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Clinical Rehabilitation, Vol. 16, No. 3, 299-305 (2002)
DOI: 10.1191/0269215502cr492oa
© 2002 SAGE Publications

Sensitivity of different ADL measures to apraxia and motor impairments

Mireille Donkervoort

Netherlands Institute for Health Services Research, Utrecht, The Netherlands

Joost Dekker

Netherlands Institute for Health Services Research and Vrije Universiteit Amsterdam (EMGO-Institute), The Netherlands

Betto G Deelman

University of Groningen, The Netherlands

Objective: To determine whether speci"cally designed activities of daily living (ADL) observations can measure disability due to apraxia with more sensitivity than the Barthel ADL Index, a conventional functional scale.

Design: Cross-sectional study.

Setting: Rehabilitation centres and nursing homes.

Subjects: One hundred and six left hemisphere stroke patients with apraxia, hospitalized in rehabilitation centres and nursing homes.

Measures: ADL observations, Barthel ADL Index, an apraxia test, Motricity Index, Functional Motor Test.

Results: Multivariate analyses showed that the speci"c ADL observations were associated with severity of apraxia (and not with motor impairments). The Barthel ADL Index was associated with motor impairments (and not with severity of apraxia).

Conclusion: The assessment of disability in stroke patients with apraxia cannot rely only on the Barthel ADL Index. In addition, the speci"c ADL observation procedure is needed to measure disability due to apraxia.


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M. Donkervoort, J. Dekker, and B. Deelman
The course of apraxia and ADL functioning in left hemisphere stroke patients treated in rehabilitation centres and nursing homes
Clinical Rehabilitation, December 1, 2006; 20(12): 1085 - 1093.
[Abstract] [PDF]