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The cognitive rehabilitation of limb apraxia in patients with stroke

CANTAGALLO A; MAINI M; RUMIATI RI
NEUROPSYCHOL REHABIL , 2012, vol. 22, n° 3, p. 473-488
Doc n°: 161533
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.1080/09602011.2012.658317
Descripteurs : AD62 - APRAXIE - DYSPRAXIE - ATAXIE, AF21 - ACCIDENTS VASCULAIRES CEREBRAUX

Apraxia is a higher level motor deficit that occurs when processing a
goal-directed action. The apraxic deficit can manifest itself in absence of
sensory input deficits or motor output deficits, neglect, frontal inertia or
dementia. According to a clinical classification still largely in use, there are
two main forms of limb apraxia: ideomotor (IMA) and ideational (IA), observed
when a patient is required to imitate a gesture or use an object, respectively.
In the present review, we examined only the cognitive treatments of both types of
limb apraxia of a vascular aetiology. Despite the high prevalence of limb apraxia
caused by left brain damage, and the fact that apraxia has been known for over a
century, the literature regarding its rehabilitation is still very limited. This
is partly due to the nature of the recovery from the deficit, and in part to the
automatic-voluntary dissociation. Here we review those treatments that have
proved most successful in helping patients to recover from limb apraxia.

Langue : ANGLAIS

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