Week 3 Apraxia Flashcards
Definition of apraxia. what type of disorder is it
inability to perform voluntary purposeful movements even though the sensory, motor and cerebellar systems are without deficit .
Motor programming disorder
often, apraxia is caused by damage to the….
posterior parietal cortex
TF: they can understand the task, they cannot perform it
true
what is ideomotor apraxia
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
ideomotor apraxia is often because of a decrease blood flow to
dominant hemisphere
give an example of ideomotor apraxia
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.
what is ideational apraxia
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.
ideational apraxia comes from damage to the…
dominant parietal lobe
clinical example of ideational apraxia
they cannot describe it or do it. brush teeth, may put tube in mouth or use brush the wrong way.
what does the evaluation of an ideomotor and ideational apraxia look like
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.
guidelines for evaluation
- 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?
what is a dynamic assessment for apraxia
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.
what is the multi-level action test
3 tasks, making a slice of toast with butter and jam
wrapping a present
packing a lunchbox
how do we manage apraxia
little verbal commands, make tasks automatic, guide them, have them visualize the task, repetition, simple tasks, familiar and typical surroundings.
how can we use cue cards
tape them to objects, and state what the object is and how it is used.
what is constructional apraxia
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
in what area of the brain is there a lesion with constructional apraxia
right cerebral hemisphere
people who did poorly on block design tests and object assembly tests did not acquire…
dressing and grooming skills
what is the management of constructional apraxia
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…)
how can we evaluate constrictive apraxia
copying designs-house test, clock test, copy shapes, block design, peg board design
how do we manage constructional apraxia
simple construction and progress to more complex
guidance,
backward chaining
what is the milder form of apraxia
dyspraxia
apraxia is a ….. disorder
motor programming
