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EUROPEAN 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)
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Europa Medicophysica 1999 September;35(3):119-24

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: English

The assessment of utilization apraxia

Zanini S. 1, Bearzotti F. 1, Vorano L. 1, De Luca G. 1, Rumiati R. I. 2

1 Rehabilitation Unit, Physical Medicine and Rehabilitation Hospital, Udine, Italy; 2 Programme in Neuroscience, SISSA, Trieste, Italy


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BACKGROUND: Clinical assess­ment of aprax­ia has fol­lowed the dif­fer­ent theo­ret­i­cal frame­works ­that ­research in ­this ­field has pro­posed ­over the ­last ­decades. Consequently, clin­i­cal ­tests ­that are in use are not equal­ly sen­si­tive to the aprax­ic def­i­cit. Moreover, ­each of ­them ­aims to ­show ­only cer­tain ­aspects of the def­i­cit. In the ­present pre­lim­i­nary ­study we ­wish to ­present the appli­ca­tion of a new clin­i­cal ­tool for assess­ing aprax­ia, the SIS­SA Utilization Apraxia Battery (­SUAB).
METHODS: A ­pilot ­study was set to ­assess SUAB’s sen­si­tiv­ity to aprax­ic def­i­cit. Patients ­were stud­ied in the usu­al clin­i­cal set­ting, name­ly the Neuropsychological Office of our Rehabilitation Unit. Three unse­lect­ed ­left-hem­i­sphere dam­aged ­patients ­were ­enrolled in the ­study. The ­SUAB is ­based on a pan­to­mine ­task of sin­gle ­object use and on the ­real use of the ­same ­objects. The pan­to­mine ­task fol­lows ­three dif­fer­ent pres­en­ta­tions of the ­objects: vis­u­al, audi­to­ry and tac­tile. Patients’ ­scores in pan­to­mim­ing and in ­real use ­were eval­u­at­ed.
RESULTS: Results ­showed the ­SUAB to be ­very suit­able for detect­ing the aprax­ic def­i­cit. Moreover, it was ­able to ­show dis­so­ci­a­tion with­in the ­same ­patient in pan­to­mim­ing fol­low­ing dif­fer­ent sen­so­ri­al pres­en­ta­tions of the stim­u­li.
CONCLUSIONS: Therefore, the ­SUAB ­appears to be a sen­si­tive ­tool for assess­ing util­iza­tion aprax­ia.

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