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Clinical Rehabilitation, Vol. 20, No. 12, 1085-1093 (2006)
DOI: 10.1177/0269215506071257

The course of apraxia and ADL functioning in left hemisphere stroke patients treated in rehabilitation centres and nursing homes

Mireille Donkervoort

Netherlands Institute of Health Services Research (Nivel), Utrecht and Department of Rehabilitation Medicine, Erasmus Medical Centre, Rotterdam

Joost Dekker

Department of Rehabilitation Medicine, VU University Medical Centre, Amsterdam

Betto Deelman

University of Groningen, Groningen, The Netherlands

Objective: To study the course of apraxia and daily life functioning (ADL) in left hemisphere stroke patients with apraxia.

Design: Prospective cohort study.

Setting: Rehabilitation centres and nursing homes.

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

Measures: ADL-observations, Barthel ADL Index, Apraxia Test, Motricity Index.

Results: During the study period of 20 weeks, patients showed small improvements in apraxia (standardized mean differences of 0.19 and 0.33) and medium-sized improvements in ADL functioning (standardized mean differences from 0.37 to 0.61). About 88% of the patients were still apraxic at week 20. Less improvement in apraxia was observed in initially less severe apraxic patients. Less improvement in ADL functioning was found to be associated with more severe apraxia, a more independent initial ADL score, higher age, impaired motor functioning and longer time between stroke and first assessment.

Conclusions: Apraxia in stroke patients is a persistent disorder, which has an adverse influence on ADL recovery.

References

  • De Renzi E. Apraxia. In Boller F, Grafman J eds. Handbook of neuropsychology, Vol. 2. Elsevier Science Publisher , 1989.
  • Kolb B, Wishaw IQ. Fundamentals of human neuropsychology, third edition. Freeman, 1990.
  • Rothi LJG, Heilman KM. Apraxia: The neuropsychology of action. Psychology Press , 1997.
  • Donkervoort M, Dekker J, Ende E van den, Stehmann-Saris JC, Deelman BG. Prevalence of apraxia among patients with a first left hemisphere stroke in rehabilitation centres and nursing homes . Clin Rehabil 2000; 14: 130–136 .[Abstract/Free Full Text]
  • Zwinkels A, Geusgens C, Sande P van de, Heugten C van. Assessment of apraxia: inter-rater reliability of a new apraxia test, association between apraxia and other cognitive deficits and prevalence of apraxia in a rehabilitation setting . Clin Rehabil 2004; 18: 819–827 .[Abstract/Free Full Text]
  • Poeck K. Clues to the nature of disruptions to limb praxis. In Roy EA ed. Neuropsychological studies of apraxia and related disorders. North-Holland, 1985.
  • Basso A, Capitani E, Della Sala S, Laiacona M, Spinnler, H. Ideomotor apraxia: a study of initial severity . Acta Neurol Scand. 1987; 76: 142–146 .[ISI][Medline] [Order article via Infotrieve]
  • Maher LM, Ochipa C. Management and treatment of limb apraxia. In Rothi LJG, Heilman KM eds. Apraxia: The neuropsychology of action. Psychology Press , 1997.
  • Foundas AL, Raymer AM, Maher LM, Rothi LJG, Heilman KM. Recovery in ideomotor apraxia . J Clin Exp Neuropsychol 1993; 15: 44-44 .
  • Bjorneby EI, Reinvang IR. Acquiring and maintaining self-care skills after stroke . Scand J Rehabil Med 1985; 17: 75–80 .[ISI][Medline] [Order article via Infotrieve]
  • Sundet K, Finset A, Reinvang I. Neuropsychological predictors in stroke rehabilitation . J Clin Exp Neuropsychol 1988; 10: 363–379 .[ISI][Medline] [Order article via Infotrieve]
  • Jong MC de, SCC Hartong, GJ Lankhorst. Functional outcome of stroke patients: an exploratory study in an outpatient rehabilitation department . J Rehabil Sci 1992; 5: 14–21 .
  • Foundas AL, Macauley BC, Raymer AM, Maher LM, Heilman KM, Rothi LJG. Ecological implications of limb apraxia: evidence from mealtime behavior . J Int Neuropsychol Soc 1995; 1: 62–66 .[Medline] [Order article via Infotrieve]
  • Giaquinto S, Buzelli S, Di Francesco L, Lottarini A, Montenero P, Tonin P, Nolfe G. On the prognosis of outcome after stroke . Acta Neurol Scand 1999; 100: 202–208 .[ISI][Medline] [Order article via Infotrieve]
  • Hanna-Pladdy B, Heilman KM, Foundas AL. Ecological implications of ideomotor apraxia: evidence from physical activities of daily living . Neurology 2003; 60: 487–490 .[Abstract/Free Full Text]
  • Donkervoort M, Dekker J, Stehmann-Saris JC, Deelman BG. Efficacy of strategy training in left hemisphere stroke patients with apraxia: a randomized clinical trial . Neuropsychol Rehabil 2001; 11: 549–566 .[CrossRef]
  • World Health Organization. Special Report: Recommendations on stroke prevention, diagnosis and therapy . Stroke 1989; 20: 1407–1431 .[Free Full Text]
  • Heugten CM van, Dekker J, Deelman BG, Stehmann-Saris JC, Kinebanian A. A diagnostic test for apraxia in stroke patients: internal consistency and diagnostic value . Clin Neuropsychol 1999; 13: 1–11 .[ISI][Medline] [Order article via Infotrieve]
  • Demeurisse G, Demol O, Robaye E. Motor evaluation in vascular hemiplegia . Eur Neurol 1980; 19: 382–389 .[ISI][Medline] [Order article via Infotrieve]
  • Collen FM, Wade DT, Bradshaw CM. Mobility after stroke: reliability of measures of impairment and disability . Int Disabil Stud 1990; 12: 6–9 .[Medline] [Order article via Infotrieve]
  • Wade DT. Measurement in neurological rehabilitation. Oxford University Press , 1992.
  • Collin C. Wade D. Assessing motor impairments after stroke: a pilot reliability study . J Neurol Neurosurg Psychiatry 1990; 53: 576–579 .[Abstract]
  • Heugten CM van, Dekker J, Deelman BG, Stehmann-Saris JC, Kinebanian A. Assessment of disabilities in stroke patients with apraxia: internal consistency and inter-observer reliability . Occup Ther J Res 1999; 19: 55–73 .
  • Heugten CM van, Dekker J, Deelman BG, Dijk AJ van, Stehmann-Saris JC, Kinebanian A. Measuring disabilities in stroke patients with apraxia: a validation study of an observational method . Neuropsychol Rehabil 2000; 10: 401–414 .[CrossRef]
  • Collin C, Wade DT, Davies S, Horne V. The Barthel ADL Index: a reliability study . Int Disabil Stud 1988; 10: 61–63 .[Medline] [Order article via Infotrieve]
  • Wade DT, Collin C. The Barthel ADL Index: a standard measure of physical disability? Int Disabil Stud 1988; 10: 64–67 .[Medline] [Order article via Infotrieve]
  • Cohen J. Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates , 1988.
  • Wade DT, Hewer RL. Functional abilities after stroke: Measurement, natural history and prognosis . J Neurol Neurosurg Psychiatry 1987; 50: 177–182 .[Abstract]
  • Wolfe CDA, Taub NA, Woodrow EJ, Burney PGJ. Assessment of scales of disability and handicap for stroke patients . Stroke 1991; 22: 1242–1244 .[Abstract/Free Full Text]
  • Donkervoort M, Dekker J, Deelman BG. Sensitivity of different ADL measures to apraxia and motor impairments . Clin Rehabil 2002; 16: 299–305 .[Abstract/Free Full Text]
  • Kwakkel G, Wagenaar RC, Kollen B, Lankhorst GJ. Predicting disability in stroke: a critical review of the literature . Age Ageing 1996; 25: 479–489 .[Abstract/Free Full Text]

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