Clock drawing from the occupational therapy adult perceptual screening test: Its correlation with demographic and clinical factors in the stroke population

Cooke, Deirdre M., Gustafsson, Louise and Tardiani, Danica L. (2010) Clock drawing from the occupational therapy adult perceptual screening test: Its correlation with demographic and clinical factors in the stroke population. Australian Occupational Therapy Journal, 57 3: 183-189. doi:10.1111/j.1440-1630.2009.00795.x


Author Cooke, Deirdre M.
Gustafsson, Louise
Tardiani, Danica L.
Title Clock drawing from the occupational therapy adult perceptual screening test: Its correlation with demographic and clinical factors in the stroke population
Journal name Australian Occupational Therapy Journal   Check publisher's open access policy
ISSN 0045-0766
1440-1630
Publication date 2010-06
Year available 2009
Sub-type Article (original research)
DOI 10.1111/j.1440-1630.2009.00795.x
Volume 57
Issue 3
Start page 183
End page 189
Total pages 7
Place of publication Richmond, Vic., Australia
Publisher Blackwell Science
Collection year 2010
Language eng
Subject 1103 Clinical Sciences
Formatted abstract
Background/aim: The aim of this study was to explore the relationships between clock drawing ability following stroke, and key clinical variables including cognition, functional independence, side and type of stroke, educational level and age. Methods: One hundred and ninety-seven people with stroke were recruited from 12 hospital and rehabilitation facilities. The participants' scores from the Clock Drawing Test in the Occupational Therapy Adult Perceptual Screening Test were the dependent variables and were entered into logistic regression with Functional Independence Measure motor scores, side of stroke, Oxfordshire Classification System of Stroke, educational level and age as independent variables. Correlation with the Mini-Mental State Examination was analysed independently, due to its strong correlation with other variables.
Results: The Mini-Mental State Examination correlated significantly with the Clock Drawing Test ( Exp (B. ) = 0.826, P < 0.001). In the multivariate analysis, a significant relationship was found with age (Exp. ( B. ) = 1.052, P < 0.001), Functional Independence Measure - motor (Exp. (B. ) = 0.984, P = 0.030) and side of stroke (Exp. (B. ) = 0.384, P = 0.003). Age demonstrated the strongest correlation with the Clock Drawing Test ability and the greatest decline was from approximately 70 years of age.
Conclusions: The Clock Drawing Test may be a useful and quick screen of cognitive impairments following stroke. Age-related decline must be considered and it is essential that clinicians use this only as a strategy to determine whether a more comprehensive assessment is required.
© 2009 The Authors. Journal compilation © 2009 Australian Association of Occupational Therapists.
Keyword Clock Drawing Test
Occupational Therapy
Ot-apst
Stroke
Mental-state-examination
Geriatric Rehabilitation
Dementia
Education
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 11 SEP 2009

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
School of Health and Rehabilitation Sciences Publications
 
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Created: Fri, 26 Nov 2010, 15:29:46 EST by Dr Louise Gustafsson on behalf of School of Health & Rehabilitation Sciences