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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

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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 1998 September;34(3):131-5

Copyright © 1998 EDIZIONI MINERVA MEDICA

lingua: Inglese

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


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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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