Effects of ideomotor apraxia on functional outcomes in patients with right hemiplegia
Effects of ideomotor apraxia on functional outcomes in patients with right hemiplegia
复制标题
意念运动性失用症对右偏瘫患者功能结局的影响
DOI：
--
复制
发表时间：
2008
期刊：
影响因子：
--
通讯作者：
S. Ozel
中科院分区：
文献类型：
--
作者：
Sibel Unsal;M. Kurt;K. Kaya;Canan Çulha;S. Ozel
本研究的目的是调查的影响，意动失用症的日常生活活动，并确定是否存在失用症干扰康复。本研究对47例右侧偏瘫患者进行了研究。所有患者在入院和出院时分别用意念失用测试评估失用症，用功能独立性测量（美国加州圣何塞圣克拉拉谷医学中心）评估日常生活活动，用简易精神状态检查（MMSE）评估认知功能，用Gulhane失语测试（GAT）评估语言成分。失用症的存在和时间进程的影响进行了调查，MMSE，GAT评分。失用症的存在对各项测验成绩均有显著影响（P<0.05）。时间进程对MMSE、GAT评分有显著影响（P<0.05）。失用症的存在和时间进程对测试成绩的交互作用也不显着。换句话说，失智症和非失智症患者似乎从神经康复中获益。然而，出院时的apraabulance患者的平均评分未能达到入院时的nonapraabulance患者的平均评分。失用症被认为是脑卒中患者日常生活活动依赖性的重要决定因素。因此，在对右侧偏瘫患者进行初始评估时，应检测失用症，并确定失用症的存在及其严重程度。
The aim of this study was to investigate the effect of ideomotor apraxia on activities of daily living and to determine if the presence of apraxia interferes with rehabilitation. This study was conducted on 47 patients with right hemiplegia. All the patients were assessed at their admission and discharge, respectively, for apraxia by Ideomotor Apraxia Test, for daily living activities by Functional Independence Measure (FIM, Santa Clara Valley Medical Center, San Jose, California, USA), for cognitive functions by Mini Mental State Examination (MMSE), and for language components by Gulhane Aphasia Test (GAT). The effects of apraxia presence and time course on FIM, MMSE, and GAT scores were investigated. Presence of apraxia was found to have significant effect on all test scores (P<0.05). Time course had the main significant effect on FIM, MMSE, and GAT scores (P<0.05). Interaction effect of both presence of apraxia and time course on the test scores was not significant either. In other words, apraxic and nonapraxic patients seemed to gain benefits from the neurological rehabilitation. However, mean FIM scores of apraxic patients during discharge have failed to reach the mean FIM scores of nonapraxic patients during admission. Apraxia is considered as an important determinant in the dependence of patients with stroke in their activities of daily living. For this reason, during the initial assessment of patients with right hemiplegia, apraxia should be tested, and the presence of apraxia as well as its severity should be determined.