Reliability and Validity of Korean Version of Apraxia Screen of TULIA (K-AST)
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective To evaluate the reliability and validity of Korean version of AST (K-AST) as a bedside screening test of apraxia in patients with stroke for early and reliable detection.Methods AST was translated into Korean, and the translated version received authorization from the author of AST. The performances of K-AST in 26 patients (21 males, 5 females; mean age 65.42±17.31 years) with stroke (23 ischemic, 3 hemorrhagic) were videotaped. To test the reliability and validity of K-AST, the recorded performances were assessed by two physiatrists and two occupational therapists twice at a 1-week interval. The patient performances at admission in Korean version of Mini-Mental State Examination (K-MMSE), self-care and transfer categories of Functional Independence Measure (FIM), and motor praxis area of Loewenstein Occupational Therapy Cognitive Assessment, the second edition (LOTCA-II) were also evaluated. Scores of motor praxis area of LOTCA-II was used to assess the validity of K-AST.Results Inter-rater reliabilities were 0.983 (p<0.001) at the first assessment and 0.982 (p<0.001) at the second assessment. For intra-rater (test-retest) reliabilities, the values of four raters were 0.978 (p<0.001), 0.957 (p<0.001), 0.987 (p<0.001), and 0.977 (p<0.001). K-AST showed significant correlation (r=0.758, p<0.001) with motor praxis area of LOTCA-II test. K-AST also showed positive correlations with the total FIM score (r=0.694, p<0.001), the self-care category of FIM (r=0.705, p<0.001) and the transfer category of FIM (r=653, p<0.001).Conclusion K-AST is a reliable and valid test for bedside screening of apraxia.
Abstract
Objective To evaluate the reliability and validity of Korean version of AST (K-AST) as a bedside screening test of apraxia in patients with stroke for early and reliable detection.Methods AST was translated into Korean, and the translated version received authorization from the author of AST. The performances of K-AST in 26 patients (21 males, 5 females; mean age 65.42±17.31 years) with stroke (23 ischemic, 3 hemorrhagic) were videotaped. To test the reliability and validity of K-AST, the recorded performances were assessed by two physiatrists and two occupational therapists twice at a 1-week interval. The patient performances at admission in Korean version of Mini-Mental State Examination (K-MMSE), self-care and transfer categories of Functional Independence Measure (FIM), and motor praxis area of Loewenstein Occupational Therapy Cognitive Assessment, the second edition (LOTCA-II) were also evaluated. Scores of motor praxis area of LOTCA-II was used to assess the validity of K-AST.Results Inter-rater reliabilities were 0.983 (p<0.001) at the first assessment and 0.982 (p<0.001) at the second assessment. For intra-rater (test-retest) reliabilities, the values of four raters were 0.978 (p<0.001), 0.957 (p<0.001), 0.987 (p<0.001), and 0.977 (p<0.001). K-AST showed significant correlation (r=0.758, p<0.001) with motor praxis area of LOTCA-II test. K-AST also showed positive correlations with the total FIM score (r=0.694, p<0.001), the self-care category of FIM (r=0.705, p<0.001) and the transfer category of FIM (r=653, p<0.001).Conclusion K-AST is a reliable and valid test for bedside screening of apraxia.
참고문헌 (18)
- Ochipa C, "Limb apraxia", Semin Neurol, 20, pp.471~478 (2000)
- Heilman KM, "Conceptual apraxia from lateralized lesions", Neurology, 49, pp.457~464 (1997)
- De Renzi E, "Imitating gestures: a quantitative approach to ideomotor apraxia", Arch Neurol, 37, pp.6~10 (1980)
- Wu AJ, "Inpatient rehabilitation outcomes of patients with apraxia after stroke", Top Stroke Rehabil, 21, pp.211~219 (2014)
- Buxbaum LJ, "Treatment of limb apraxia:moving forward to improved action", Am J Phys Med Rehabil, 87, pp.149~161 (2008)
- Hanna-Pladdy B, "Ecological implications of ideomotor apraxia: evidence from physical activities of daily living", Neurology, 60, pp.487~490 (2003)
- Sunderland A, "Ideomotor apraxia and functional ability", Cortex, 43, pp.359~367 (2007)
- Sundet K, "Neuropsychological predictors in stroke rehabilitation", J Clin Exp Neuropsychol, 10, pp.363~379 (1988)
- Dovern A, "Diagnosis and treatment of upper limb apraxia", J Neurol, 259, pp.1269~1283 (2012)
- Vanbellingen T, "A new bedside test of gestures in stroke: the apraxia screen of TULIA (AST)", J Neurol Neurosurg Psychiatry, 82, pp.389~392 (2011)
- Wetter S, "Functional implications of ipsilesional motor deficits after unilateral stroke", Arch Phys Med Rehabil, 86, pp.776~781 (2005)
- Saeki S, "The association between stroke location and return to work after first stroke", J Stroke Cerebrovasc Dis, 13, pp.160~163 (2004)
- Vanbellingen T, "Comprehensive assessment of gesture production: a new test of upper limb apraxia (TULIA)", Eur J Neurol, 17, pp.59~66 (2010)
- Zwinkels A, "Assessment of apraxia: inter-rater reliability of a new apraxia test, association between apraxia and other cognitive deficits and prevalence of apraxia in a rehabilitation setting", Clin Rehabil, 18, pp.819~827 (2004)
- Jang Y, "Validity of the Loewenstein Occupational Therapy Cognitive Assessment in people with intellectual disabilities", Am J Occup Ther, 63, pp.414~422 (2009)
- Itzkovich M, "Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) battery" (2000), Maddak
- Lund K, "Danish translation and adaptation of Loewenstein Occupational Therapy Cognitive Assessment 2nd edition (LOTCA-II)", Scand J Occup Ther, 20, pp.302~305 (2013)
- Ottenbacher KJ, "The reliability of the functional independence measure: a quantitative review", Arch Phys Med Rehabil, 77, pp.1226~1232 (1996)