Proposing a new short screening test for upper limb apraxia
Autor: | Miyo Kawaguchi, Mitsuhiro Tsujihata, Masahiko Koyanagi, Mai Yamada, Yuki Sato, Toshio Higashi |
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Rok vydání: | 2021 |
Předmět: |
030506 rehabilitation
medicine.medical_specialty Activities of daily living Stroke patient Screening test business.industry medicine.disease Apraxia 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Physical medicine and rehabilitation Quality of life (healthcare) Occupational Therapy medicine Upper limb 0305 other medical science business Stroke 030217 neurology & neurosurgery |
Zdroj: | British Journal of Occupational Therapy. 85:44-49 |
ISSN: | 1477-6006 0308-0226 |
DOI: | 10.1177/0308022621998564 |
Popis: | Background Apraxia has a major impact on activities of daily living in stroke patients. The proper assessment and treatment of apraxia is important for maintaining a good quality of life. We developed a short evaluation test for upper limb apraxia. Patients and Methods The present Screening Test of Gestures for Stroke consists of 10 items for each verbal instruction and imitation. Each item includes three meaningless gestures, three meaningful gestures and four pantomimes. The Screening Test of Gestures for Stroke is scored based on a 3-point system: 10, 5 or 0 (maximum score: 200). The test took approximately 2–5 min to complete. We recruited 65 patients admitted to our hospital with left hemisphere stroke and 50 healthy subjects. Results The reliability of the Screening Test of Gestures for Stroke was as follows: the intraclass correlation coefficient of intra-rater reliability was 0.93 for both verbal instructions and imitations, and the intraclass correlation coefficient total scores for inter-rater reliability for verbal instructions and for imitations were 0.97 and 0.95, respectively. The alpha coefficient was ≥0.80. Conclusions The Screening Test of Gestures for Stroke is a reliable and valid bedside test that has a short assessment time, does not require special equipment and can evaluate upper limb apraxia in stroke patients from the acute to the chronic phase. |
Databáze: | OpenAIRE |
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