4.16 Stroke 5

Question 1

What are some of the spatial relation disorders?

Answer 1

• figure-ground discrimination
• form discrimination
• spatial relations disorder
• position in space
• topographical disorientation
• depth and distance perception
• vertical disorientation

Question 2

figure-ground discrimination: example of eating dinner

Answer 2

• table is the “groud” or backdrop of what you’re looking at

- plates/etc are the figure

Question 3

What happens with stroke pts in figure-ground discrimination?

Use in the context of shoelaces

Answer 3

• stroke pts: everything combines
• can’t pull the figure out of the ground
• shoes: can’t discern shoelaces from backdrop of shoes (flattening)

Question 4

What is spatial relation?

Answer 4

how we perceive ourselves/objects in space

Question 5

problems with form discrimination

Answer 5

• inability to perceive small differences between objects

- pencil/toothbrush next to each other

Question 6

What is spatial relations disorder?

Answer 6

• confused with the orientation of one object to another

- disorganized

Question 7

spatial relations disorder and slide boards/assistive devices

Answer 7

• difficulty getting a slide board in the proper place

- assistive devices: where it needs to be in relation to their body

Question 8

problems with position in space

Answer 8

unable to perceive ad interpret spatial concepts (up, down, over, under)

Question 9

topographical disorientation

Answer 9

relationship of one location to another

Question 10

depth and distance perception problems

Answer 10

inaccurate judgment of direction, distance, and depth

Question 11

vertical disorientation

Answer 11

• distorted perception of what is vertical

- get cattywhompus

Question 12

When is vertical disorientation common?

Answer 12

• right after a pt has a stroke

- typically resolves on its own

Question 13

types of agnosia

Answer 13

• visual
• auditory
• astereognosia
• barognosia

Question 14

visual agnosia

Answer 14

• person can look at something and can’t say what it is

- can describe everything it does, get pissed

Question 15

auditory agnosia

Answer 15

• lump sounds that we can distinguish easily

- fire alarm is the same thing as a doorbell or police siren

Question 16

astereognosia

Answer 16

• I got a pocket full o keys: I can figure out my car key based on feel
• They can’t do that shit
• Complex to take sensory info the brain and figure out what it is
• Turn the lights off and they screwed

Question 17

barognosia

Answer 17

• pressure

- how much pressure it takes to pick something up

Question 18

types of apraxia

Answer 18

• ideomotor apraxia
• ideational apraxia
• dressing apraxia

Question 19

ideomotor apraxia

Answer 19

breakdown between concept and performance

Question 20

example of ideomotor apraxia

Answer 20

tell them to blow: they can’t do it

• give them bubbles and a wand and they’ll blow dem bubbles
• may be able to do it volitionally but not on their own

Question 21

ideational apraxia

Answer 21

• complete failure in conceptualization of the task

- they can’t do it when asked or if they want to do it

Question 22

dressing apraxia

Answer 22

• don’t know where articles of clothing go

- pants on backwards, pants as shirts, shirts as pants, etc