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Assessment Protocol of Motor Programming Skills after Cerebrovascular Insults

• 2019
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Publication Information
Authors Omnia Zakaria Ahmed, Prof. Dr. Dalia Mostafa Othman, Dr. Ayatallah Raouf Shaikhany, Dr. Aisha Fawzy Abd-Elhady
Keywords Apraxia, Buccofacial, Cerebrovascularr insults, Dressing, Ideomotor, Swallowing, Verbal.
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publication.type Local
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Abstract
Background: Stroke causes a greater range of disabilities than any other condition that affect the motor system, communication, urinary system and all other systems of the body. Aim was to devise a holistic multidimensional battery for assessment of motor programming skills in patients with established cerebrovascular insults and correlate it with quality of life of those patients.
Methods: An analytical cross-sectional study carried out on 116 adults attended the phoniatric outpatient clinic in Kasr Al Aini and Benha university hospitals from October 2016 to July 2018 divided into group 1 which included 58 post stroke adults experienced cerebrovascular insults of more than 6 months and group 2 included 58 normal adults as a control group. The two groups were subjected to the interview and personal history, modified comprehensive aphasia test, assessment protocol of some motor programming skills.
Results: There was a highly significant difference between both groups regarding sub-items and total score of limb apraxia except for pantomime intransitive sub-item. A significant difference regarding sub-items and total score of ideational apraxia, scores of all sub-items and total score of ideomotor apraxia, all sub-items and total score of verbal apraxia, sub-items and total score of buccofacial apraxia except for sub-item of soft palate and pharynx, all sub-items and total score of constructional apraxia, sub-items and total score of dressing apraxia and swallowing apraxia score as shown in the observational checklist.
Conclusion: apraxia is a common finding after cerebrovascular insults (CVI) which mainly presents with aphasia and / or dysarthria.