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A Journal on Physical Medicine and Rehabilitation after Pathological Events
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Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063
Europa Medicophysica 1998 September;34(3):131-5
The value of ideomotor apraxia in rehabilitation
Buzzelli S. 1, Di Francesco L. 1, Giaquinto S. 1, Minopoli R. 2, Nolfe G. 2
1 “Villa Serena” Rehabilitation Hospital, Città S. Angelo (Pescara), Italy;
2 Institute of Cybernetics, Arco Felice (Napoli), Italy
BACKGROUND: The aim of the present study was to explore the relationship between ideomotor apraxia and disability within the framework of rehabilitation of the stroke patient. We were interested in determining whether patients with apraxia would be more impaired in the activities of daily living (ADL) and make a worse recovery.
METHODS: One hundred and eighty-six right-handed consecutive patients suffering from the sequelae of stroke were enrolled. The mean interval since stroke was 29 days. The main evaluation instruments used were De Renzi’s test for ideomotor apraxia and the Functional Independence Measure (FIM).
RESULTS: The results of our statistical analysis showed that apraxia occurred more frequently in the female patients and was associated with a lower FIM score, at both admission and discharge. Although some improvement in apraxia was observed over the two- months of rehabilitation, it did not disappear completely.
CONCLUSIONS: In conclusion, ideomotor apraxia hinders independence in ADL, and for this reason should be considered in rehabilitation protocols if proper treatment is to be provided.