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Titre : | Limb Apraxia in Multiple Sclerosis: Prevalence and Impact on Manual Dexterity and Activities of Daily Living (2012) |
Auteurs : | Christian Kamm ; Mirjam Heldner ; Tim Vanbellingen ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2012/6, 2012) |
Article en page(s) : | pp. 1081-1085 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Activités de la vie quotidienne ; Rééducation et réadaptation ; Sclérose en plaques |
Mots-clés: | Activities of daily living ; Apraxias ; Multiple sclerosis ; Apraxies |
Résumé : |
Objective To evaluate the prevalence and impact of limb apraxia on manual dexterity and activities of daily living (ADLs) in patients with multiple sclerosis (MS). Design Survey. Setting University hospital. Participants Consecutive patients (N=76) with clinically isolated syndrome, relapsing-remitting multiple sclerosis (RRMS), secondary progressive multiple sclerosis (SPMS) or primary progressive multiple sclerosis (PPMS), Expanded Disability Status Scale (EDSS) score from 0 to 6.5, and aged from 18 to 70 years were included. Interventions Not applicable. Main Outcome Measures Apraxia was assessed by the apraxia screen of TULIA (AST). The relationship of apraxia with ADLs and manual dexterity was evaluated using a dexterity questionnaire and the coin rotation task, respectively. Results Overall, limb apraxia was found in 26.3% of patients (mean AST score + SD, 7.3+1.3; cutoff Conclusions Limb apraxia is a frequent and clinically significant symptom contributing to disability in MS. It should therefore be evaluated and possibly treated, particularly in patients with MS reporting manual difficulties in everyday life. |
Disponible en ligne : | Oui |
En ligne : | http://www.archives-pmr.org/article/S0003-9993%2812%2900034-2/abstract |