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Assessment of motor and process skills reflects brain‐injured patients’ ability to resume independent living better than neuropsychological tests
Author(s) -
Lindén A.,
Boschian K.,
Eker C.,
Schalén W.,
Nordström C.H.
Publication year - 2005
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.2004.00356.x
Subject(s) - neuropsychology , rehabilitation , cognition , activities of daily living , motor skill , psychology , cognitive skill , neuropsychological assessment , physical medicine and rehabilitation , medicine , physical therapy , psychiatry
Objective –  To compare recovery of cognitive functions and activities of daily living during the first year of rehabilitation after severe brain trauma. Methods –  Sixteen patients were evaluated by neuropsychological tests and occupational performance (assessment of motor and process skills, AMPS) on admission to the rehabilitation centre and 3, 6 and 12 months later. Results –  Cognitive functions improved continuously. Motor skills recovered rapidly and were relatively stable after 3 months. For process skills recovery was protracted. Six of 15 patients were still below the cut‐off level after 12 months. Eleven of 13 patients deteriorated regarding process skills after leaving the rehabilitation centre. Conclusion –  AMPS gives a different view of the patient's restitution than neuropsychological tests and may be a better indicator of the patients’ ability to resume independent living. The deterioration of process skills post‐rehabilitation suggests that lasting contact in an outpatient setting might facilitate return to social life.

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