Abstract
Objectives: The Assessment of Participation and Executive Functions (A-PEX) evaluates executive functioning through daily participation in complex daily activities. This study examines its ability to discriminate between executive functioning profiles post-traumatic brain injury and post-stroke and its sensitivity to changes. Design: Cross-sectional with a longitudinal component. Patients: Adults with post-traumatic brain injury (n = 28) and post-stroke (n = 26) in a rehabilitation facility. Methods: Patients were administered the A-PEX, Multiple Errands Test-Hospital version and Color Trail Test at 2 time-points 1 month apart. The Montreal Cognitive Assessment was administered at the first time-point, and Executive Functions Performance Test’s Internet-based Bill Payment subtest at the second. The analysis used Mann–Whitney and Wilcoxon signed-rank tests. Results: The stroke group’s A-PEX scores were higher than the traumatic brain injury group’s at the first time-point (p < 0.05). No differences were found in the other assessments. Within-group differences in both groups were significant in the A-PEX (–3.7 < r < – 2.3, p < 0.05) and Multiple Errands Test-Hospital version (–3.4 < r < –3.3, p < 0.01). Conclusion: The A-PEX may provide valuable information about the uniqueness of executive functioning profiles and patients’ progress.
Original language | English |
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Article number | jrm12427 |
Journal | Journal of Rehabilitation Medicine |
Volume | 56 |
DOIs | |
State | Published - 2024 |
Bibliographical note
Publisher Copyright:© 2024, Medical Journals Sweden AB. All rights reserved.
Keywords
- executive function
- inpatient
- rehabilitation
- stroke
- traumatic brain injury
ASJC Scopus subject areas
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation