5 Perception Flashcards
What are the areas of the parietal lobe for perception?
- 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
What is perceptions relationship with sensory and movement?
- 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
What is the posterior parietal cortex-develops percetions?
- posterior parietal lobe integrates somatic sensory input with other sensory modalities to give rise to perceptions and to focus attention in extra personal space
What are the deficits related to spatial perception, visuomotor intergration, and directed attention
- Agnosia
- Figure ground
- Apraxia
- Neglect
What is Agnosia?
- lose ability to interpret or have meaning of things
- loss ability to identity things through touch or vision
What is steriognosis? What is the examination?
- 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)
What is asteriognosis? What is the intervention?
- Inability to recognize the form of objects through somatosensation
- Intervention: practice differentiating objects through tactile system
- practice shaping hand for different objects
- Descrimination
- practice shaping hand for different objects
What is Figure ground deficit? What is the examination and intervention?
- 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
What is Apraxia?
- Inability to carry out multi-step actions for an action goal (ADL) and perform tool based actions
What are the 3 types of apraxia?
- 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
What are interventions for Apraxia?
- 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
Whar are deficits in the R posterior parietal cortex?
- Neglect syndrome
- Distrubance in directed attention
What is neglect?
- 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
What is the examination of neglect?
- Observe dressing, rolling, reaching, wheeling (bumping into walls)
- Cancellation test (crossing off letter or number)
- only crosses R side
- copying objects
- Line bisection test
What is the examination of attention?
- Extinction test
- light tough unilaterlly and then bilaterally