Wirth, K., Held, A., Kalbe, E., Kessler, J., Saliger, J., Karbe, H., Fink, G. R. and Weiss, P. H. (2016). A New Diagnostic Tool for Apraxia in Patients with Right-Hemisphere Stroke: The Revised Cologne Apraxia Screening (KAS-R). Forschritte Neurol. Psychiatr., 84 (10). S. 634 - 641. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-3522

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Abstract

The Cologne Apraxia Screening (KAS) was developed to diagnose apraxia following left-hemisphere (LH) stroke. The present study aims at developing a diagnostic tool for patients with right-hemisphere (RH) stroke (KAS-R) by modifying the test material of the KAS and reducing the test items based on psychometric analyses. A total of 100 patients with RH stroke and 77 healthy control participants were tested. Psychometric analyses led to the exclusion of 8 KAS items. The final KAS-R, consisting of 12 items, shows good internal consistency (alpha=0.795) as well as high sensitivity (79.4%) and specificity (84.4%). Applying a cut-off value of <= 46 (out of 48) points, 39 RH stroke patients were diagnosed with apraxia. Significant correlations were found between the KAS-R and an imitation test as well as expert ratings, indicating high construct validity. The results suggest that the KAS-R is a reliable and valid diagnostic tool for apraxic deficits after RH stroke.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Wirth, K.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Held, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kalbe, E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kessler, J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Saliger, J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Karbe, H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fink, G. R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Weiss, P. H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-261485
DOI: 10.1055/s-0042-115843
Journal or Publication Title: Forschritte Neurol. Psychiatr.
Volume: 84
Number: 10
Page Range: S. 634 - 641
Date: 2016
Publisher: GEORG THIEME VERLAG KG
Place of Publication: STUTTGART
ISSN: 1439-3522
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
IDEOMOTOR APRAXIA; LIMB APRAXIA; IMITATION; GESTURES; REHABILITATION; MOVEMENT; APHASIA; DAMAGEMultiple languages
Clinical Neurology; PsychiatryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/26148

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