The Relationship Between the Assessment of Motor and Process Skills (AMPS) and the Large Allen Cognitive Level (LACL) Test in Clients with Stroke

This study examined the relationship between two different assessments used in occupational therapy: occupational based assessment (the assessment of motor and process scales-AMPS) and a body function assessment (the large Allen cognitive levels-LACL). Thirty clients performed both assessments at home after their first stroke. Results indicated moderate positive correlation between the LACL and the AMPS, yet there were discrepancies between the two tools in the determination of independence in instrumental activities of daily living (IADL). The gap between the capacity of the person and the actual performance, and the limitations and strengths of each of these assessments is discussed in relation to these contradictions. Further research is recommended with a larger controlled stratified sample. We also suggest examining the predictive value of the motor and process scales of the AMPS and the cognitive level of the LACL for independence in IADL activities. Examining other factors beyond the motor and process functions that might affect independent performance in IADL for stroke survivors is recommended. (C) 2006 by The Haworth Press, Inc. All rights reserved.