Inpatient Rehabilitation Outcomes of Patients With Apraxia After Stroke

Abstract

This study of acute patients found those with apraxia to be significantly less independent upon admission to inpatient rehabilitation compared to patients without apraxia. Although both groups improved a similar amount during rehabilitation, patients with apraxia discharged at a level of independence comparable to patients without apraxia upon admission. Such disparity in independence is of concern, and apraxia as a factor in stroke rehabilitation and recovery deserves further attention.

Syndromes of limb apraxia: Developmental and acquired disorders of skilled movements.

“…Apraxia can be a chronic condition (Liepmann, 1908) that can be accompanied by impaired insight (anosognosia; Buchmann et al, 2018;Kusch et al, 2018;Scandola et al, 2021) and can have negative effects on rehabilitation outcome (Wu et al, 2014) and on independently managing daily life activities. For example, a significant relationship between apraxia severity and dependency in physical functioning (e.g., grooming, bathing, toileting) was found in a study by Hanna-Pladdy et al (2003).…”

Actualización y aproximación clínica a los modelos teóricos de la apraxia de extremidades

“…[6][7][8] En demencia tipo Alzheimer su prevalencia se sitúa entre el 35 % y el 98% de los casos según el estadio en que se encuentre la persona afectada. [9][10] La apraxia origina una gran discapacidad al repercutir en las actividades y la participación de la persona [11][12] además de que frecuentemente coexiste con otras alteraciones como la inatención hacia el espacio de la derecha y el deterioro cognitivo. 13 Es uno de los factores pronósticos de mayor discapacidad y, por ello, origina una gran repercusión en la calidad de vida y un elevado coste derivado de la necesidad de ayuda y adaptaciones que requieren las personas que la padecen.…”

A combined therapy for limb apraxia and related anosognosia

“…Limb apraxia is commonly defined as a motor-cognitive disorder leading to difficulties in imitating gestures, pantomiming tool-use and actually using real tools (Goldenberg, 2013). Despite its negative impact on independence in daily life activities (Goldenberg & Hagmann, 1998b;Goldenberg, Daumüller, & Hagmann, 2001;Unsal-Delialioglu, Kurt, Kaya, Culha, & Ozel, 2008) and rehabilitation success (Dovern, Fink, & Weiss, 2012;Hanna-Pladdy, Heilman, & Foundas, 2003;Wu, Burgard, & Radel, 2014), studies on the effectiveness of apraxia rehabilitation are scarce (Buxbaum et al, 2008;Buxbaum & Randerath, 2018;Cantagallo, Maini, & Rumiati, 2012;Dovern et al, 2012;van Heugten & Geusgens, 2017;Worthington, 2016). Further, to the best of our knowledge, there were only two new rehabilitation approaches published since the review by colleagues in 2008 (see also Worthington, 2016).…”