The Performance Test of Activities of Daily Living

Kuriansky, Judy; Gurland, Barry J.

doi:10.2190/x45l-tww7-wxxy-ka6k

Cited by 126 publications

(72 citation statements)

References 22 publications

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“…16,17 They also had intact global cognitive ability as measured by the MiniMental State Examination (MMSE) 18 and were intact regarding activities of daily living (ADL). 19 Sisters with MCI had intact global cognitive function and ADL, but had at least 1 specific area of cognition impaired (usually memory or naming). Dementia patients demonstrated functional decline, with impairments in memory and at least one other area of cognitive function, and impaired ADL.…”

Section: Methodsmentioning

confidence: 99%

The Nun Study

Iacono¹,

Markesbery²,

Gross³

et al. 2009

Neurology

185

151

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Section: Methodsmentioning

confidence: 99%

The Nun Study

Iacono¹,

Markesbery²,

Gross³

et al. 2009

Neurology

185

151

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“…All patients met Diagnostic and Statistical Manual of Mental Disorders -DSM-IV 2 diagnostic criteria for probable AD. For inclusion in the study protocol, each patient should score between five and fifteen points (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15) We excluded patients who did not spend time with the same caregiver at least four daily hours for at least four days per week, patients who had any uncorrected visual or auditory deficits that could affect their evaluation (inadequate or unsuited prostheses), and patients with history of cerebrovascular diseases (ischemic or hemorrhagic strokes) in the 12 months preceding the neuropsychological assessment.…”

Section: Samplementioning

confidence: 99%

“…For comparisons of cognitive scales with functionality, the Performance Test of Activities of Daily Living -PADL 13 was employed. It was initially developed for self-care evaluations at geriatric psychiatric patients.…”

Section: Instruments and Proceduresmentioning

confidence: 99%

Is there correlation between cognition and functionality in severe dementia? The value of a performance-based ecological assessment for Alzheimer’s disease

Wajman

Oliveira

Marin

et al. 2014

Arq. Neuro-Psiquiatr.

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Objective: Besides significant cognitive decline, patients in later stages of Alzheimer's disease (AD) also present global functional impairment, usually reported by their caregivers. This study searched for preserved activities of daily living by investigating correlations among specific instruments for severe dementia with a performance-based functional scale. Method: A sample of 95 moderate to severe AD patients and their caregivers underwent a neuropsychological battery consisting of screening tools, the Functional Assessment Staging Test (FAST), the Severe Mini-Mental State Examination (MMSEsev) and a performance-based ecological scale, the Performance Test of Activities of Daily Living (PADL). Results: Consistent findings emerged from the comparisons among tests. PADL showed significant statistical correlation with MMSEsev (r,0.001), according to FAST subdivisions. Conclusion: Upon suspicion of unreliable caregiver reports, ecological scales may be useful for disease staging. Variable degrees of functionality and cognition may be present even in later stages of AD, requiring proper assessment.Keywords: Alzheimer disease, neuropsychology, activities of daily living. RESUMOObjetivo: Além do significativo declínio cognitivo, pacientes em estágios avançados da doença de Alzheimer (DA) também apresentam prejuízo funcional global. Este estudo investigou atividades de vida diária correlacionando teste específico para a demência grave, com escala funcional baseada no desempenho. Método: 95 pacientes com DA foram submetidos a uma bateria neuropsicológica composta por instrumentos de rastreio, a escala Functional Assessment Staging Test (FAST), o Mini-exame do Estado Mental grave (MEEMg) e escala ecológica baseada no desempenho: a Performance Test of Activities of Daily Living (PADL). Resultados: Achados consistentes emergiram da comparação entre os instrumentos. De acordo com as subdivisões da escala FAST, a PADL apresentou significativa correlação estatística com o MEEMg (r,0.001). Conclusão: Na suspeita de relato pouco confiável por parte do cuidador, escalas ecológicas podem ser úteis no estadiamento da doença. Igualmente à cognição, variados graus de funcionalidade estão presentes mesmo em fases avançadas da DA, exigindo avaliação adequada.Palavras-chave: doença de Alzheimer, neuropsicologia, atividades de vida diária.Dementias are a worldwide burden to public health systems. Given the demographic changes with a global aging trend ( faster in developing countries), estimates on the rising prevalence of these disorders are discouraging, considering associated costs in primary, secondary and tertiary levels of care . As suggested by current guidelines 2 , the progressive course of dementia might be classified in three main stages: mild -there is still some aptitude for independent life, despite the impact on instrumental activities of daily living; moderate -the abilities for independent living are limited and supervision is needed in many activities; severerestricted independence for all activities, incl...

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“…Functional level was measured by the Physical Self-Maintenance Scale (Kent, Kastenbaum, & Sherwood, 1972;Lawton & Brody, 1969) and the Performance Test of Activities of Daily Living (Kuriansky &Gurland, 1976). The Physical Self-Maintenance Scale is a brief, nonintrusive assessment scale based on the Langly-Porter Scale and validated against other functional assessment scales.…”

Section: Instrumentsmentioning

confidence: 99%

The effect of skill training on functional abilities of nursing home residents with dementia

Tappen

1994

Research in Nursing & Health

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The purpose of this experimental study was to compare the effects of skill training, a traditional stimulation approach, and regular care (control group) on the ability to perform the basic activities of daily living of nursing home residents with dementia. Sixty-three subjects were randomly selected and randomly assigned to the three groups. Ability to perform the basic activities of daily living (ADLs) and progress toward meeting individually set ADL-related goals were measured. Significant differences were found in two of the three measures used. In general, the greatest improvement was found in the skill training group, modest improvement in the simulation group, and decline in the control group.

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The Performance Test of Activities of Daily Living

Cited by 126 publications

References 22 publications

The Nun Study

The Nun Study

Is there correlation between cognition and functionality in severe dementia? The value of a performance-based ecological assessment for Alzheimer’s disease

The effect of skill training on functional abilities of nursing home residents with dementia

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