Performance in Luria's fist-edge-palm test according to educational level

Performance in Luria's fist-edge-palm test according to educational level
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DOI:
10.1097/01.wnn.0000195292.48422.d5
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发表时间:
2005-12-01
影响因子:
1.4
通讯作者:
Porto, CS
Porto, CS
中科院分区:
医学4区
文献类型:
--
作者:
Nitrini, R;Caramelli, P;Porto, CS

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目的:要调查的表现,一个大的人口与异质性的教育背景,在一个测试中显然不受正规Education.Methods:我们管理的Luria的拳头边缘手掌测试966老年人(299文盲),同时筛选痴呆症在巴西人口。在简易精神状态检查中得分低于第25百分位数(针对4个教育水平中的每一个进行调整)的个体被认为是痴呆的嫌疑人并被排除。教育水平,年龄和性别的影响发生的失败和成功reproductions.Results的示威人数:最终人口包括745人(238文盲)。48个人(25文盲)无法复制的序列。Logistic回归分析显示,文盲与失败有关,而性别和年龄则无关。未能复制序列的个体比例与受教育年限呈负相关。对于那些能够再现序列的个体,成功再现的演示次数也与受教育年限呈负相关。结论:文盲和低教育水平与拳头边缘手掌测试中的受损表现相关,这可能是根据教育水平使用不同策略的结果。
Objective: To investigate the performance of a large population with heterogeneous educational background in a test apparently uninfluenced by formal education.Methods: We administered the Luria's fist-edge-palm test to 966 elderly individuals (299 illiterates) while screening for dementia in a Brazilian population. Individuals with scores in the Mini-Mental State Examination below the 25th percentile (adjusted for each of 4 educational levels) were considered suspect for dementia and excluded. The influence of educational level, age, and gender on the occurrence of failures and on the number of demonstrations for a successful reproduction was investigated.Results: The final population comprised 745 individuals (238 illiterates). Forty-eight individuals (25 illiterates) were unable to reproduce the sequence. Logistic regression showed that illiteracy was associated with failure, whereas gender and age were not. The proportion of individuals failing to reproduce the sequence was inversely related to the years of schooling. For those individuals who were able to reproduce the sequence, the number of demonstrations for successful reproduction was also inversely related to the years of schooling,Conclusion: Illiteracy and low educational level are associated with impaired performance in the fist-edge-palm test, which may be the result of the use of different strategies according to educational level.