Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > Europa Medicophysica 1999 September;35(3) > Europa Medicophysica 1999 September;35(3):119-24

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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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