Neglect

Question 1

Unilateral neglect

Answer 1

impairement of attention or response to meaningful stimuli or environment on the affected side, and cannot be explained by sensory or motor deficits

Question 2

Homonymous hemianopia

Answer 2

a physical loss of visual field to the same side in both eys

Question 3

Hemi-spatial inattention may occur with a homonymous hemianopia. T or F?

Answer 3

True

It may occur with OR without

Question 4

Identify two treatment strategies for inattention / neglect

Answer 4

• Top-down

- Bottom-up

Question 5

Top-down

Answer 5

focuses on training the patient to compensate for their deficit.

Question 6

Bottom-up

Answer 6

use sensory stimulation to increase the patient’s perception of the affected space or limb (= produce automatic behaviour) *

Question 7

examples of “Top-down” treatment strategy

Answer 7

• Modify environment (bed side table on the R instead of L)
• Visual scanning training (“light house”actively scanning for objects with cues.)
• Eye patching half visual field of each eye

Question 8

examples of “Bottom-up” treatment strategy

Answer 8

• Trunk rotation … rotate into the affected side
• Limb activation … guidance to actively move afected arm or leg in (L) space separately from moving unaffected limb.
• Task related training, verbal cues & feedback
• Mirror therapy

Question 9

Apraxia

Answer 9

inability to carry out purposeful skilled movements which cannot be explained by motor or sensory deficits. (left hemisphere - paraetal lobe or premotor coretex damaged)

Question 10

ideomotor Apraxia

Answer 10

inability to carry out purposeful skilled movements on command. (may have less problems with automatic tasks especially in familiar environment)