14: Cognitive Perceptual Dysfunction; Neuroplasticity Flashcards
Why is left unilateral visual spatial neglect more common than right unilateral visual spatial neglect?
When the right side is damaged, the loss is much more noticeable. That is because the right parietal lobe attends to space on both sides of the body, while the left side only attends to the right.
All of the following are dominant features of the left hemisphere except…
A. Verbal memory
B. Emotion
C. Praxis
D. Visual memory
B
All of the following are dominant features of the right hemisphere except…
A. Attention
B. Orientation
C. Visuospatial memory
D. Verbal memory
D
True or false: Praxis is a dominant feature of the right hemisphere.
False
Left
The cognitive skills required to drive task performance are called…
Praxis
What are the three parts of praxis?
Ideation
Planning
Execution
What is the difference between ideational apraxia and motor apraxia?
Ideational: “I don’t know what to do”
* Not knowing how to use tools
* Unable to sequence
Motor: “I know what I want to do, but I can’t plan my movements to do it.
* Clumsiness (UE; crossing midline)
* Impaired manipulation
* Awkward grasp pattern
* gross mobility impaired (secondary to axial)
Match the following examples to the appropriate condition.
A. Ideational apraxia
B. Motor apraxia
____ Kid cannot adjust sock onto foot
____ Lathering lotion into hair
____ Performance latency
____ Eating egg with shell
____ Cannot hold comb in the right orientation
B Kid cannot adjust sock onto foot
A Lathering lotion into hair
A Performance latency
A Eating egg with shell
B Cannot hold comb in the right orientation
Which part of the brain is impacted in ideational apraxia?
Prefrontal; usually left (sometimes right or medial)
What part of the brain is impacted in motor apraxia?
Inferior parietal lobe (supramarginal)
The following are characteristics of which condition:
* Difficulty shifting from one pattern of response to another
* Can affect premotor or prefrontal cortex
* Can affect speech or thought
* Example: repeating steps; repeated phrases (echolalia)
* affects right hemisphere
A. Spatial relations dysfunction
B. Somatoagnosia
C. Topographical disorientation
D. Perseveration
E. Unilateral spatial neglect
D
The following are characteristics of which condition:
* Difficulty finding way in space
* Visuospatial components
* Difficulty remembering routes
* Examples: Wandering, ending up in the wrong room on a rehab unit, cannot navigate new environments
* affects right hemisphere
A. Spatial relations dysfunction
B. Somatoagnosia
C. Topographical disorientation
D. Perseveration
E. Unilateral spatial neglect
C
The following are characteristics of which condition:
* Fails to recognize own body part
* Example: Brushes the hair of their mirror image, dresses the arm of their therapist
A. Spatial relations dysfunction
B. Somatoagnosia
C. Topographical disorientation
D. Perseveration
E. Unilateral spatial neglect
B
The following are characteristics of which condition:
* Contralateral neglect, usually of the left side
* Example: Eats the food on the right side of the plate only, consistently hitting door frames, cannot locate objects
* Right hemisphere lesion
A. Spatial relations dysfunction
B. Somatoagnosia
C. Topographical disorientation
D. Perseveration
E. Unilateral spatial neglect
E
The following are characteristics of which condition:
* Cannot differentiate between foreground and background
* Visuospatial issues
* Depth perception issues
* Occipito-parietal damage
* Example: misjudges step, cannot locate an object, cannot orient self to a shirt, cannot find sleeve in monochromatic shirt, spilling milk
A. Spatial relations dysfunction
B. Somatoagnosia
C. Topographical disorientation
D. Perseveration
E. Unilateral spatial neglect
A
Which of the following is not a type of agnosia?
A. Tactile agnosia
B. Visual agnosia
C. Olfactory agnosia
D. Auditory agnosia
C
What is agnosia?
Impaired ability to recognize the significance and difference between sensory stimuli
What is neuroplasticity?
The brain’s capacity to physically change in response to development, experience, damage, or dysfunction
What is the difference between homosynaptic and heterosynaptic plasticity?
Homosynaptic: Only neurons that are specifically innervated undergo changes in synaptic plasticity
Heterosynaptic: Synaptic pathways not specifically stimulated undergo changes
True or false: Long-term potentiation results in synaptic weakening and thus, low-frequency stimulation.
False
This describes long-term depression. Long-term potentiation results in synaptic strengthening and thus, high-frequency stimulation
True or false: Long-term depression results in synaptic weakening and thus, low-frequency stimulation.
True
What is functional modular plasticity?
Allows for the shifting of operations from one region of the brain to another region
A. Axonal sprouting
B. Protrusion
C. Engorgement
D. Pruning
E. Consolidation
____ transport of organelles and vesicles move to periphery
____ stabilization of the proximal growth cone into axon shaft
____ new growth from growth cone
____ extension of new membrane at edges of growth cone
____ trimming and “refining” networks
C transport of organelles and vesicles move to periphery
E stabilization of the proximal growth cone into axon shaft
A New growth from growth cone
B extension of new membrane at edges of growth
D trimming and “refining” networks
What are the 10 principles of experience-dependent plasticity?
- Use it or lose it
- Use it and improve it
- Specificity
- Repetition matters
- Intensity matters
- Time matters
- Salience matters
- Age matters
- Transference
- Interference
