Prävalenz und Charakteristika apraktischer Defizite bei links- und rechtshemisphärischen Schlaganfällen

Latarnik, S.; Wirth, K; Held, A.; Kalbe, Elke; Kessler, Josef; Saliger, Jochen; Karbe, H.; Fink, Gereon R.; Weiss, Peter H.

doi:10.1055/a-1082-6501

Cited by 2 publications

(1 citation statement)

References 21 publications

(44 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Apraxia is closely linked to damage in key regions such as the parietal lobe, premotor cortex, and underlying white matter [ 2 , 5 , 6 ]. Approximately 25% of stroke survivors also have ULA [ 7 ], and 50% of the individuals with left stroke exhibit apraxia that persists following illness onset [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Upper Limb Apraxia on General and Domain-Specific Self-Efficacy in Post-Stroke Patients

Sánchez-Bermejo,

Milla-Ortega,

Pérez-Mármol

2023

Healthcare

View full text Add to dashboard Cite

Background: Upper limb apraxia (ULA) is a neurological syndrome characterized by the inability to perform purposeful movements. ULA could impact individuals’ perceptions, including perceived self-efficacy. The aim of this study is to investigate whether ULA is related to general self-efficacy and self-efficacy for managing symptoms in post-stroke patients. Methods: A cross-sectional study was conducted involving 82 post-stroke patients. Regression analyses were implemented using a stepwise model including seven dimensions of ULA: imitation (non-symbolic, intransitive, and transitive), pantomime (non-symbolic, intransitive, and transitive), and dimension of apraxic performance in activities of daily living. These dimensions were independent variables, while general self-efficacy and symptom management self-efficacy dimensions were dependent variables. Results: The findings revealed that intransitive imitation accounted for 14% of the variance in general self-efficacy and 10% of self-efficacy for managing emotional symptoms. Transitive imitation explained 10% of the variance in self-efficacy for managing global symptoms and 5% for social–home integration symptoms. The combination of intransitive imitation, non-symbolic pantomime, and alterations in activities of daily living performance associated with ULA explained 24% of the variance in cognitive self-efficacy. Conclusions: Hence, ULA dimensions seem to be related to the levels of general perceived self-efficacy and self-efficacy for managing symptoms among post-stroke patients.

show abstract

Section: Introductionmentioning

confidence: 99%

The Impact of Upper Limb Apraxia on General and Domain-Specific Self-Efficacy in Post-Stroke Patients

Sánchez-Bermejo,

Milla-Ortega,

Pérez-Mármol

2023

Healthcare

View full text Add to dashboard Cite

show abstract

The impact of apraxia and neglect on early rehabilitation outcome after stroke

Latarnik

Stähl

Vossel

et al. 2022

Neurol. Res. Pract.

Self Cite

View full text Add to dashboard Cite

Background This study aims to characterize the impact of apraxia and visuospatial neglect on stroke patients’ cognitive and functional outcomes during early rehabilitation. Prior work implies an unfavorable effect of visuospatial neglect on rehabilitation; however, previous findings remain ambiguous and primarily considered long-term effects. Even less is known about the impact of apraxia on rehabilitation outcomes. Although clinicians agree on the significance of the first few weeks after stroke for the course of rehabilitation, studies exploring the impact of neglect and apraxia in this early rehabilitation period remain scarce. Methods Based on a screening of 515 hospitalized stroke patients from an early rehabilitation ward, 150 stroke patients (75 left-hemispheric strokes, 75 right hemispheric strokes) fulfilled the inclusion criteria and were enrolled in this observational, longitudinal study. The patients’ cognitive and functional statuses were documented at admission to the early rehabilitation ward and discharge. Also, detailed apraxia and neglect assessments were performed at midterm. The predictive values of age and apraxia and neglect severity (as reflected in two components from a principal component analysis of the neglect and apraxia assessments) for cognitive and functional outcomes at discharge were evaluated by multiple regression analyses. Results Besides the expected influence of the respective variables at admission, we observed a significant effect of apraxia severity on the cognitive outcome at discharge. Moreover, neglect severity predicted the Early Rehabilitation Barthel Index (Frühreha-Barthel-Index) at discharge. Supplementary moderator analysis revealed a differential effect of neglect severity on the cognitive outcome depending on the affected hemisphere. Conclusion Data indicate a strong association between apraxia and visuospatial neglect and early rehabilitation outcomes after stroke.

show abstract

Prävalenz und Charakteristika apraktischer Defizite bei links- und rechtshemisphärischen Schlaganfällen

Cited by 2 publications

References 21 publications

The Impact of Upper Limb Apraxia on General and Domain-Specific Self-Efficacy in Post-Stroke Patients

The Impact of Upper Limb Apraxia on General and Domain-Specific Self-Efficacy in Post-Stroke Patients

The impact of apraxia and neglect on early rehabilitation outcome after stroke

Contact Info

Product

Resources

About