The objective was to assess effectiveness of apraxia treatments using a systematic review. In contrast to previous reviews, each study was rated as to its applicability to occupational therapy practice and its focus on occupational performance using the FAME rating system (defined by four categories: Feasibility, Appropriateness, Meaningfulness, Effectiveness). This systematic review included eight studies: four randomized controlled trials (level 1 evidence) and four pre-post designs (level 3 evidence). Three treatment approaches were reported: errorless learning with training of details; gesture training; and strategy training. FAME scores ranged from A to C. All studies reported significant treatment effects, but only one demonstrated an impact on observed occupational performance that transferred from clinic to home.
ÁrnadóttirG. (1990). The brain and behavior: Assessing cortical dysfunction through activities of daily living. St Louis: Mosby.
3.
ÁrnadóttirG. (2014). Impact of neurobehavioral deficits on activities of daily living. In GillenG.BurkhardtA. (Eds.), Stroke rehabilitation: A function-based approach (2nd ed., pp. 376–426). St. Louis: Elsevier/Mosby.
4.
ButlerJ. (1997). Intervention effectiveness: Evidence from a case study of ideomotor and ideational apraxia. British Journal of Occupational Therapy, 60, 491–496.
5.
BuxbaumL.J.HaalandK.Y.HallettM.WheatonL.HeilmanK.M.RodriguezA.Gonzalez RothiL.J. (2008). Treatment of limb apraxia: Moving forward to improved action. American Journal of Physical Medicine & Rehabilitation, 87, 149–161.
6.
ChanL.HeinemannA.W.RobertsJ. (2014). Evaluating the quality of disability and rehabilitation research: Mandatory use of the reporting guidelines. American Journal of Occupational Therapy, 68, 127–129.
7.
ChenS.Z.HuangD.F.DingJ.X.JiangQ.LiuP. (2014). Effect of cognitive training on equilibrium function in stroke patients. Chinese Journal of Clinical Rehabilitation, 8(1), 10–11.
8.
CiceroneK.D.DahlbergC.MalecJ.F.LangenbahnD.M.FelicettiT.KneippS.CataneseJ. (2005). Evidence-based cognitive rehabilitation: Updated review of the literature from 1998 through 2002. Archives of Physical Medicine & Rehabilitation, 86, 1681–1692.
9.
De RenziE.MottiF.NichelliP. (1980). Imitating gestures: A quantitative approach to ideomotor apraxia. Archives of Neurology, 37, 6–10.
10.
DonkervoortM.DekkerJ.DeelmanB. (2006). The course of apraxia and ADL functioning in left hemisphere stroke patients treated in rehabilitation centres and nursing homes. Clinical Rehabilitation, 20, 1085–1093.
11.
*DonkervoortM.DekkerJ.Stehmann-SarisF.DeelmanB. (2001). Efficacy of strategy training in left hemisphere stroke patients with apraxia: A randomised clinical trial. Neuropsychological Rehabilitation, 11, 549–566.
12.
DonkervoortM.DekkerJ.van den EndeE.Stehmann-SarisF.DeelmanB. (2000). Prevalence of apraxia among patients with a first left hemisphere stroke in rehabilitation centres and nursing homes. Clinical Rehabilitation, 14, 130–136.
13.
DovernA.FinkG.R.WeissP.H. (2012). Diagnosis and treatment of upper limb apraxia. Journal of Neurology, 259, 1269–1283.
14.
*GeusgensC.van HeugtenC.DonkervoortM.van den EndeE.JollesJ.van den HeuvelW. (2006). Transfer of training effects in stroke patients with apraxia: An exploratory study. Neuropsychological Rehabilitation, 16, 213–229.
15.
*GeusgensC.A.V.van HeugtenC.M.CooijmansJ.P.J.JollesJ.van den HeuvelW.J.A. (2007). Transfer effects of a cognitive strategy training for stroke patients with apraxia. Journal of Clinical and Experimental Neuropsychology, 29, 831–841.
16.
GillenG. (2009). Managing apraxia to optimize function. In GillenG. (Ed.), Cognitive and perceptual rehabilitation (pp. 109–133). St. Louis: Elsevier/Mosby.
17.
GoldenbergG.DaumüllerM.HagmannS. (2001). Assessment and therapy of complex activities of daily living in apraxia. Neuropsychological Rehabilitation, 11, 147–169.
18.
*GoldenbergG.HagmannS. (1998). Therapy of activities of daily living in patients with apraxia. Neuropsychological Rehabilitation, 8, 123–141.
19.
Hanna-PladdyB.HeilmanK.M.FoundasA.L. (2003). Ecological implications of ideomotor apraxia. Neurology, 60, 487–490.
20.
HansenT.SteultjensE.SatinkT. (2009). Validation of a Danish translation of an occupational therapy guideline for interventions in apraxia: A pilot study. Scandinavian Journal of Occupational Therapy, 16, 205–215.
21.
HeilmanK.M.Gonzalez RothiL.J. (2003). Apraxia. In HeilmanK.M.ValensteinE. (Eds.), Clinical neuropsychology (4th ed., pp. 215–235). New York: Oxford University Press.
22.
JacksonT. (1999). Dyspraxia: Guidelines for intervention. British Journal of Occupational Therapy, 62, 321–326.
23.
LandryJ.SpauldingS. (1999). Assessment and intervention with clients with apraxia: Contributions from the literature. Canadian Journal of Occupational Therapy, 66, 52–61.
24.
MaherL.M.RothiL.J.G.GreenwaldM.L. (1991). Treatment of gesture impairment: A single case. American Speech and Hearing Association, 33, 195.
25.
MaherL.M.OchipaC. (1997). Management and treatment of limb apraxia. In Gonzalez-RothiL.J.HeilmanK.M. (Eds.), Apraxia: The neuropsychology of action (pp. 75–91). Hove, UK: Psychology Press.
26.
MurphyS.L.RobinsonJ.C.LinS.H. (2009). Conducting systematic reviews to inform occupational therapy practice. American Journal of Occupational Therapy, 63, 363–368.
27.
PearsonA. (1999). Evidence-based nursing-quality through research. In NayR.GarrattS. (Eds.), Nursing older people: Issues and innovation (pp. 338–352). Sydney: Maclennan & Petty.
28.
PearsonA. (2014). Balancing the evidence: Incorporating the synthesis of qualitative data into systematic reviews. JBI Reports, 2(2), 45–64.
29.
PearsonA.SrivastavaR.CraigD.TuckerD.GrinspunD.BajnokI.GiA.A. (2007). Systematic review on embracing cultural diversity for developing and sustaining a healthy work environment in healthcare. International Journal of Evidence-Based Healthcare, 5, 54–91. doi:10.1111/j.1479-6988.2007.00058.x
30.
PilgrimE.HumphreysG.W. (1994). Rehabilitation of a case of ideomotor apraxia. In RiddochM.J.HumphreysG.W., (Eds.), Cognitive neuropsychology and cognitive rehabilitation (pp. 271–284). Hillsdale, NJ: Erlbaum.
31.
RobeyR.SchultzM.C. (1998). A model for conducting clinical-outcome research: An adaptation of the standard protocol for use in aphasiology. Aphasiology, 12, 787–810.
32.
*SmaniaN.AgliotiS.M.GirardiF.TinazziM.FiaschiA.CosentinoA.CoratoE. (2006). Rehabilitation of limb apraxia improves daily life activities in patients with stroke. Neurology, 67, 2050–2052.
33.
*SmaniaN.GirardiF.DomenicaliC.LoraE.AgliotiS. (2000). The rehabilitation of limb apraxia: A study in left-brain-damaged patients. Archives of Physical Medicine & Rehabilitation, 81, 379–388.
34.
TromblyC. (1995). Occupation: Purposefulness and meaningfulness as therapeutic mechanisms. American Journal of Occupational Therapy, 49, 960–972.
35.
*van HeugtenC.M.DekkerJ.DeelmanB.van DijkA.Stehmann-SarisJ. (1998). Outcome of strategy training in stroke patients with apraxia: A phase II study. Clinical Rehabilitation, 12, 294–303.
36.
*van HeugtenC.M.DekkerJ.DeelmanB.G.Stehmann-SarisJ.C.KinebanianA. (2000). Rehabilitation of stroke patients with apraxia: The role of additional cognitive and motor impairments. Disability & Rehabilitation, 22, 547–554.
37.
van HeugtenC. (2001). Rehabilitation and management of apraxia after stroke. Reviews in Clinical Gerontology, 11, 177–184.
38.
WestC.BowenA.HeskethA.VailA. (2008). Interventions for motor apraxia following stroke (Article No. CD004132). Cochrane Database of Systematic Reviews, Issue 1. doi:10.1002/14651858.CD004132.pub2
39.
WilsonB.S. (1988). Remediation of apraxia following an anaesthetic accident. In WestJ.SpinksP. (Eds.), Case studies in clinical psychology (pp. 178–183). Bristol: John Wright.
40.
WuA.RadelJ.Hanna-PladdyB. (2011). Improved function after combined physical and mental practice after stroke: A case of hemiparesis and apraxia. American Journal of Occupational Therapy, 65, 161–168.
41.
ZwinkelsA.GeusgensC.van de SandeP.van HeugtenC. (2014). Assessment of apraxia: Interrater reliability of a new apraxia test, association between apraxia and other cognitive deficits and prevalence of apraxia in a rehabilitation setting. Clinical Rehabilitation, 18, 819–827.
