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Repeatable%20Battery%20for%20Assessment%20of%20Neuropsychological%20Status%20(RBANS)
Availability
Please visit this website for more information about the instrument: Repeatable Battery for Assessment of Neuropsychological Status
Classification
NeuroRehab Supplemental - Highly Recommended
Recommendations for Use: Indicated for studies requiring a brief measure for cognitive assessment.
 
Supplemental: Mitochondrial Disease (Mito) and Stroke
 
Exploratory: Sport-Related Concussion (SRC)
Short Description of Instrument
The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) is a brief standardized screening tool developed for the dual purposes of identifying and characterizing abnormal cognitive decline in the older adult and as a neuropsychological screening battery for younger patients. The RBANS is made up of 12 subtests and takes approximately 30 minutes to administer.
 
The RBANS is one of the most comprehensive yet logistical reasonable test batteries, assessing the domains of immediate memory, visuospatial/construction, language, attention, and delayed memory. The battery yields an overall score and for each of the five domains. Available in English and Spanish.  With the addition of a measure of executive function, represents a wide-ranging assessment of post-stroke cognition for both inpatients and outpatients.
 
Advantages: Multi-dimensional battery of concussion relevant domains. Sports concussion literature does demonstrate discriminability between concussion and controls.
Comments/Special Instructions
NeuroRehab and Mito Specific: It can have a global score or be modular. This test was included to note the possibility of modular administration.  
Scoring and Psychometric Properties
Scoring: The RBANS uses standardized norms to measure the subject's status in five cognitive domains:
 
  1. Immediate memory
  2. Visuospatial/constructional
  3. Language
  4. Attention
  5. Delayed Memory

 
Index scores are then converted to classifications that are used to assess the participant's neuropsychological status.
 
Psychometric Properties: RBANS showed good convergent validity and the RBANS supplemented with executive and language measures (Colour Trails Test and 30-item modified Boston Naming Test, respectively) demonstrated excellent convergent validity with a formal neuropsychological battery.
Rationale/Justification
Strengths: The RBANS is a standard that is familiar to clinicians. It can have a global score or be modular. RBANS has four forms which is advantageous when doing repeated measures.
 
Weaknesses: Although the RBANS has four forms, they are not equivalent. Forms A and B are psychometrically comparable; C and D are less so. RBANS also does not include measures of executive functions, which are highly relevant in neurorehab populations.
References
Key Reference:
Randolph C, Tierney MC, Mohr E, Chase TN. The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS): preliminary clinical validity. J Clin Exp Neuropsychol. 1998 Jun;20(3):310-9.
 
Additional Reference(s):
Jaywant A, Toglia J, Gunning FM, O'Dell MW. The clinical utility of a 30-minute neuropsychological assessment battery in inpatient stroke rehabilitation. Journal of the Neurological Sciences. 2018;390: 54-62
 
Killam C, Cautin LR, Santucci A. Assessing the enduring residual neuropsychological effects of head trauma in college athletes who participate in contact sports. Clin Neuropsychol. 2005;20(5):599-611.
 
Lees R, Selvarajah J, Fenton C, Pendlebury ST, Langhorne P, Stott DJ, Quinn TJ. Test Accuracy of Cognitive Screening Tests for Diagnosis of Dementia and Multidomain Cognitive Impairment in Stroke. Stroke. 2014;45(10):3008-18.
 
Moser RS, Schatz P. Enduring effects of concussion in youth athletes. Arch Clin Neuropsychol. 2002;17(1):91-100.
 
Moser RS, Schatz P, Jordan BD. Prolonged effects of concussion in high school athletes. Neurosurgery. 2005;57(2):300-6.
 
Schouten EA, Schiemanck SK, Brand N, Post MW. Long-term deficits in episodic memory after ischemic stroke: evaluation and prediction of verbal and visual memory performance based on lesion characteristics. J Stroke Cerebrovasc Dis. 2009;18(2):128-38.
 
Wilde MC. Lesion location and repeatable battery for the assessment of neuropsychological status performance in acute ischemic stroke. Clin Neuropsychol. 2010 Jan;24(1):57-69
 
Document last updated March 2024