Display options
Share it on

Alzheimers Dement. 2021 Oct;17(10):1641-1648. doi: 10.1002/alz.12331. Epub 2021 Apr 08.

Functional decline in the aphasic variant of Alzheimer's disease.

Alzheimer's & dementia : the journal of the Alzheimer's Association

Stacey Moeller, Jaiashre Sridhar, Adam Martersteck, Christina Coventry, Alan Kuang, Hui Zhang, Sandra Weintraub, M-Marsel Mesulam, Emily Rogalski

Affiliations

  1. Mesulam Center for Cognitive Neurology and Alzheimer's Disease, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
  2. Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
  3. Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
  4. Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

PMID: 33829622 PMCID: PMC8499018 DOI: 10.1002/alz.12331

Abstract

INTRODUCTION: Primary progressive aphasia (PPA) is a clinical dementia syndrome associated with frontotemporal lobar degeneration (FTLD) or Alzheimer's disease (AD). Impairment in activities of daily living is essential for dementia diagnosis, yet less is known about the neuropathologic impact on functional decline in PPA, especially over time.

METHODS: Activities of Daily Living Questionnaire (ADLQ) ratings were compared by suspected underlying pathology between 17 PPA

RESULTS: Groups did not differ in demographics or aphasia severity at baseline, yet overall and subdomain scores of the ADLQ were significantly worse for PPA

DISCUSSION: Functional decline appears more pronounced and disrupts more aspects of life activities for individuals with non-semantic PPA with suspected AD versus non-AD neuropathology.

© 2021 the Alzheimer's Association.

Keywords: activities of daily living; dementia; frontotemporal dementia; primary progressive aphasia

References

  1. J Nucl Med. 2012 Mar;53(3):378-84 - PubMed
  2. JAMA. 2011 Jan 19;305(3):275-83 - PubMed
  3. J Clin Exp Neuropsychol. 2004 May;26(3):347-55 - PubMed
  4. Handb Clin Neurol. 2008;89:573-87 - PubMed
  5. Neurology. 2011 May 24;76(21):1804-10 - PubMed
  6. Alzheimer Dis Assoc Disord. 2004 Oct-Dec;18(4):223-30 - PubMed
  7. Neurol Clin Pract. 2016 Oct;6(5):419-428 - PubMed
  8. Neurology. 1993 Nov;43(11):2412-4 - PubMed
  9. Brain. 2013 Nov;136(Pt 11):3474-88 - PubMed
  10. Alzheimers Dement. 2019 Apr;15(4):543-552 - PubMed
  11. Neurology. 2013 Mar 5;80(10):897-903 - PubMed
  12. Alzheimer Dis Assoc Disord. 2007 Jan-Mar;21(1):8-13 - PubMed
  13. Lancet Neurol. 2012 Aug;11(8):669-78 - PubMed
  14. J Psychiatr Res. 1975 Nov;12(3):189-98 - PubMed
  15. Alzheimer Dis Assoc Disord. 2019 Jan-Mar;33(1):42-46 - PubMed
  16. Alzheimers Res Ther. 2016 Apr 21;8(1):16 - PubMed
  17. Neuroimage. 2002 Apr;15(4):870-8 - PubMed
  18. Dement Neuropsychol. 2013 Jan 1;7(1):2-9 - PubMed
  19. Dement Geriatr Cogn Disord. 2012;34(2):135-41 - PubMed
  20. Neurology. 2007 Jun 12;68(24):2077-84 - PubMed
  21. Neurology. 2017 Jun 13;88(24):2276-2284 - PubMed
  22. Brain. 2014 Apr;137(Pt 4):1176-92 - PubMed
  23. IEEE Trans Med Imaging. 2007 Apr;26(4):518-29 - PubMed
  24. Neurology. 2010 May 18;74(20):1591-7 - PubMed
  25. Neuroimage. 1999 Feb;9(2):179-94 - PubMed
  26. Dement Geriatr Cogn Disord. 2009;28(5):419-26 - PubMed
  27. Neurology. 2011 Mar 15;76(11):1006-14 - PubMed
  28. Arch Neurol. 2007 Aug;64(8):1140-4 - PubMed
  29. Dement Geriatr Cogn Disord. 2012;33(5):354-60 - PubMed
  30. Alzheimers Dement. 2011 May;7(3):293-9 - PubMed
  31. Alzheimers Dement. 2013 Oct;9(5 Suppl):S72-83 - PubMed
  32. Ann Neurol. 2016 Mar;79(3):496-501 - PubMed
  33. Neurology. 2016 Sep 27;87(13):1337-43 - PubMed
  34. Nat Rev Neurol. 2014 Oct;10(10):554-69 - PubMed
  35. Dement Geriatr Cogn Disord. 2016;42(3-4):215-226 - PubMed
  36. Arch Neurol. 1995 Nov;52(11):1087-99 - PubMed
  37. J Clin Exp Neuropsychol. 2000 Apr;22(2):267-78 - PubMed
  38. Dement Geriatr Cogn Disord. 2017;43(1-2):89-99 - PubMed
  39. Am J Alzheimers Dis Other Demen. 2009 Oct-Nov;24(5):408-16 - PubMed

Publication Types

Grant support