Visual Perception Flashcards

1
Q

Visual Perception

A

ability to interpret and give meaning to what one is seeing

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2
Q

Neurobehavioral Dysfunction

A

related to the errors people make during performance

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3
Q

Perceptual Problems

A
  1. Apraxia
  2. Visual discrimination/ visual-spatial perception
  3. Agnosia
  4. Unilateral Inattention (Neglect)
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4
Q

Apraxia

A
  • Disorder of purposeful skilled movement that cannot be attributed to sensorimotor dysfunction. - This is not visual perceptual problem but a neurobehavioral dysfunction that can present similarly to perceptual deficits
  • think old people post strokes not kids
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5
Q

Ideational Apraxia

A
  • Ideational apraxia
  • left frontal lobe or L MCA stroke
  • Loss ability to conceptualize, plan and execute motor actions
  • Involved in use of tools or objects
  • Client doesn’t appear to know what to do with ADL items presented for task
  • Client doesn’t demonstrate appropriate use of ADL items
  • Client utilizes body parts in place of tools during ADL tasks (e.g. comb hair with fingers when comb/brush available)
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6
Q

Ideo-Motor Apraxia

A
  • R/L frontal lobe – MCA
  • Loss of access to kinesthetic memory so that purposeful movement cannot be produced, even though the idea is understood
  • Uses clumsy inflexible movements that lack goal directed sequencing to hold ADL items
  • Unable to change position of an ADL item in order to reorient it and cross the body’s midline, has difficulty gesturing the correct use of a familiar object after verbal command, in absence of object
  • If you provide visual input and people are able to use these strategies, it is not a motor apraxia
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7
Q

Visual discrimination/visual-spatial perception

A
  • R Parietal Lobe Damage
  • awareness of the distinctive features of forms, including shape, orientation, size and color
  • Figure-ground
  • Form constancy
  • spatial relations
  • topographical disorientation
  • depth perception (stereopsis)
  • visual closure
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8
Q

Figure-Ground

A
  • problems differentiating foreground from background.
  • Ex: unable to locate scissors in cluttered drawer
  • Ex: difficulty locating clothing on same colored sheets
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9
Q

Form Constancy

A
  • ability to distinguish different types of forms in the environment, despite different size, shape, orientation, etc
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10
Q

Spatial Relation

A
  • difficulty perceiving self or objects in relation to other objects with concepts such as up/down/, in/out, over/under, on/off.
  • E.g. wearing pants inside out, or difficulty putting a jigsaw puzzle together.
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11
Q

Topographical Disorientation

A
  • inability to find one’s way from one place to another.

- Ex: unable to master navigation of an unfamiliar unit, wandering, ending in the wrong room

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12
Q

Depth Perception (Stereopsis)

A
  • inability to judge depths and distances.
  • E.g. misjudging distance when placing toothbrush under running water or unable to determine how and when to step off escalator
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13
Q

Visual Closure

A
  • inability to determine what the image is without having all of the details present.
  • E.g. cannot determine what leftovers are in the back of the fridge
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14
Q

Agnosia

A
  • R parietal lobe damage
  • impaired ability to recognize the significance and/or differentiate between sensory stimuli
  • inability to recognize objects, faces, limitations etc., despite intact cognition, language skills and visual acuity or field
  • multiple forms - do not have more than one at a time usually
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15
Q

Auditory Agnosia

A
  • unable to differentiate sounds
  • Nothing to do with hearing, just the perception of the auditory processing
  • Can’t differentiate between voices
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16
Q
  1. Visual Agnosia
  2. Tactile Agnosia
  3. Body Agnosia
A
  1. Visual or object: unable to differentiate objects
  2. Tactile: unable to differentiate objects by touch
  3. Body: difficulty recognizing own body parts
17
Q

Anosognosia

A
  • severe form of neglect in which client fails to recognize the presence or severity of paralysis
  • Denial of deficits is a huge source of concern (safety)
18
Q

Prosopagnosia

A
  • unable to recognize faces, including loved ones or people they have met numerous times
19
Q

Assessments Considerations Before Testing Visual Perception

A

before testing for visual perception make sure the person has attention, vision, understands directions (aphasia vs. perception); person has motor ability, if motor response is needed (paralysis vs. perception)

20
Q

Non-Standardized Assessments

A
  • Top down: skilled observation during functional tasks

- Bottom Up: informally ask to draw a clock, pen and paper task

21
Q

Standardized Assessments

A
  • Top Down: QoL, ADL measures, ACS, A-ONE
  • Bottom UP:
  • – VMI
  • – MVPT
  • – DTVP
  • – Hooper
  • – LOTCA, LOTCA-G, DOTCA-Ch
  • – Test of Visual Perceptual Skills
  • – SIPT
  • – Rivermead Behavioral Memory Test
22
Q

Hooper Visual Organization Test (VOT)

A
  • measures ability to organize visual stimuli (screening)
  • takes less than 15 min with scoring
  • test book with pic and score sheet
  • Normed on adolescents and adults
  • Score: determine credit for each response (.5, 1, 1.5)
  • Determine raw score for client then corrected score
23
Q

Motor Free Visual Perception (MVPT)

A
  • Measures visual perception without motor involvement (spatial relationships, visual discrimination, figure-ground, visual closure etc.)
  • 2-30 minutes to administer
  • Visual perception test (book) and score sheet
  • Normed on people age 4-95
  • Scoring: tally raw score, use norms tables to convert to standard scores
24
Q

Non-Standardized OT Assessment for Apraxia

A

-top down: skilled observation during functional tasks

• Bottom up: informally ask gesture 1-2 commands, select appropriate tool

25
Q

Standardized Assessment for Apraxia

A
  • Top Down: A-ONE, AMPS, Kettle Test

- Bottom Up: Cambridge Apraxia Battery, Limb Apraxia Test, Florida Apraxia Screening Test

26
Q

A-ONE

A
  • Standardized and structured observation of: feeding, bathing, dressing, hygiene, mobility, communication
  • Evaluates: apraxia, neglect, spatial relations, perseveration, topographic disorientation, agnosias, etc.
  • Requires a 5-day training course