Reliability and Validity of the Comprehensive Limb and Oral Apraxia Test: Standardization and Clinical Application in Korean Patients With Stroke
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objective To develop and standardize the Limb and Oral Apraxia Test (LOAT) for Korean patients and investigate its reliability, validity, and clinical usefulness for patients with stroke. Methods We developed the LOAT according to a cognitive neuropsychological model of limb and oral praxis. The test included meaningless, intransitive, transitive, and oral praxis composed of 72 items (56 items on limb praxis and 16 items on oral praxis; maximum score 216). We standardized the LOAT in a nationwide sample of 324 healthy adults. Intra-rater and inter-rater reliability and concurrent validity tests were performed in patients with stroke. We prospectively applied the LOAT in 80 patients and analyzed the incidence of apraxia. We also compared the clinical characteristics between the apraxia and non-apraxia groups. Results The internal consistency was high (Cronbach’s alpha=0.952). The inter-rater and intra-rater reliability and concurrent validity were also high (r=0.924–0.992, 0.961–0.999, and 0.830, respectively; p<0.001). The mean total, limb, and oral scores were not significantly different according to age and education (p>0.05). Among the 80 patients with stroke, 19 (23.8%) had limb apraxia and 21 (26.3%) had oral apraxia. Left hemispheric lesions and aphasia were significantly more frequently observed in the limb/oral apraxia group than in the non-apraxia group (p<0.001). Conclusion The LOAT is a newly developed comprehensive test for limb and oral apraxia for Korean patients with stroke. It has high internal consistency, reliability, and validity and is a useful apraxia test for patients with stroke.
Abstract
Objective To develop and standardize the Limb and Oral Apraxia Test (LOAT) for Korean patients and investigate its reliability, validity, and clinical usefulness for patients with stroke. Methods We developed the LOAT according to a cognitive neuropsychological model of limb and oral praxis. The test included meaningless, intransitive, transitive, and oral praxis composed of 72 items (56 items on limb praxis and 16 items on oral praxis; maximum score 216). We standardized the LOAT in a nationwide sample of 324 healthy adults. Intra-rater and inter-rater reliability and concurrent validity tests were performed in patients with stroke. We prospectively applied the LOAT in 80 patients and analyzed the incidence of apraxia. We also compared the clinical characteristics between the apraxia and non-apraxia groups. Results The internal consistency was high (Cronbach’s alpha=0.952). The inter-rater and intra-rater reliability and concurrent validity were also high (r=0.924–0.992, 0.961–0.999, and 0.830, respectively; p<0.001). The mean total, limb, and oral scores were not significantly different according to age and education (p>0.05). Among the 80 patients with stroke, 19 (23.8%) had limb apraxia and 21 (26.3%) had oral apraxia. Left hemispheric lesions and aphasia were significantly more frequently observed in the limb/oral apraxia group than in the non-apraxia group (p<0.001). Conclusion The LOAT is a newly developed comprehensive test for limb and oral apraxia for Korean patients with stroke. It has high internal consistency, reliability, and validity and is a useful apraxia test for patients with stroke.
참고문헌 (27)
- Rothi LJ, "Pantomime comprehension and ideomotor apraxia", J Neurol Neurosurg Psychiatry, 48, pp.207~210 (1985)
- Gonzalez Rothi LJ, "A cognitive neuropsychological model of limb praxis", Cogn Neuropsychol, 8, pp.443~458 (1991)
- Foundas AL, "Apraxia during Wada testing", Neurology, 45, pp.1379~1383 (1995)
- Foundas AL, "Ecological implications of limb apraxia : evidence from mealtime behavior", J Int Neuropsychol Soc, 1, pp.62~66 (1995)
- De Renzi E, "Modality-specific and supramodal mechanisms of apraxia", Brain, 105(Pt 2), pp.301~312 (1982)
- Goldenberg G, "Ideomotor apraxia and cerebral dominance for motor control", Brain Res Cogn Brain Res, 3, pp.95~100 (1996)
- Koski L, "Deconstructing apraxia : understanding disorders of intentional movement after stroke", Curr Opin Neurol, 15, pp.71~77 (2002)
- Finney GR, "Perceptual-motor dysfunction", Continuum(Minneap Minn), 21, pp.678~689 (2015)
- Chang SE, "Common neural substrates support speech and non-speech vocal tract gestures", Neuroimage, 47, pp.314~325 (2009)
- Dovern A, "Diagnosis and treatment of upper limb apraxia", J Neurol, 259, pp.1269~1283 (2012)
- Beaton DE, "Guidelines for the process of cross-cultural adaptation of self-report measures", Spine(Phila Pa 1976), 25, pp.3186~3191 (2000)
- Guillemin F, "Cross-cultural adaptation of health-related quality of life measures : literature review and proposed guidelines", J Clin Epidemiol, 46, pp.1417~1432 (1993)
- Lee JS, "Validation of the korean version of the neck pain and disability scale", Asian Spine J, 7, pp.178~183 (2013)
- 하지완, "한국판 프렌차이 실어증 선별검사(Korean version of Frenchay Aphasia Screening Test: K-FAST)의 신뢰도와 타당도: 뇌손상 환자를 대상으로", Communication Sciences and Disorders, 14(1), pp.46~57 (2009), 한국언어청각임상학회
- 김수정, "뇌졸중 후 실어증 환자의 삶의 질 척도(SAQOL-39) : 한국어판의 타당도 및 신뢰도", 재활복지, 16(4), pp.245~265 (2012), 한국장애인재활협회 부설 재활연구소
- Kim DY, "Reliability and validity of the Korean version of the Communicative Activity Log(CAL)", Aphasiology, 30, pp.96~105 (2016)
- Helm-Estabrooks N, "TOLA: Test of Oral and Limb Apraxia" (1992), Riverside Publishing Company
- Enderby P, "Frenchay aphasia screening test : validity and comparability", Disabil Rehabil, 18, pp.238~240 (1996)
- Dabul B, "Apraxia battery for adults" (2000), Pro-ED
- 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)
- Kertesz A, "Western aphasia battery test manual" (1982), Grune & Stratton
- Mutha PK, "Coordination deficits in ideomotor apraxia during visually targeted reaching reflect impaired visuomotor transformations", Neuropsychologia, 48, pp.3855~3867 (2010)
- Papagno C, "Ideomotor apraxia without aphasia and aphasia without apraxia : the anatomical support for a double dissociation", J Neurol Neurosurg Psychiatry, 56, pp.286~289 (1993)
- Vry MS, "The ventral fiber pathway for pantomime of object use", Neuroimage, 106, pp.252~263 (2015)
- Weiss PH, "Where language meets meaningful action : a combined behavior and lesion analysis of aphasia and apraxia", Brain Struct Funct, 221, pp.563~576 (2016)
- Kertesz A, "Praxis and language : the extent and variety of apraxia in aphasia", Neuropsychologia, 20, pp.275~286 (1982)
- 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)