Activities of daily living in progressive non-fluent aphasia, logopenic progressive aphasia and Alzheimer's disease

Dement Geriatr Cogn Disord. 2012;33(5):354-60. doi: 10.1159/000339670. Epub 2012 Jul 10.

Abstract

Background/aims: This study examined functional changes in progressive non-fluent aphasia (PNFA) and logopenic progressive aphasia (LPA) and Alzheimer's disease (AD) and the association between function, cognition and behaviour.

Methods: 59 patients were assessed with the Disability Assessment of Dementia (DAD), Addenbrooke's Cognitive Examination Revised (ACE-R) and the Cambridge Behavioural Inventory Revised (CBI-R).

Results: No differences between groups in basic and instrumental activities of daily living (ADLs), and total ACE-R scores were found; there were correlations between total DAD and ACE-R scores for PNFA and LPA. Over 12 months, PNFA showed the marked decline of basic ADLs, whereas all three groups showed marked decline of instrumental ADLs.

Conclusion: PNFA, LPA and AD appear functionally similar when matched for disease duration. The rate of decline of ADLs depends, however, on disease diagnosis.

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Alzheimer Disease / physiopathology*
  • Anomia / etiology
  • Anomia / physiopathology
  • Aphasia / complications
  • Aphasia / physiopathology*
  • Disease Progression
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Primary Progressive Nonfluent Aphasia / physiopathology*