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CURRENT ISSUEEUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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ORIGINAL ARTICLES  


Europa Medicophysica 1998 September;34(3):131-5

language: English

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


FULL TEXT  REPRINTS


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.

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