Article

OBJECTIVE: To investigate the performance of cognitively demanding instrumental
activities of daily living (IADLs) among people with Parkinson's disease (PD)
without dementia. METHOD: 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. RESULTS: 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. CONCLUSIONS: 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.
CI - Copyright (c) 2014 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS