Assessment and Intervention with Clients with Apraxia: Contributions from the Literature

Landry, Jennifer; Spaulding, Sandi J.

doi:10.1177/000841749906600106

Cited by 8 publications

(7 citation statements)

References 57 publications

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“…The praxis network involves a cognitive formulation of intending to move, selecting a goal, planning the movement, and anticipating the end result, and it provides the basis for an effective interaction with the environment (7). Individuals with apraxia may encounter a number of difficulties when attempting to participate in basic and instrumental activities of daily living (ADL) tasks (8). It is assumed that the more an ADL task requires sensory input and feedback, the more the performance is adversely affected in the presence of apraxia (9).…”

Section: Introductionmentioning

confidence: 99%

Validation of a Danish translation of an occupational therapy guideline for interventions in apraxia: A pilot study

Hansen

Steultjens²,

Satink

2009

Scandinavian Journal of Occupational Therapy

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The objective of this study was to produce a valid Danish translation of the Dutch "Occupational therapy guideline for assessment and treatment of apraxia in CVA clients"; to investigate the inter-rater reliability of the assessment instrument in terms of ADL observations; and to determine the content validity of the translation. The inter-rater reliability was investigated using video observations and multiple raters, who also judged the content validity quantitatively. For the scores of the patient's occupational performance the study found moderate to good inter-rater reliability for three of four variables and poor to fair inter-rater reliability for one variable, indicated by intra-class correlation coefficient and Kappa statistic. For the conclusion variables the results demonstrated fair inter-rater reliability for five of six variables and poor inter-rater reliability for one variable, also indicated by Kappa statistic. The content validity was judged valid for 100 and invalid for 28 of the guideline's defined elements. The conclusion, taking the complexity of the ADL observations and the study design into consideration, is that the Danish version can serve as a guideline within Danish occupational therapy practice. However, a translational recheck, further psychometric testing, and a minimum two-day training course is recommended before implementation in practice.

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Section: Introductionmentioning

confidence: 99%

Validation of a Danish translation of an occupational therapy guideline for interventions in apraxia: A pilot study

Hansen

Steultjens²,

Satink

2009

Scandinavian Journal of Occupational Therapy

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“…Apraxia rehabilitation has been researched and reported on in the peer-reviewed literature [ 2 , 5 , 6 , 46 ], especially with respect to stroke patients [ 6 , 14 ], and has been shown to be effective in clinical settings immediately after treatment and on for a longer term. LA has an irrefutable impact on patients’ ADL independence.…”

Section: Discussionmentioning

confidence: 99%

Functional rehabilitation of upper limb apraxia in poststroke patients: study protocol for a randomized controlled trial

Pérez-Mármol

Ríos

Hernández

et al. 2015

Trials

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BackgroundUpper limb apraxia is a common disorder associated with stroke that can reduce patients’ independence levels in activities of daily living and increase levels of disability. Traditional rehabilitation programs designed to promote the recovery of upper limb function have mainly focused on restorative or compensatory approaches. However, no previous studies have been completed that evaluate a combined intervention method approach, where patients concurrently receive cognitive training and learn compensatory strategies for enhancing daily living activities.Methods/DesignThis study will use a two-arm, assessor-blinded, parallel, randomized controlled trial design, involving 40 patients who present a left- or right-sided unilateral vascular lesion poststroke and a clinical diagnosis of upper limb apraxia. Participants will be randomized to either a combined functional rehabilitation or a traditional health education group. The experimental group will receive an 8-week combined functional program at home, including physical and occupational therapy focused on restorative and compensatory techniques for upper limb apraxia, 3 days per week in 30-min intervention periods. The control group will receive a conventional health education program once a month over 8 weeks, based on improving awareness of physical and functional limitations and facilitating the adaptation of patients to the home. Study outcomes will be assessed immediately postintervention and at the 2-month follow-up. The primary outcome measure will be basic activities of daily living skills as assessed with the Barthel Index. Secondary outcome measures will include the following: 1) the Lawton and Brody Instrumental Activities of Daily Living Scale, 2) the Observation and Scoring of ADL-Activities, 3) the De Renzi Test for Ideational Apraxia, 4) the De Renzi Test for Ideomotor Apraxia, 5) Recognition of Gestures, 6) the Test of Upper Limb Apraxia (TULIA), and 7) the Quality of Life Scale For Stroke (ECVI-38).DiscussionThis trial is expected to clarify the effectiveness of a combined functional rehabilitation approach compared to a conservative intervention for improving upper limb movement and function in poststroke patients.Trial registrationClinical Trial Gov number NCT02199093. The protocol registration was received 23 July 2014. Participant enrollment began on 1 May 2014. The trial is expected to be completed in March 2016.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-015-1034-1) contains supplementary material, which is available to authorized users.

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“…Although there have been six reviews of the apraxia intervention literature since 1990 (Buxbaum et al, 2008;Cicerone et al, 2005;Dovern, Fink, & Weiss, 2012;Landry & Spaulding, 1999;van Heugten, 2001;West, Bowen, Hesketh, & Vail, 2008), several factors warrant a new examination of apraxia interventions from the perspective of occupational performance, particularly for occupational therapy practitioners who treat clients with apraxia in a clinical environment. Apraxia reviews to date have generally not focused on occupational performance outcomes in evaluating effectiveness of treatment (Buxbaum et al, 2008;Dovern, Fink, & Weiss, 2012;van Heugten, 2001), or have only included randomized controlled trials.…”

Section: Previous Systematic Reviews Of Treatment For Apraxiamentioning

confidence: 99%

“…In people with apraxia, performance of basic and instrumental activities of daily living (ADLs/IADLs) are often affected (Landry & Spaulding, 1999). Hanna-Pladdy et al (2003) found that people with ideomotor apraxia are significantly more dependent in performing ADLs, such as bathing, grooming, and toileting.…”

mentioning

confidence: 99%

Systematic Review of Apraxia Treatments to Improve Occupational Performance Outcomes

Lindsten-McQueen

Weiner²,

Wang³

et al. 2014

OTJR: Occupational Therapy Journal of Research

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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.

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Assessment and Intervention with Clients with Apraxia: Contributions from the Literature

Cited by 8 publications

References 57 publications

Validation of a Danish translation of an occupational therapy guideline for interventions in apraxia: A pilot study

Validation of a Danish translation of an occupational therapy guideline for interventions in apraxia: A pilot study

Functional rehabilitation of upper limb apraxia in poststroke patients: study protocol for a randomized controlled trial

Systematic Review of Apraxia Treatments to Improve Occupational Performance Outcomes

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