The Impact of Upper Limb Apraxia on General and Domain-Specific Self-Efficacy in Post-Stroke Patients
Background: Upper limb apraxia (ULA) is a neurological syndrome characterized by the inability to perform purposeful movements. ULA could impact individuals’ perceptions, including perceived self-efficacy. The aim of this study is to investigate whether ULA is related to general self-efficacy and se...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/16/2252 |
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| author | Laura Sánchez-Bermejo Pedro Jesús Milla-Ortega José Manuel Pérez-Mármol |
| author_facet | Laura Sánchez-Bermejo Pedro Jesús Milla-Ortega José Manuel Pérez-Mármol |
| author_sort | Laura Sánchez-Bermejo |
| collection | DOAJ |
| description | Background: Upper limb apraxia (ULA) is a neurological syndrome characterized by the inability to perform purposeful movements. ULA could impact individuals’ perceptions, including perceived self-efficacy. The aim of this study is to investigate whether ULA is related to general self-efficacy and self-efficacy for managing symptoms in post-stroke patients. Methods: A cross-sectional study was conducted involving 82 post-stroke patients. Regression analyses were implemented using a stepwise model including seven dimensions of ULA: imitation (non-symbolic, intransitive, and transitive), pantomime (non-symbolic, intransitive, and transitive), and dimension of apraxic performance in activities of daily living. These dimensions were independent variables, while general self-efficacy and symptom management self-efficacy dimensions were dependent variables. Results: The findings revealed that intransitive imitation accounted for 14% of the variance in general self-efficacy and 10% of self-efficacy for managing emotional symptoms. Transitive imitation explained 10% of the variance in self-efficacy for managing global symptoms and 5% for social–home integration symptoms. The combination of intransitive imitation, non-symbolic pantomime, and alterations in activities of daily living performance associated with ULA explained 24% of the variance in cognitive self-efficacy. Conclusions: Hence, ULA dimensions seem to be related to the levels of general perceived self-efficacy and self-efficacy for managing symptoms among post-stroke patients. |
| first_indexed | 2024-03-10T23:54:53Z |
| format | Article |
| id | doaj.art-f661cbf4482b4cce89700ac0d01ac7cb |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T23:54:53Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-f661cbf4482b4cce89700ac0d01ac7cb2023-11-19T01:18:03ZengMDPI AGHealthcare2227-90322023-08-011116225210.3390/healthcare11162252The Impact of Upper Limb Apraxia on General and Domain-Specific Self-Efficacy in Post-Stroke PatientsLaura Sánchez-Bermejo0Pedro Jesús Milla-Ortega1José Manuel Pérez-Mármol2Department of Physiotherapy, Faculty of Health Sciences, University of Granada, 18071 Granada, SpainInstituto de Investigación Biosanitaria ibs.GRANADA, 18012 Granada, SpainDepartment of Physiotherapy, Faculty of Health Sciences, University of Granada, 18071 Granada, SpainBackground: Upper limb apraxia (ULA) is a neurological syndrome characterized by the inability to perform purposeful movements. ULA could impact individuals’ perceptions, including perceived self-efficacy. The aim of this study is to investigate whether ULA is related to general self-efficacy and self-efficacy for managing symptoms in post-stroke patients. Methods: A cross-sectional study was conducted involving 82 post-stroke patients. Regression analyses were implemented using a stepwise model including seven dimensions of ULA: imitation (non-symbolic, intransitive, and transitive), pantomime (non-symbolic, intransitive, and transitive), and dimension of apraxic performance in activities of daily living. These dimensions were independent variables, while general self-efficacy and symptom management self-efficacy dimensions were dependent variables. Results: The findings revealed that intransitive imitation accounted for 14% of the variance in general self-efficacy and 10% of self-efficacy for managing emotional symptoms. Transitive imitation explained 10% of the variance in self-efficacy for managing global symptoms and 5% for social–home integration symptoms. The combination of intransitive imitation, non-symbolic pantomime, and alterations in activities of daily living performance associated with ULA explained 24% of the variance in cognitive self-efficacy. Conclusions: Hence, ULA dimensions seem to be related to the levels of general perceived self-efficacy and self-efficacy for managing symptoms among post-stroke patients.https://www.mdpi.com/2227-9032/11/16/2252self-efficacyself-efficacy for managing symptomsapraxiaupper limb apraxiastroke |
| spellingShingle | Laura Sánchez-Bermejo Pedro Jesús Milla-Ortega José Manuel Pérez-Mármol The Impact of Upper Limb Apraxia on General and Domain-Specific Self-Efficacy in Post-Stroke Patients Healthcare self-efficacy self-efficacy for managing symptoms apraxia upper limb apraxia stroke |
| title | The Impact of Upper Limb Apraxia on General and Domain-Specific Self-Efficacy in Post-Stroke Patients |
| title_full | The Impact of Upper Limb Apraxia on General and Domain-Specific Self-Efficacy in Post-Stroke Patients |
| title_fullStr | The Impact of Upper Limb Apraxia on General and Domain-Specific Self-Efficacy in Post-Stroke Patients |
| title_full_unstemmed | The Impact of Upper Limb Apraxia on General and Domain-Specific Self-Efficacy in Post-Stroke Patients |
| title_short | The Impact of Upper Limb Apraxia on General and Domain-Specific Self-Efficacy in Post-Stroke Patients |
| title_sort | impact of upper limb apraxia on general and domain specific self efficacy in post stroke patients |
| topic | self-efficacy self-efficacy for managing symptoms apraxia upper limb apraxia stroke |
| url | https://www.mdpi.com/2227-9032/11/16/2252 |
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