Assessment Protocol of Motor Programming Skills after Cerebrovascular Insults

Document Type : Original Article

Authors

1 Department of Otolaryngology, Faculty of Medicine, 1Cairo University, Cairo, 2Benha University, Qalubia, Egypt

2 Department of Otolaryngology, Faculty of Medicine, 1Cairo University, Cairo, 2Benha University, Qalubia, Egypt.

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.
Objective: 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.
Patients and 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 2018divided 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, subitems
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 apraxiascore as shown in the
observational checklist.
Conclusion: Apraxia is a common finding after cerebrovascular insults (CVI) which mainly presents with aphasia
and/or dysarthria.

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