- Title
- Cognitive and upper limb symptom changes from a tap test in idiopathic normal pressure hydrocephalus
- Creator
- Gallagher, Ryan M.; Marquez, Jodie; Osmotherly, Peter
- Relation
- Clinical Neurology and Neurosurgery Vol. 174, Issue November, p. 92-96
- Publisher Link
- http://dx.doi.org/10.1016/j.clineuro.2018.09.015
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2018
- Description
- Objectives: To determine which cognitive and upper limb assessments can identify change in patients undergoing a Cerebrospinal fluid (CSF) tap test (TT) diagnosed with idiopathic Normal Pressure Hydrocephalus (iNPH). Patients and methods: Prospective observational study of 74 iNPH patients undergoing a CSF TT for consideration of a ventricular peritoneal shunt. Patients who were offered surgical intervention were classified as responders. Patients were assessed with a battery of cognitive and upper limb assessments prior to and following a CSF TT. The Timed up and go cognition (TUG-C), Montreal Cognitive assessment (MoCA) and 9-hole peg test were utilised. Results: 40 patients were classified responders. Significant differences were identified for responders for the MoCA (0.62 points) and TUG-C (-6.02 s). Only the executive function and orientation sub scores of the MoCA showed significant changes for responders. The 9 hole peg test mean change of 4.33 s for responders was not significant. Non-responder change scores for the MoCA (0.22 points), TUG-C (0.3 s) and 9 hole peg test (2.58 s) were not significant. Conclusion: The TUG-C has the potential to identify change in patients resulting from a CSF TT. While statistically significant change was found for the MoCA, a mean change of less than 1 point on this scale is unlikely to be clinically relevant. Similarly, the 9 hole peg test cannot be endorsed as an assessment tool for identifying changed performance in iNPH.
- Subject
- idiopathic normal pressure hydrocephalus; tap test; physiotherapy; occupational therapy
- Identifier
- http://hdl.handle.net/1959.13/1402692
- Identifier
- uon:35055
- Identifier
- ISSN:0303-8467
- Language
- eng
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