5 Perception Flashcards

1
Q

What are the areas of the parietal lobe for perception?

A
  • Areas 3a and 3b = receive individal receptor information
  • Area 1 - further processings: movement
  • Area 2 - combines information from 1 and 3a = perception such as object Identification
  • Area 2 sends infromation to entire body surface (homunculus) of the primary motor cortex
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2
Q

What is perceptions relationship with sensory and movement?

A
  • Sensory processing preceeds movement
  • motot = Internal representation + desired movement
  • Action is guided by perception
    • coordinated movement in space
    • know where in space object is
    • personal space
    • body image, schema, spatial perception
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3
Q

What is the posterior parietal cortex-develops percetions?

A
  • posterior parietal lobe integrates somatic sensory input with other sensory modalities to give rise to perceptions and to focus attention in extra personal space
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4
Q

What are the deficits related to spatial perception, visuomotor intergration, and directed attention

A
  • Agnosia
  • Figure ground
  • Apraxia
  • Neglect
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5
Q

What is Agnosia?

A
  • lose ability to interpret or have meaning of things
  • loss ability to identity things through touch or vision
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6
Q

What is steriognosis? What is the examination?

A
  • The ability to utilize somatosensory information (proprioception and touch) to ID objects
  • Examination: ID object in palm
    • Familiar shaped objects (ball or key rather than circle triangle)
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7
Q

What is asteriognosis? What is the intervention?

A
  • Inability to recognize the form of objects through somatosensation
  • Intervention: practice differentiating objects through tactile system
    • practice shaping hand for different objects
      • Descrimination
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8
Q

What is Figure ground deficit? What is the examination and intervention?

A
  • People who have deficits in figure ground organization have difficuty visually differentiating objects from surroundings
    • Background or foreground?
  • Examination: Figure ground test
  • Intervention: Insruct person to ID imporant aspects from visual environment
    • generally an area treated by OT
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9
Q

What is Apraxia?

A
  • Inability to carry out multi-step actions for an action goal (ADL) and perform tool based actions
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10
Q

What are the 3 types of apraxia?

A
  • Deficits in sequencing action steps
    • omit certain steps
  • Conceptual errors knowlege of tool purpose and gestures
  • spacial-temporal oraganization errors during movement
    • wrong movements in motor planning
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11
Q

What are interventions for Apraxia?

A
  • Errorless guidance of movement with many reps
  • Teaching similar movements under different contextual siutaiosn
  • Strategy training most effective
  • Use of verbal cues improves apraxia when cues are faded
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12
Q

Whar are deficits in the R posterior parietal cortex?

A
  • Neglect syndrome
  • Distrubance in directed attention
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13
Q

What is neglect?

A
  • Disorders of perceptive spatial relationships
  • Neglect of the left side of the body
  • Neglect of the L visua stimuli
  • lack of access to memories of earlier perceptions on the neglected side
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14
Q

What is the examination of neglect?

A
  • Observe dressing, rolling, reaching, wheeling (bumping into walls)
  • Cancellation test (crossing off letter or number)
    • only crosses R side
  • copying objects
  • Line bisection test
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15
Q

What is the examination of attention?

A
  • Extinction test
    • light tough unilaterlly and then bilaterally
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16
Q

What are interventions to reduce neglect?

A
  • Sustain attention
    • provide cue (knock)
  • Provide proprioceptive input
  • Prism (glasses to move L visual field to the R)
  • Patching
    • cover R eye
  • Mirror therapy
  • Sensory stim
17
Q

What is Pusher Syndrome?

A
  • Lesion posterior lateral thalamus
  • Only visual and vestivular system involved
  • Perception of tilted body orientation
  • misperception obf body orientation
  • CAUSE: error in information processing NOT vestibular gravireceptors
    *
18
Q

What are examination findings of pusher syndrome?

A
  • pt tilted posture towards more affected side
  • Classified:
    • severe tilt with fall
    • severe tilt w/o fall
    • mild tilt

NEED PUSH

19
Q

What are interventions for pushers?

A
  • Teach pt to recognize
  • Visual cues of environment
  • Associated upright movements
  • maintain posture while doing task
20
Q

What is the prognosis for pushers?

A
  • Outcome about the same as those with out
  • takes 3.6 weeks longer for rehab stays