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Head injury, Alzheimer's disease, and stroke can severely reduce the performance of an individual on the block design test.
Good performance on the block design test is indicative of appropriate functioning of the parietal and frontal lobes.
The Kohs-Test is a block design test to analyse the cognitive capacity (problem solving strategy, .)
The Block Design test is also a relatively accurate measure of spatial ability and Spatial Visualization Ability used in daily life.
Uta Frith, in her book Autism: Explaining the Enigma, addresses the superior performance of autistic individuals on the block design test.
The Block Design test is considered one of the best measures of spatial ability, although it is subject to certain problems of administration, such as anxiety or over-cautious responding.
The Kohs Block test, also known as the Kohs Block Design Test, is a performance test designed to measure intelligence.
Older tests include the "numbers connecting test" A and B (measuring the speed at which one could connect randomly dispersed numbers 1-20), the "block design test" and the "digit-symbol test".
Although the block design test is characterized as a test of spatial visualization, not mental rotation, spatial visualization ability as measured by the block design test is highly correlated to mental rotation ability.
As performance on the Block Design test has been suggested as a predictive measure for performance in fields such as engineering and physics, Felder, at North Carolina State University, has developed a learning style questionnaire that attempts to assess spatial ability in an educational context.
The Block Design test was adapted by David Wechsler into the WAIS (Wechsler Adult Intelligence Scale) from the Kohs Block Design test developed in 1923 at Stanford University by Samuel Calmin Kohs (1890-1984).