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
Restricted accessResearch articleFirst published online November, 2004
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
Objective: To investigate the inter-rater reliability of a new apraxia test. Furthermore to examine the association of apraxia with other neuropsychological impairments and the prevalence of apraxia in a rehabilitation setting on the basis of the new test.
Design: Cross-sectional cohort study, involving 100 patients with a first stroke admitted to a rehabilitation centre in the Netherlands.
Measures: General patient characteristics and stroke-related aspects. Cognitive screening involving apraxia, visuospatial scanning, abstract thinking and reasoning, memory, attention, planning and aphasia.
Results: The indices for inter-rater agreement range from excellent to poor. Significant correlations are found between apraxia and visuospatial scanning, memory, attention, planning and aphasia. The patients with apraxia perform significantly worse than the patients without apraxia on memory, the time needed to complete the tests for scanning and attention, and aphasia. The prevalence of apraxia is 25.3% in the total group, 51.3% in the left hemisphere stroke patients and 6.0% in the right hemisphere stroke patients. Patients with and without apraxia do not differ significantly concerning age, gender and type of stroke.
Conclusion: The apraxia test has been shown to be a reliable instrument. Apraxia is often associated with aphasia, memory problems and mental slowness. This study shows that on the basis of the apraxia test, the prevalence of apraxia among patients in the rehabilitation centre is high, especially among patients with left hemisphere lesions.
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References
1.
1 Bjorneby ER, Reinvang IR. Acquiring and maintaining self-care skills after stroke. The predictive value of apraxia. Scand J Rehabil Med1985; 17: 75-80.
2.
2 De Renzi E. Apraxia. In: Boller F, Grafman J eds. Handbook of neuropsychology, Volume 2. Amsterdam: Elsevier Science Publishers, 1989.
3.
3 Rothi LJG, Heilman KM. Apraxia: the neuropsychology of action. Hove: Psychology Press, 1997.
4.
4 Taylor R. Motor Apraxia in dementia. Percept Motor Skills1994; 79: 523-528.
5.
5 Ochipa C, Gonzalez-Rothi LJ, Heilman KM. Conceptual apraxia in Alzheimers disease. Brain1992; 115: 1061-1071.
6.
6 Leiguarda R, Lees AJ, Merello M, Starkstein S, Marsden CD. The nature of apraxia in corticobasal degenration. J Neurol Neurosurg Psychiatry1994; 57: 455-459.
7.
7 Shelton PA, Knopman DS. Ideomotor apraxia in Huntington's disease. Arch Neurol1991; 48: 35-41.
8.
8 Liepmann H. Die Aufsatze aus dem Apraxiegebiet. Berlin: Krager, 1908.
9.
9 De Renzi E, Motti F, Nichelli P. Imitating gestures: a quantitative approach to ideomotor apraxia. Arch Neurol1980; 37:6-18.
10.
10 Kertesz A, Ferro JM. Lesion size and localisation in ideomotor apraxia. Brain1984; 107: 921-933.
11.
11 De Renzi E, Pieczuro A, Vignolo LA. Ideational apraxia: a quantitative study. Neuropsychologia1968; 6:41-52.
12.
12 Tate RL, McDonald S. What is apraxia: the clinician's dilemma. Neuropsychol Rehabil1995; 5: 273-297.
13.
13 Donkervoort M, Dekker J, van den Ende E, Stehmann-Saris JC, Deelman BG. Prevalence of apraxia among patients with a first left hemisphere stroke in rehabilitation centers and nursing homes. Clin Rehabil2000; 14: 130-136.
14.
14 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. Clinical Neuropsychol1999; 13:1-11.
15.
15 Beers K. Manual O-search test. Unpublished test manual. Hoensbroek: SRL.
16.
16 Halligan PW, Robertson IH. The assessment of unilateral neglect. In: Crawford JR, Parker DM, McKinlay WW eds. A handbook of neuropsychological assessment. Hove, UK: Lawrence Erlbaum, 1994: 151-177.
17.
17 Raven JC, Court JH, Raven J. Manual for Raven's Progressive Matrices and Vocabulary Scales, Section 1 / 7. JC Raven Ltd. London: HK Lewis & Co., 1983, 1984.
18.
18 Wilson BA, Cockburn J, Baddeley A. The Rivermead Behavioural Memory Test. Titchfield: Thames Valley Test Company, 1985, 1991.
19.
19 Wilson BA, Cockburn J, Baddeley A, Hiorns R. The development and validation of a test battery for detecting and monitoring every day memory problems. J Clin Exp Neuropsychol1989; 11: 855-870.
20.
20 Balen HGG van, Groot-Zwaaftink AJM. Rivermead Behavioural Memory Test. Norms for the Netherlands and Belgium. Lisse: Swets & Zeitlinger, 1987.
21.
21 Lezak MD. Neuropsychological assessment. New York: Oxford University Press, 1995.
22.
22 Krikorian R, Bartok J, Gay N. Tower of London procedure: a standard method and developmental data. J Clin Exp Neuropsychol1994; 16: 840-850.
23.
23 Philips LH, Wynn V, Gilhooly KJ, Della Sala S, Logie RH. The role of memory in the Tower of London Task. Memory1999; 7: 209-231.
24.
24 Graetz P, DeBleser R & Willnes K. Aachen Aphasia Test. Dutch version. Lisse: Swets & Zeitlinger, 1992.
25.
25 Cohen J. A coefficient for agreement for nominal scales. Educ Psych Maes1960; 20:37-46.
26.
26 Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics1977; 33: 169-174.
27.
27 Dunn G. Design and analysis of reliability studies. London: Edward Arnold, 1989.
28.
28 Altman DG. Practical statistics for medical research. London: Chapman and Hall, 1991.
29.
29 Basso A, Faglioni P, Luzatti C. Methods in neuroanamotical research and an experimental study of limb apraxia. In: Roy EA ed. Neuropsychological studies of apraxia and related disorders. Amsterdam: North-Holland, 1985.
30.
30 Basso A, Capitani E, Della Sala S, Laiacona M, Spinnler H. Recovery from ideomotor apraxia: a study on acute stroke patients. Brain1987; 110: 747-760.
31.
31 Barbieri C, De Renzi E. The executive and ideational components of apraxia. Cortex1988; 4: 535-543.
32.
32 Papagno O, Della Sala S, Basso A. Ideomotor Apraxia without aphasia and aphasia without Apraxia: the anatomical support for a double dissociation. J Neurol Neurosurg Psychiatry1993; 56: 286-289.
33.
33 Tatenichi TK, Desmond DW, Stern Y, Paik M, Sano M, Bagiela E. Cognitive impairment after stroke: frequency, patterns, and relationship to functional abilities. J Neurol Neurosurg Psychiatry1994; 57: 202-207.
34.
34 Hochstenbach J, Mulder Th, Limbeek J van, Donders R, Schoonderwaldt H. Cognitive decline following stroke: a comprehensive study of the cognitive decline following stroke. J Clin Exp Neuropsychol, 1998; 20: 503-517.
35.
35 Spikman J. Attention, mental speed and executive control after closed head injury: deficits, recovery and outcome. Dissertation, University of Groningen, 2001.
36.
36 Butler JA. How comparable are tests of apraxia?Clin Rehabil2002; 16: 389-398.
37.
37 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 Rehabil2000; 10: 401-414.
38.
38 Maher LM, Rayner AM, Foundas A, Rrothi LJG, Heilman KM. Patterns of recovery in ideomotor apraxia. Paper presented at the annual meeting of the International Neuropsychological Society, 1994. Cincinnati, OH.
39.
39 Poeck K. Clues to the nature of disruptions to limb praxis. In: Roy EA ed. Neuropsychological studies of apraxia and related disorders. New York: North-Holland, 1985.
