Foster Erin R
Erin R. Foster, OTD, MSCI, OTR/L, is Assistant Professor, Program in Occupational Therapy, Departments of Neurology and Psychiatry, Washington University School of Medicine, Campus Box 8505, 4444 Forest Park Boulevard, St. Louis, MO 63108;
Am J Occup Ther. 2014 May-Jun;68(3):353-62. doi: 10.5014/ajot.2014.010330.
To investigate the performance of cognitively demanding instrumental activities of daily living (IADLs) among people with Parkinson's disease (PD) without dementia.
Seventy-seven participants with PD and 57 participants without PD underwent standardized, performance-based IADL evaluation using the Performance Assessment of Self-care Skills. Activity performance was rated for independence, adequacy, and safety.
The PD group had lower independence and adequacy scores than the non-PD group for almost every activity. Medication management, shopping, and sharp utensil use were the activities most sensitive to group differences. In the PD group, older age, lower Mini-Mental State Examination scores, and decreased motor function were associated with poorer IADL performance.
People with relatively early and mild PD demonstrated measurable deficits in the performance of cognitively demanding IADLs. This work highlights the importance of using objective assessments of IADL function to detect early functional changes in people with PD.
研究无痴呆的帕金森病（PD）患者在认知要求较高的日常生活工具性活动（IADL）中的表现。
77名PD患者和57名非PD参与者使用自我护理技能表现评估进行了标准化的、基于表现的IADL评估。对活动表现进行独立性、充分性和安全性评分。
几乎每项活动中，PD组的独立性和充分性得分均低于非PD组。药物管理、购物和使用锋利器具是对组间差异最敏感的活动。在PD组中，年龄较大、简易精神状态检查表得分较低以及运动功能下降与较差的IADL表现相关。
相对早期和轻度PD患者在认知要求较高的IADL表现中存在可测量的缺陷。这项工作强调了使用IADL功能的客观评估来检测PD患者早期功能变化的重要性。
