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Attention

Line Bisection Test

Also called: line bisection task, Schenkenberg line bisection

Measure spatial attention as participants mark the middle of lines on the left, in the center and on the right, scored as the deviation from the true middle.

3-5 minUntimed

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Papers, 2021 to 2025
224
Evidence grade
B
Registered clinical studies
68
How these are counted
Mean deviationLeft, center and right linesShort and long lines
Mark the middle of each line
  • Overview
  • Evidence
  • Task design
  • Quality checks
  • Settings
  • Cite
  • Questions

What it measures

Measures how attention is spread between the left and right of space. Lines of six lengths appear one at a time on the left, in the center and on the right, and participants mark the middle of each. The main score is the mean deviation of the marks from the true middle, with rightward deviations positive.

Constructs

  • Spatial attention
  • Visuospatial judgment
  • Attentional bias between left and right

Research uses

  • Spatial attention and neglect research
  • Pseudoneglect and aging research
  • Within-study group comparison

How the paradigm works

The line bisection test measures how attention is spread between the left and right of space. Horizontal lines appear one at a time, and participants click or tap the exact middle of each. Before each line they press Next line, a button centered below the field, so every movement starts from the middle of the screen. Each line gets one mark, which cannot be changed, and there is no time limit.

More about the paradigm

The 18 lines follow Schenkenberg, Bradford and Ajax (1980): six lengths in the ratio 100 to 200, each shown once on the left, once in the center and once on the right of the field. The longest line spans 45% of the field width. Left and right lines are centered a quarter of the width from each side, so each lies wholly in its half. The order is drawn from the session's random seed, with no more than three lines in a row at one position, and a study can run up to three sets. Two practice lines come first; the mark is confirmed, but the true middle is not shown, so practice does not train the bias away. Each mark is saved with the line's ends as shares of the field width and the field's size in pixels.

Each mark's deviation is its distance from the true middle as a percentage of half the line, positive to the right (Schenkenberg et al. 1980). The main score is the mean deviation over all lines. The mean is also given for left, center and right lines and for short and long lines. Healthy adults tend to bisect slightly left of the true middle, a bias called pseudoneglect, and older adults less so (Jewell and McCourt 2000). In neglect after right-hemisphere damage, marks move away from the neglected left side. The scores support research on spatial attention and do not diagnose neglect.

Scores

Mean Deviation%
Mean distance of the marks from the true middle, as a percentage of half the line; marks right of the middle are positive.
Positive values mean marks to the right; healthy adults are often slightly negative
Mean Absolute Deviation%
Mean size of the deviation, whatever its direction.
Lower means marks closer to the true middle
Left Line Deviation%
Mean deviation on the six lines in the left half of the field.
Compare with the center and right lines
Center Line Deviation%
Mean deviation on the six lines in the center of the field.
Compare with the left and right lines
Right Line Deviation%
Mean deviation on the six lines in the right half of the field.
Compare with the left and center lines
Short Line Deviation%
Mean deviation on the three shortest lengths (100 to 140).
Compare with long lines; the difference shows the effect of line length
Long Line Deviation%
Mean deviation on the three longest lengths (160 to 200).
Compare with short lines; the difference shows the effect of line length
Lines Bisectedcount
Lines with a scored mark.
18 per set when every line is scored
Marks Beyond the Line Endcount
Marks placed past either end of the line.
Above 0 means some lines were not bisected
Presses Off the Linecount
Presses away from the line, which marked nothing.
Lower means fewer missed presses
Anticipationscount
Marks made under 100 ms after the line appeared, left out of every other score.
Above 0 means some marks came before the line could be seen
Median Time to Markms
Median time from the line appearing to the mark.
Lower is faster; speed is not the aim of the task

Use and evidence

224 papers from 2021 to 2025 name this task in their title or abstract, down 22% compared with 2016 to 2020. That ranks it 113 of 395 test families in our census. See the counts for every test.

2021 to 2025, the years gradedEarlier years
Papers per year naming the Line Bisection Test, 2000 to 2025Bar chart. 2021: 44; 2022: 41; 2023: 54; 2024: 42; 2025: 43 papers. Peak year 2012.0204060802000: 42 papers2001: 36 papers2002: 50 papers2003: 43 papers2004: 36 papers2005: 43 papers2006: 57 papers2007: 52 papers2008: 39 papers2009: 43 papers2010: 60 papers2011: 66 papers2012: 67 papers2013: 66 papers2014: 66 papers2015: 56 papers2016: 62 papers2017: 55 papers2018: 67 papers2019: 53 papers2020: 50 papers2021: 44 papers2022: 41 papers2023: 54 papers2024: 42 papers2025: 43 papers200020052010201520202025
Papers per year naming the Line Bisection Test, 2000 to 2025Bar chart. 2021: 44; 2022: 41; 2023: 54; 2024: 42; 2025: 43 papers. Peak year 2012.0204060802000: 42 papers2001: 36 papers2002: 50 papers2003: 43 papers2004: 36 papers2005: 43 papers2006: 57 papers2007: 52 papers2008: 39 papers2009: 43 papers2010: 60 papers2011: 66 papers2012: 67 papers2013: 66 papers2014: 66 papers2015: 56 papers2016: 62 papers2017: 55 papers2018: 67 papers2019: 53 papers2020: 50 papers2021: 44 papers2022: 41 papers2023: 54 papers2024: 42 papers2025: 43 papers200020052010201520202025
Papers per year whose title or abstract names this task (OpenAlex).
Show the numbers
YearPapers
202543
202442
202354
202241
202144
202050
201953
201867
201755
201662
201556
201466
201366
201267
201166
201060
200943
200839
200752
200657
200543
200436
200343
200250
200136
200042
C

Use grade C

100 to 299 papers from 2021 to 2025.

B

Evidence grade B

At least 8 test-retest papers, and either 5 registered clinical studies or 150 reliability or validity papers.

Papers on test-retest reliability
19
Papers on reliability or validity
97
Registered clinical studies using it as an outcome
68

Published reliability

  • Test-retest ICC .97 in stroke patients with neglect. (Bailey et al. 2004) https://doi.org/10.1080/09602010343000282
How the grades work

Use: A is 1,000 or more papers from 2021 to 2025, B 300 to 999, C 100 to 299, D 30 to 99 and E fewer than 30. Evidence: A means at least 25 papers report its test-retest reliability and at least 25 registered clinical studies use it as an outcome; B, at least 8 test-retest papers, and either 5 registered clinical studies or 150 reliability or validity papers; C, at least 2 test-retest papers, 30 reliability or validity papers or 3 registered clinical studies; D, little published measurement evidence found. The counts measure use. They include every paper that names the task in its title or abstract. Grades describe the published research on this task, not ConductCognition's version of it.

Source: ConductCognition test census 0.14.0, counted 31 October 2026 from OpenAlex and ClinicalTrials.gov.

Task design

The trial sequence as the test runs in ConductCognition.

Lines
18 lines: six lengths in the ratio 100 to 200, each shown once on the left, in the center and on the right.
Field
The longest line spans 45% of the field width; left and right lines are centered a quarter of the width from each side.
Start
Next line, a button centered below the field, shows each line, so every movement starts from the middle.
Response
One click or tap on the line; the mark shows for 400 ms and cannot be changed. No time limit.
Order
Random order from the session's seed, with no more than three lines in a row at one position; 1 to 3 sets.
Practice
Two centered lines; the mark is confirmed, but the true middle is not shown.

The scores support research on spatial attention and do not diagnose neglect.

Quality checks

Each session is marked valid, needs review or invalid, with the reason, before you see its scores.

Scored rows: line_bisection_test from the scored run, one per line. A mark has no correct position to compare with chance, so accuracy is not judged against chance. Marks within 200 ms of the line appearing on at least half the lines invalidate. Marks beyond the end of the line on 3 or more lines are flagged for review.

Why these rules

There is no correct option to compare with chance, so accuracy is not judged against chance. An answer under 200 ms is faster than a simple visual reaction, so it cannot reflect the item. Following response-time effort screening for untimed tests (Wise and Kong 2005), the session is invalid only when at least half the answers are that fast. A mark beyond the end of a line does not bisect it, so 3 or more such marks are flagged. A shift of the marks to one side never invalidates, because that shift is what the test measures.

No percentile. Scores and quality flags only.

Running this test

Settings you can change

SettingStandardAllowed
Line sets11 to 3

Yearly plans can change settings within these limits. Free and pay-as-you-go studies use the standard settings.

How test settings work

Need a setting this test does not have?

Devices and languages

  • Untimed test: runs on desktops, laptops and tablets. Participant devices
  • Languages: English, Spanish, French, German, Italian, Portuguese (Brazil), Chinese (Simplified) and Japanese.
  • Available on: Every plan, including the free plan.
  • No percentile. Scores and quality flags only. How norms work
  • Recruiting online? See the setup guides for Prolific, Sona Systems, CloudResearch Connect and Qualtrics.

Cite and describe

Methods text, with the standard settings

Participants completed the Line Bisection Test in a web browser (ConductCognition task version 1.0.0, scoring version 1.0.0; Schenkenberg, Bradford & Ajax, 1980), with the standard settings (line sets: 1). The main score was mean deviation (mean distance of the marks from the true middle, as a percentage of half the line; marks right of the middle are positive).

ConductCognition versions: task version 1.0.0, scoring version 1.0.0. Every export records the versions each session used, for a methods section.

  • Schenkenberg, T., Bradford, D. C., & Ajax, E. T. (1980). Line bisection and unilateral visual neglect in patients with neurologic impairment. Neurology, 30(5), 509-517. https://doi.org/10.1212/WNL.30.5.509
  • Jewell, G., & McCourt, M. E. (2000). Pseudoneglect: A review and meta-analysis of performance factors in line bisection tasks. Neuropsychologia, 38(1), 93-110. https://doi.org/10.1016/S0028-3932(99)00045-7

Source papers

  • Schenkenberg T, Bradford DC, Ajax ET (1980). Line bisection and unilateral visual neglect in patients with neurologic impairment. Neurology, 30(5):509-517.Paradigm source, Adults
  • Jewell G, McCourt ME (2000). Pseudoneglect: a review and meta-analysis of performance factors in line bisection tasks. Neuropsychologia, 38(1):93-110.Paradigm source, Adults

Questions

How long does the Line Bisection Test take?

About 3 to 5 minutes, as listed in the test library.

What device does a participant need?

Untimed test: runs on desktops, laptops and tablets. The browser must be Chrome, Edge, Firefox or Safari.

What scores does it produce?

Mean Deviation, Mean Absolute Deviation, Left Line Deviation, Center Line Deviation, Right Line Deviation, Short Line Deviation, Long Line Deviation, Lines Bisected, Marks Beyond the Line End, Presses Off the Line, Anticipations and Median Time to Mark. Each session is also marked valid, needs review or invalid, with the reason.

How widely is the Line Bisection Test used in research?

224 papers from 2021 to 2025 name it in their title or abstract, down 22% compared with 2016 to 2020. That ranks it 113 of 395 test families in the ConductCognition test census (use grade C). Source: ConductCognition test census 0.14.0, counted 31 October 2026 from OpenAlex and ClinicalTrials.gov.

How much reliability evidence does the Line Bisection Test have?

In the published research, 19 papers report its test-retest reliability and 68 registered clinical studies use it as an outcome (evidence grade B in the ConductCognition test census). Test-retest ICC .97 in stroke patients with neglect. (Bailey et al. 2004)

Does it report a percentile?

No. Scores and quality flags only.

Which settings can a researcher change?

Line sets (1 to 3). Settings can be changed on yearly plans; free and pay-as-you-go studies use the standard settings.

Which languages can participants use?

Participants can take this test in English, Spanish, French, German, Italian, Portuguese (Brazil), Chinese (Simplified) and Japanese. English is on every plan, and the other languages come with yearly plans. Have a native speaker read the machine-translated text before launch.

Is this a clinical test?

No. ConductCognition is for research use only. It runs, scores and exports the test; clinical interpretation is outside the platform.

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