Universität zu Köln

Michel, Anne, Verin, Eric, Hansen, Kevin ORCID: 0000-0001-5028-0600, Chassagne, Philippe and Roca, Frederic . Buccofacial Apraxia, Oropharyngeal Dysphagia, and Dementia Severity in Community-Dwelling Elderly Patients. J. Geriatr. Psychiatry Neurol.. THOUSAND OAKS: SAGE PUBLICATIONS INC. ISSN 1552-5708

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Abstract

Apraxia occurs frequently in patients with dementia. Buccofacial apraxia (BFA) characteristics have been less investigated than limb or speech apraxia. An association between BFA and oropharyngeal dysphagia (OD) in old patients with dementia has not yet been explored. We aimed to assess the prevalence of BFA in patients with dementia and evaluate the relationship between BFA, OD, and dementia. We have prospectively included 117 outpatients with dementia referred to a geriatric consultation. Oropharyngeal dysphagia was diagnosed using the volume viscosity swallowing test (V-VST). Buccofacial apraxia was evaluated by miming 7 meaningless gestures. A complementary geriatric assessment of 6-domains completed the evaluation. Buccofacial apraxia was present in 54 (48.6%) patients. Proxies reported OD more frequently in the group of patients with BFA compared to the group without (P = .04). Prevalence of OD assessed with the V-VST was similar between patients with and without apraxia (P = .9). Patients with BFA had a significant lower Mini-Mental State Examination suggesting a more severe cognitive decline (18.1 +/- 4.5 vs 15.8 +/- 5, P = .01), a lower activities of daily living relative to disabilities (5 +/- 0.8 vs 4.3 +/- 1.3, P = .001), and had a lower gait speed that indicated frailty (P = .03).In conclusion, our results indicate a relationship between BFA and severity of dementia, disability, and frailty with no significant association between BFA and OD.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Michel, Anne UNSPECIFIED UNSPECIFIED UNSPECIFIED Verin, Eric UNSPECIFIED UNSPECIFIED UNSPECIFIED Hansen, Kevin UNSPECIFIED orcid.org/0000-0001-5028-0600 UNSPECIFIED Chassagne, Philippe UNSPECIFIED UNSPECIFIED UNSPECIFIED Roca, Frederic UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-337012
DOI:	10.1177/0891988720915519
Journal or Publication Title:	J. Geriatr. Psychiatry Neurol.
Publisher:	SAGE PUBLICATIONS INC
Place of Publication:	THOUSAND OAKS
ISSN:	1552-5708
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ALZHEIMERS-DISEASE; NATIONAL-INSTITUTE; RELIABILITY; DISORDERS; IDEOMOTOR; VALIDITY; ADULTS; GAIT Multiple languages Geriatrics & Gerontology; Clinical Neurology; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33701