Ann Rehabil Med.  2016 Oct;40(5):769-778. 10.5535/arm.2016.40.5.769.

Reliability and Validity of Korean Version of Apraxia Screen of TULIA (K-AST)

• Kim SJ
• Yang YN
• Lee JW
• Lee JY
• Jeong E
• Kim BR
• Lee J

• KMID: 2382908
• DOI: http://doi.org/10.5535/arm.2016.40.5.769

Abstract

OBJECTIVE
To evaluate the reliability and validity of Korean version of AST (K-AST) as a bedside screening test of apraxia in patients with stroke for early and reliable detection.
METHODS
AST was translated into Korean, and the translated version received authorization from the author of AST. The performances of K-AST in 26 patients (21 males, 5 females; mean age 65.42±17.31 years) with stroke (23 ischemic, 3 hemorrhagic) were videotaped. To test the reliability and validity of K-AST, the recorded performances were assessed by two physiatrists and two occupational therapists twice at a 1-week interval. The patient performances at admission in Korean version of Mini-Mental State Examination (K-MMSE), self-care and transfer categories of Functional Independence Measure (FIM), and motor praxis area of Loewenstein Occupational Therapy Cognitive Assessment, the second edition (LOTCA-II) were also evaluated. Scores of motor praxis area of LOTCA-II was used to assess the validity of K-AST.
RESULTS
Inter-rater reliabilities were 0.983 (p<0.001) at the first assessment and 0.982 (p<0.001) at the second assessment. For intra-rater (test-retest) reliabilities, the values of four raters were 0.978 (p<0.001), 0.957 (p<0.001), 0.987 (p<0.001), and 0.977 (p<0.001). K-AST showed significant correlation (r=0.758, p<0.001) with motor praxis area of LOTCA-II test. K-AST also showed positive correlations with the total FIM score (r=0.694, p<0.001), the selfcare category of FIM (r=0.705, p<0.001) and the transfer category of FIM (r=653, p<0.001).
CONCLUSION
K-AST is a reliable and valid test for bedside screening of apraxia.

Keyword

Apraxias; Upper extremity; Stroke; Reproducibility of results

MeSH Terms

Apraxias*
Female
Humans
Male
Mass Screening
Occupational Therapy
Reproducibility of Results*
Self Care
Stroke
Upper Extremity

Figure

• 

  Fig. 1 Correlation of K-AST with motor praxis area of LOTCA-II. The scatterplots show the positive correlation of K-AST with motor praxis area of LOTCA-II. The squared correlation coefficient (r2) is 0.575, which means that approximately 58% of the patient score for K-AST is directly accounted for by their motor praxis area of LOTCA-II score and vice versa. K-AST, Korean version of AST; LOTCA-II, Loewenstein Occupational Therapy Cognitive Assessment 2nd edition.

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