 | Cite as

Trail making test: normative values from 287 normal adult controls

  • Giovagnoli A. R. 
  • Pesce M. Del 
  • Mascheroni S. 
  • Simoncelli M. 
  • Laiacona M. 
  • Capitani E. 
Brief Communication

Abstract

The Trail Making Test (TMT), which explores visual-conceptual and visual-motor tracking, is a frequently used neuropsychological test because of its ease of administration and sensitivity to brain damage. In this paper, norms are provided for the time scores derived from parts A and B, and for the (B-A) difference. The data were collected from 287 adult Italian subjects stratified by gender, schooling and age (from 20 to 79 years). The test scores were affected by age, education and general intelligence (as expressed by Raven's Coloured Progressive Matrices). Only for part A did females have longer time scores than males. Test-retest reliability was high for each score.

Key words

Trail Making Test Conceptual and visual-motor tracking Divided attention Shifting ability 

Sommario

Il Trial Making test (TMT), che valuta il modo di procedere in compiti visivi concettuali e visuo-motori, è uno dei test neuropsicologici più frequentemente usati per la sua semplicità di somministrazione e sensibilità nel rilievo di danno cerebrale. In questo articolo sono presentati i dati normativi dei punteggi forniti dalle parti A e B del test e dalla differenza (B-A). La raccolta dei dati è stata effettuata su 287 soggetti adulti Italiani suddivisi in base ad età (compresa tra 20 e 79 anni), scolarità e sesso. L'elaborazione dei dati è stata effettuata in modo da ottenere i limiti di tolleranza ed una standardizzazione con il metodo dei Punteggi Equivalenti. I punteggi del test sono risultati influenzati dall'età, scolarità e capacità intellettiva (espressa dalle Matrici Progressive Colorate di Raven). Le femmine hanno mostrato punteggi lievemente peggiori dei maschi solo nella parte A. Il confronto test-retest ha mostrato un'elevata attendibilità per ogni punteggio del test.

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References

  1. [1]
    Ackermann H.:Mehrdimensionale nicht-parametrische Normbereiche. Metodologische und medi inische Aspekte. Springer Verlag, Berlin, 1985.Google Scholar
  2. [2]
    Armitage S.:Analysis of certain psychological used for the evaluation of brain damage. Pshychol. Mon., 60: 149–156, 1946.Google Scholar
  3. [3]
    Basso A., Capitani E., Laiacona M.:Raven's Coloured Progressive Matrices: normative values on 300 adult normal controls. Functional Neurology, 2: 189–194, 1987.PubMedGoogle Scholar
  4. [4]
    Boll T.M., Reitan R.M.:Effect of age on performance of the Trail Making Test. Percept. Mot. Skills., 36: 691–694, 1973.PubMedGoogle Scholar
  5. [5]
    Capitani E., Laiacona M.:Aging and psychometric diagnosis of intellectual impairment: some considerations on test scores and their use. Devep. Neuropsychol., 4: 325–330, 1988.Google Scholar
  6. [6]
    Corrigan J.D., Hinkeldey N.S.:Relationships between parts A and B of the Trail Making Test. J. Clin. Psychol., 43: 402–409, 1987.PubMedGoogle Scholar
  7. [7]
    Davies A.D.M.:The influence of age on the Trail Making Test performance. J. Cons. Psychol., 24: 96–98, 1968.Google Scholar
  8. [8]
    Gass C.S., Daniel S.K.:Emotional impact on Trail Making Test performance. Psychol. Rep., 67: 435–438, 1990.PubMedGoogle Scholar
  9. [9]
    Gordon N.G.:The Trail Making Test in neuropsychological diagnosis. J. Clin. Psychol., 28: 167–169, 1972.PubMedGoogle Scholar
  10. [10]
    Gordon N.G.:Diagnostic efficiency of the Trail Making Test as a function of cut-off score, diagnosis, and age. Percept. Mot. Skills., 47: 191–195, 1978.PubMedGoogle Scholar
  11. [11]
    Goul W.R., Brown M.:Effects of age and intelligence on Trail Making Test performance and validity. Percept. Mot. Skills 30: 319–326, 1970.PubMedGoogle Scholar
  12. [12]
    Kennedy K.J.:Age effects on Trail Making Test performance. Percept. Mot. Skills, 52: 671–675, 1981.PubMedGoogle Scholar
  13. [13]
    Klusman L.E., Cripe L.I., Dodrill C.B.:Analysis of errors on the Trail Making Test. Percept. Mot. Skills, 68: 1199–1204, 1989.PubMedGoogle Scholar
  14. [14]
    Lezak M.:Neuropsychological assessment. Oxford University Press, New York, 381–384, 1995.Google Scholar
  15. [15]
    Lindsey B.A., Coppinger N.W.:Age-related deficits in simple capabilities and their consequences for Trail Making performance. J. Clin. Psychol., 25: 156–159, 1969.PubMedGoogle Scholar
  16. [16]
    Nielsen H., Knudsen L., Daugbjerg O.:Normative data for eight neuropsychological tests based on a Danish sample. Scand. J. Psychol., 30: 37–45, 1989.PubMedGoogle Scholar
  17. [17]
    Orgel S., McDonald R.:An evaluation of the Trail Making Test. J. Cons. Psychol., 31: 77–78, 1967.Google Scholar
  18. [18]
    Parsons O.A., Maslow H.I., Morris F., Denny P.:Trail Making Test performance in relation to certain experiments, tests, and subject variables. Percept. Mot. Skills, 19: 199–206, 1964.PubMedGoogle Scholar
  19. [19]
    Reitan R.M.:The relation of the Trail Making Test to organic brain damage. J. Cons. Psychol., 19: 393–394, 1955.Google Scholar
  20. [20]
    Reitan R.M.:Validity of the Trail Making Test as an indication of organic brain damage. Percept. Mot. Skills, 8: 271–276, 1958.Google Scholar
  21. [21]
    Reitan R.M.:Trail making Test for normal and brain-damaged children of early school age. Percept. Mot. Skills, 33: 575–581, 1971.PubMedGoogle Scholar
  22. [22]
    Reitan R.M., Wolfson D.:The Halstead-Reitan Neuropsychological Test Battery: theory and clinical interpretation. Neuropsychology Press, Tucson, AZ, 1985.Google Scholar
  23. [23]
    Rossini E.D., Karl M.A.:The Trail Making Test A and B: a technical note on structural nonequivalence. Percept. Mot. Skills, 78: 625–626, 1994.PubMedGoogle Scholar
  24. [24]
    Russel E.W., Neuringer C., Goldstein G.:Assessment of brain damage: A neuropsychological key approach. John Wiley, New York, 1970.Google Scholar
  25. [25]
    Selnes O.A., Jacobson L., Machado A.M. et al.:Normative data for a brief neuropsychological screening battery. Percept. Mot. Skills, 73: 539–550, 1991.PubMedGoogle Scholar
  26. [26]
    Spreen O., Benton A.L.:Comparative studies of some psychological tests for cerebral damage. J. Nerv. Ment. Dis., 140: 323–333, 1965.PubMedGoogle Scholar
  27. [27]
    Wysocki J.J., Sweet J.J.:Identification of brain-damaged, schizophrenic, and normal medical patients using a brief neuropsychological screening battery. Inter. J. Clin. Neuropsychol. 7: 40–44, 1985.Google Scholar

Copyright information

© Masson S.p.A 1996

Authors and Affiliations

  • Giovagnoli A. R. 
    • 4
  • Pesce M. Del 
    • 1
  • Mascheroni S. 
    • 4
  • Simoncelli M. 
    • 1
  • Laiacona M. 
    • 2
  • Capitani E. 
    • 3
  1. 1.Clinica NeurologicaUniversità di AnconaItaly
  2. 2.Fondazione “S. Maugeri”Centro Medico di Veruno, Divisione di Neurologia, Servizio di Neuropsicologia, VerunoNovara
  3. 3.Clinica Neurologica IIIUniversità di MilanoItaly
  4. 4.II Divisione NeurologicaIstituto Nazionale Neurologico “C. Besta”MilanoItaly

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