title: Sensitivity of different ADL measures to apraxia and motor impairments.
abstract: OBJECTIVE
  To determine whether specifically designed activities of daily living (ADL) observations can measure disability due to apraxia with more sensitivity than the Barthel ADL Index, a conventional functional scale.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Rehabilitation centres and nursing homes.
  
  
  METHODS
  One hundred and six left hemisphere stroke patients with apraxia, hospitalized in rehabilitation centres and nursing homes.
  
  
  METHODS
  ADL observations, Barthel ADL Index, an apraxia test, Motricity Index, Functional Motor Test.
  
  
  RESULTS
  Multivariate analyses showed that the specific ADL observations were associated with severity of apraxia (and not with motor impairments). The Barthel ADL Index was associated with motor impairments (and not with severity of apraxia).
  
  
  CONCLUSIONS
  The assessment of disability in stroke patients with apraxia cannot rely only on the Barthel ADL Index. In addition, the specific ADL observation procedure is needed to measure disability due to apraxia.
authors.affiliation: Netherlands Institute for Health Services Research, Utrecht. M.Donkervoort@nivel.nl
authors.forename: Mireille
authors.initials: M
authors.lastname: Donkervoort
authors.forename: Joost
authors.initials: J
authors.lastname: Dekker
authors.forename: Betto G
authors.initials: BG
authors.lastname: Deelman
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D020240:Apraxia, Ideomotor / Q000175:diagnosis* / Q000209:etiology / Q000534:rehabilitation; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009426:Netherlands; D012044:Regression Analysis; D012680:Sensitivity and Specificity; D020521:Stroke / Q000150:complications; D000071939:Stroke Rehabilitation