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| Home > Publications Database > A time-efficient screening tool for activities of daily living functions in Parkinson’s disease dementia |
| Home > Publications Database > A time-efficient screening tool for activities of daily living functions in Parkinson’s disease dementia |
| Journal Article | DZNE-2021-00022 |
; ; ; ; ; ;
2020
Routledge, Taylor & Francis Group86092
Abingdon
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Please use a persistent id in citations: doi:10.1080/13803395.2020.1825634
Abstract: InstructionIn Parkinson’s disease (PD), activities of daily living (ADL) impairments are crucial for diagnosis of dementia (PDD). Performance-based tests are promising tools to discriminate between different levels of cognitive impairment in PD; however, the value of those tests for diagnosis of PDD is only sparsely investigated. Therefore, we evaluated the Erlangen Test of Activities of Daily Living (E-ADL), a time-efficient performance-based ADL test, in PD.MethodIn this cross-sectional study, 40 PD patients with normal cognition (PD-NC), 45 patients with mild cognitive impairment (PD-MCI) and 21 patients with PDD were assessed with a comprehensive ADL and cognitive test battery.ResultsInterrater reliability (rs =.86) indicated high consistency of the standardized E-ADL scoring system between raters. The E-ADL correlated significantly with other tests of ADL functions (p <.01), highest with an alternative performance-based ADL test (rs = −.52), and lowest with self-ratings and a physician-rated scale. The E-ADL was also associated with cognitive impairment (p <.01), but also with motor impairment. A binary logistic regression model verified that the E-ADL (p =.04) was an independent predictor of PDD, in addition to motor impairment explaining 53.3% of variance. Receiver operating characteristic curve analysis of the E-ADL revealed an area under the curve of 0.78, a specificity of 77%, and a sensitivity of 67% for diagnosis PDD.ConclusionsThe standardized, easy, and quick to administer E-ADL showed acceptable levels of reliability, and validity in PD and measures cognitive-driven ADL functions. Therefore, it might be a suitable test to support diagnosis of PDD in the clinical daily routine.
Keyword(s): Activities of Daily Living: psychology (MeSH) ; Aged (MeSH) ; Aged, 80 and over (MeSH) ; Cognitive Dysfunction: diagnosis (MeSH) ; Cognitive Dysfunction: etiology (MeSH) ; Cognitive Dysfunction: psychology (MeSH) ; Cross-Sectional Studies (MeSH) ; Dementia: diagnosis (MeSH) ; Dementia: etiology (MeSH) ; Dementia: psychology (MeSH) ; Female (MeSH) ; Humans (MeSH) ; Male (MeSH) ; Middle Aged (MeSH) ; Motor Skills (MeSH) ; Neuropsychological Tests (MeSH) ; Parkinson Disease: complications (MeSH) ; Parkinson Disease: diagnosis (MeSH) ; Parkinson Disease: psychology (MeSH) ; ROC Curve (MeSH) ; Self Concept (MeSH) ; Sensitivity and Specificity (MeSH)
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