Role of Perception

Question 1

Perception?

Answer 1

Brain recognizes & interprets sensory information received by environment

Makes it meaningful

Question 2

Impact of Perception on Performance?

eg. a coin in a pocket

Answer 2

Sensation tells you its round & flat

Perception tells you it’s a loonie

Question 3

Perception - Size Recognition?

Answer 3

Helps with depth and special relations

Question 4

Perception - Shape Recognition?

Answer 4

Helps with object/pattern recognition and stereognosis.

Question 5

Perception - Color Recognition?

Answer 5

Helps distinguish foreground from background (figure ground)

Question 6

Stereognosis?

Answer 6

Ability to determine what an object is through touch alone

Astereognosis = this ability is absent

Question 7

Topographical Orientation?

Answer 7

Following a familiar route to a destination

Relies on landmark recognition
- if deficit feels like in wooded forest all the time (no land marking)

Question 8

Unilateral Neglect?

Answer 8

A change in attention that presents as:

• Reduced visual search/scanning - no eye move’t or head turning
• Reduced awareness of sensory input from one side of the body

Question 9

‘Left Sided Neglect’ vs ‘Left Sided Inattention’?

Answer 9

Neglect = dead (more severe)
Inattention = its not there

Question 10

Personal Neglect (Anosognosia)?

Answer 10

Lack or awareness

Question 11

Pushing Syndrome?

Answer 11

Physically pushing to get on the affected side

No motor or sensory, so when in mid-line they think they are way over & keep doing to try to get some feedback

Question 12

Evaluation for Personal Neglect?

Answer 12

Postural control, Motor control, Sensation

Fluff Test:
- removing stickers on self

Confrontation test:

• stimulation on affected side (sensory, touch etc.)
• we stand behind them & poke them to see if feel it (extinction)

Question 13

Body Scheme Disorder?

Answer 13

When you’ve got a wonky understanding of body parts

• They can tell you where body part is but cant point to it
• They don’t know whats wrong with it or how to fix it

Dressing, Transfers, Wheelchair propelling need work

Question 14

Spatial Neglect?

Answer 14

Anything within arms reach (immediate environment)

Spatial = is only addressing things on one side of field

We use Table Top Activities to look for the severity of the problem

Question 15

Evaluation for Spatial Neglect?

Answer 15

Table top tasks:

• Clock drawing = for cognitive & perceptive
• House drawing = for object centered neglect

Question 16

Purposeful Activities to treat Spatial Neglect?

Answer 16

Eg)
Take them to kitchen & ask them to look for a related article (coupon).

Give them plate knife fork & they only eat whats on one side of plate, spin it around they go “there it is” and eat it

Question 17

Object-Centered Neglect?

Answer 17

Only sees part of an object

eg) Can only see part of a calculator

Question 18

Environmental Neglect?

Answer 18

Only sees part of environment past arms reach

eg) can only see part of a doorway & nothing else

Question 19

Scanning problem?

Answer 19

Lack of awareness to other side they are not seeing

Question 20

Representational Neglect?

Answer 20

They ignore one side of body, only dress one side

It is not to do with eyes, it is to do with brain processes:

• Attention is missing
• She can see & distinguish between a full & half cat, but cannot draw a full cat

Visual imagery problem

Question 21

Awareness Training?

Answer 21

A component of treatment
– an actual [& IMPORTANT] treatment goal

Impacts success of treatment and prognosis for independent functioning

We use the scale Before, During & After treatment
Scale 0 - 4 —> 0 = Need a lot of help, 4 = No help

Question 22

Dyspraxia?

Answer 22

Motor planning deficits
- despite NORMAL motor skills, power, sensation, coordination and general comprehension

A combination of motor plan & perception

Eg) We understand what to do but cant make your body do what its supposed to do & motor plan goes wonky

=NOT a motor problem, it is a perceptive problem

• Inability to develop a motor plan based on the information you are getting

Question 23

Apraxia types?

Answer 23

Ideomotor:
The inability to plan and perform a motor act on command even though instructions are understood
The inability to imitate a gesture
Can carry out old habitual motor tasks automatically

Ideational:
The inability to plan and perform a sequence of tasks
Affects performance bilaterally
Very frustrating

Conceptual:
The inability to use a tool appropriately

Constructional:
The inability to copy, draw or construct (assemble)
Related to problems with dressing, meal prep
eg) Dressing = inability to plan and perform the motor acts necessary to dress oneself