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Rey Complex Figure Test (CFT).de.en

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Rey Complex Figure Test (CFT)
Instructions for use in the Frankfurt Neuropsychological Test Profile (FNTP)
dr Michael Russ
(Was standing:February 4th2014)
www.fntp.de)
Execution and Scoring
Sign off: The test template is presented in landscape format for signing (a cross at the top
left). Aids such as a ruler or eraser are not allowed, only a pencil is provided. There is no time
limit. However, the time is unobtrusively recorded as additional information. If you are
obviously overwhelmed, the attempt will be stopped (after 10 minutes at the latest). The
instruction reads: "Please try to draw this somewhat complicated figure as accurately as
possible. Without a ruler, as it lies here, in the same position and the same size. The time is
not important.” Prevent spontaneous rotation of the template if possible! It makes sense to
record the course of the signing by numbering the sequence of strokes on a separate sheet
and to note down qualitative observations (e.g. neglect sign).
Memory: When signing off, no indication is given that the figure should be kept.
Immediately after signing, an empty DIN A4 sheet is put down with the request: "Can
you draw the figure again from memory?" No repeat presentation of the template
afterwards! And after an interval of 30 minutes, which is filled with other test tasks, a
second question is asked: "Can you still remember the figure that you had already drawn
twice?"
Normal drawing: With at least average intelligence, healthy people are able to copy the
figure - more or less exactly - so that the end product corresponds well with the template.
The linework varies qualitatively (strong, secure lines, painterly dashed, pedantic-exact,
timid, thin, weak line ...), the planning behavior leads to success in different ways. The most
common is a structurally sound, large-scale development. Often the cross is started at the
top left, then the large rectangle is drawn, the triangle is added to the right, then the inner
diagonal cross is drawn with the center lines and the upper triangle is added to the outside.
The order after completing the large rectangle is very variable, but the procedure is
characterized by overview. timid, Anxious and cautious people systematically divide the
figure into manageable parts, while others draw large areas using the “outside first”
strategy. The main characteristic of the normal drawing is the consistency of shape in the
end product, and a "somehow" systematic, goal-oriented approach is to be expected in the
behavior of the signs.
Score: The evaluation is "semi-objective" and primarily dependent on the experience of the
evaluator. Adequate training is therefore necessary. In order to be able to roughly decide
whether a drawing looks qualitatively "normal" or "disturbed, pathological" (which is entirely
possible and sensible), the "normal" way of drawing must have been seen in as many healthy
people as possible. In neurological patients (e.g. M. Parkinson, cerebellar disease, paresis,
polyneuropathy), the “purely motor” weaknesses disrupt the assessment. CFT is a
"visuoconstructive" test that examines the perception of shape and the purposeful
implementation of a visual idea in a graphic program of action. Disorders of simple fine
motor skills are better recorded in other ways (Purdue pegboard, tapping). The rule applies:
The “trembling”, “crazy”, “extending”, “chunky”, “imprecise” of the strokes caused by the
motor are unthinkable in the evaluation. A Parkinson's patient's very crooked, shaky, badlooking drawing may well get a high score afterwards. This “thinking away” of the motor
disorder in the assessment is of course objective to a limited extent, but makes sense for
clinical diagnostics.
Since the memory reproductions - immediately after signing and drawn 30 minutes later are often casually thrown in and taken less seriously in terms of the quality of the drawing,
the second rule should apply: the two memory reproductions are rated "more generously"
than the first drawing.
New memory quotient : As an alternative to the Rey memory variable CFM, a new
"memory quotient CQM" is defined. Since the retention performance depends on how
much could be recorded as visual perception when signing, i.e. learning, the memory
score is related to the signing score. A poor initial performance when signing off should
be calculated in the memory score. This variable may prove to be a more meaningful
measure of visual memory. CQM is now proposed for the FNTP profile display. However,
the experience is not yet sufficient for the final decision. The raw score for CQM is
calculated from the sum of both memory performances (S1 and S2, raw scores), divided
by the raw score at the badgeninSo.Dhe quotient becomesmultiplied by 100. The agerelated T-scores for this raw score can be found in Table 9b (CQM).
Scoring Rey Complex Figure Test (CFT, CFM, CQM)
figure area
sign off
1 Cross top left outside
2 basic rectangle
3 diagonal cross inside
4 Horizontal center line
5 Vertical center line
6 Small rectangle inside left
7 Line above 6
8th 4 parallel lines inside top left
9 Triangle applied at the top outside
10 Vertical line below 9 inside
11 Circle with 3 points
12 5 dashes in the cross bottom right
13 Triangle attached to the right outside
14 diamond
15 Vertical line in triangle 13
16 Horizontal line in triangle 13
17 Cross outside below (with connection)
18 Square attached outside lower left
to hum
So
Sign off raw value = Sun
Raw memory score = S1 + S2
Raw memory quotient=(S1+S2)/So*100
memory
1
memory
2
S1
S2
Maximum value 36
Maximum value 72
All 18 sub-units are assessed both individually and in relation to the overall design. First, the
accuracy of the partial image must be checked (existing, correctly drawn, recognizable, only
hinted at, imprecise, not recognizable, missing ...), then the relation / position within the overall
shape is checked. There are the following combinations, which are rated with 2, 1 or 0.5 points:
Partial form considered in itself
Part drawn correctly
Part inaccurate / incomplete but still identifiable
Part missing / not recognizable
arrangement correct
2
1
0
Arranged incorrectly
1
1/2
0
History logging sheet
Table B8. Rey Complex Figure Test - Copy (CFT)
T
80
75
70
68
66
64
62
60
59
58
57
56
55
54
53
52
51
50
49
48
47
46
45
44
43
42
41
40
39
38
37
36
35
34
33
32
31
30
28
26
24
22
20
n
M
SD
15-25
26-35
36-45
35
35
35
36
34
33
32
31
30
36
34
33
32
31
29
30
28
27
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
13
11
9
7
6
5
140
29.4
7.0
26
25
24
23
22
21
20
19
18
17
16
15
14
12
10
8th
6
105
29.4
6.0
36
34
33
46-55
56-65
66-75
35
35
35
36
35
34
34
34
33
33
33
32
31
30
32
31
30
29
28
31
29
27
30
29
28
27
28
27
26
25
24
23
22
21
19
17
15
14
13
11
9
8th
7
6
26
25
24
23
21
20
19
17
16
15
14
13
12
10
8th
7
6
5
26
25
24
23
22
21
20
19
18
16
15
14
13
12
11
10
9
8th
7
6
5
5
4
4
4
3
3
3
253
25.0
9.5
2
153
23:1
9.4
2
54
22:1
9.1
36
34
33
32
32
31
31
30
30
29
29
28
27
26
25
24
23
22
21
20
19
18
17
15
13
12
11
10
9
8th
7
6
4
190
28.5
6.8
28
27
26
25
24
22
21
20
19
18
17
16
15
14
12
11
10
9
8th
7
6
5
4
267
27.5
7.6
36
32
36
76-85
PR
100
99
98
96
95
92
89
84
82
79
76
73
69
66
62
58
54
50
46
42
38
35
31
27
24
21
18
16
14
12
10
8th
7
6
5
4
3
2
1
0.8
0.5
0.3
0.1
N=1162
26.7
8.4
Table B9a. Rey Complex Figure Test - Memory (CFM)
T
80
75
70
68
66
64
62
60
59
58
57
56
55
54
53
52
51
50
49
48
47
46
45
44
43
42
41
40
39
38
37
36
35
34
33
32
31
30
28
26
24
22
20
n
M
SD
15-25
70
68
66
63
61
60
58
56
54
53
52
51
49
48
46
44
42
41
40
37
35
33
31
29
27
26
24
23
22
20
18
17
16
15
14
13
12
10
9
7
5
3
1
105
39.5
15.6
26-35
68
66
64
62
60
58
56
54
52
50
48
47
46
44
42
40
38
36
34
32
31
28
26
24
22
20
19
18
16
15
13
11
10
9
8th
7
6
5
4
3
2
1
140
35.0
17.3
36-45
66
63
60
58
57
55
53
51
49
46
44
42
40
38
36
34
32
31
29
27
26
25
23
21
19
18
16
15
13
12
11
10
9
8th
7
6
5
4
3
2
1
189
31:4
15.3
46-55
64
61
59
57
56
54
52
50
48
45
42
40
39
37
35
33
31
30
28
26
25
23
22
20
18
17
15
13
12
11
10
9
8th
7
6
5
4
3
2
1
267
29.9
16.3
56-65
62
60
58
56
54
52
49
47
45
42
40
38
36
35
33
31
29
28
26
24
22
20
18
16
15
14
12
11
10
9
8th
7
6
5
4
3
2
1
253
26.0
16.6
66-75
60
57
53
50
48
45
42
39
35
33
31
29
28
26
24
22
21
20
18
17
16
15
14
13
12
10
9
8th
7
6
5
4
76-85
55
53
51
48
46
43
39
35
32
30
28
26
24
22
20
18
16
15
14
13
12
11
10
9
8th
7
6
5
4
3
3
2
1
153
19.6
15.2
2
1
54
16.6
15.4
PR
100
99
98
96
95
92
89
84
82
79
76
73
69
66
62
58
54
50
46
42
38
35
31
27
24
21
18
16
14
12
10
8th
7
6
5
4
3
2
1
0.8
0.5
0.3
0.1
N=1161
28.8
17.1
The raw score for the variable CFM (memory) is the sum of the two memory runs (
memory &immediately after signing +30 minutes later). The maximum raw score is 72 if
the character is drawn from memory with absolutely no errors.
Table B9b. Rey Complex Figure Test - Memory Quotient (CQM)
T
80
75
70
68
66
64
62
60
59
58
57
56
55
54
53
52
51
50
49
48
47
46
45
44
43
42
41
40
39
38
37
36
35
34
33
32
31
30
28
26
24
22
20
n
M
SD
15-25
26-35
36-45
46-55
56-65
66-75
230
220
210
205
202
192
187
177
173
170
167
159
157
152
149
147
141
137
132
127
122
117
112
106
101
94
90
84
80
73
69
65
59
52
50
47
40
37
37
31
28
25
20
122
134
46
220
210
200
190
187
178
173
163
160
157
156
152
147
143
138
132
128
121
115
110
105
99
92
84
78
72
69
62
57
51
47
41
35
34
31
28
25
20
15
10
5
2
0
167
120
52
210
205
200
190
185
173
167
153
149
143
139
133
127
123
118
114
110
105
101
95
91
87
81
74
70
64
60
53
51
45
40
35
33
29
25
20
15
10
8th
6
4
2
0
229
106
46
210
205
195
175
170
165
160
149
145
138
135
129
124
120
114
110
107
103
101
95
91
87
81
74
70
64
60
53
51
45
40
35
33
29
25
20
15
10
8th
6
4
2
0
352
105
52
205
200
192
176
170
161
155
142
138
132
127
122
118
112
108
102
98
92
87
81
79
74
70
67
62
59
54
50
46
41
39
34
31
28
25
20
15
10
8th
6
4
2
0
355
96
52
190
185
180
175
170
157
150
136
132
127
121
115
110
107
100
97
90
87
80
73
70
65
59
52
46
41
38
33
30
25
22
19
15
13
11
9
7
5
5
3
2
1
0
257
82
52
76-85
180
175
170
160
152
140
134
122
115
110
102
106
91
85
79
74
67
60
55
49
45
40
36
30
27
24
20
17
15
13
12
11
10
9
8th
7
6
5
4
3
2
1
0
93
65
51
Raw value of this table is the memory quotient (S1 + S2 divided by the raw
score of Badge Pass So and multiplied by 100,see scoring sheet).
PR
100
99
98
96
95
92
89
84
82
79
76
73
69
66
62
58
54
50
46
42
38
35
31
27
24
21
18
16
14
12
10
8th
7
6
5
4
3
2
1
0.8
0.5
0.3
0.1
N=1553
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