Week 3 Apraxia Flashcards

1
Q

Definition of apraxia. what type of disorder is it

A

inability to perform voluntary purposeful movements even though the sensory, motor and cerebellar systems are without deficit .

Motor programming disorder

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2
Q

often, apraxia is caused by damage to the….

A

posterior parietal cortex

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3
Q

TF: they can understand the task, they cannot perform it

A

true

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4
Q

what is ideomotor apraxia

A

the inability to produce gestures or perform a purposeful motor task on command. They understand the concept of the test, they cannot transmit the plan of action and concert it to a motor movement in the frontal lobe

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5
Q

ideomotor apraxia is often because of a decrease blood flow to

A

dominant hemisphere

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6
Q

give an example of ideomotor apraxia

A

if you ask the patient to blow bubbles, they cannot. if you leave bubbles on the table and tell them nothing, they will blow bubbles.

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7
Q

what is ideational apraxia

A

unable to formulate a plan of action. They cannot sequence or create the motor patterns they need to do the task. they cannot describe the task or items used to compete the task.

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8
Q

ideational apraxia comes from damage to the…

A

dominant parietal lobe

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9
Q

clinical example of ideational apraxia

A

they cannot describe it or do it. brush teeth, may put tube in mouth or use brush the wrong way.

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10
Q

what does the evaluation of an ideomotor and ideational apraxia look like

A

ideomotor: will not be able to do an activity to command, but can do it automatically at another time
Ideational: cannot do the task at all, even though they have the motor capacity to do it.

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11
Q

guidelines for evaluation

A
  • detailed sensory assessment
  • evaluate visual agnosia
  • evaluate both UE and LE
  • are they bothered by the errors they have made, or can they recognize errors they made?
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12
Q

what is a dynamic assessment for apraxia

A

task ranges from simple to complex, peel a banana to butter the bread and cut it, to pour soda and drink it with straw… make it harder.

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13
Q

what is the multi-level action test

A

3 tasks, making a slice of toast with butter and jam
wrapping a present
packing a lunchbox

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14
Q

how do we manage apraxia

A

little verbal commands, make tasks automatic, guide them, have them visualize the task, repetition, simple tasks, familiar and typical surroundings.

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15
Q

how can we use cue cards

A

tape them to objects, and state what the object is and how it is used.

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16
Q

what is constructional apraxia

A

impairment in production two or three dimensional designs, whether copying drawing or constructing. they can’t understand the relationship of the parts of a task or object to the whole

17
Q

in what area of the brain is there a lesion with constructional apraxia

A

right cerebral hemisphere

18
Q

people who did poorly on block design tests and object assembly tests did not acquire…

A

dressing and grooming skills

19
Q

what is the management of constructional apraxia

A

practice simple construction of tasks and progress to more complex things, use physical guidance and have then backward chain (break something down by two pieces and reconstruct, then by 3 pieces…)

20
Q

how can we evaluate constrictive apraxia

A

copying designs-house test, clock test, copy shapes, block design, peg board design

21
Q

how do we manage constructional apraxia

A

simple construction and progress to more complex
guidance,
backward chaining

22
Q

what is the milder form of apraxia

A

dyspraxia

23
Q

apraxia is a ….. disorder

A

motor programming