Apraxias

被引:18
作者
Binkofski F. [1 ,4 ]
Fink G. [2 ,3 ]
机构
[1] Klinik und Poliklinik für Neurologie und Neuroimage Nord, Universitätskrankenhaus Schleswig-Holstein, Campus Lübeck
[2] Neurologische Klinik, Universitätsklinikum, RWTH Aachen
[3] Institut für Medizin, Forschungszentrum Jülich
[4] Klinik und Poliklinik für Neurologie, Universitätskrankenhaus Schleswig-Holstein, Campus Lübeck, 23538 Lübeck
关键词
Ability to treat; Apraxia; Executive apraxias; Motor system lesions; Polymodal apraxias; Recovery prognosis; Unimodal apraxias;
D O I
10.1007/s00115-005-1908-7
中图分类号
学科分类号
摘要
Apraxias are deficits in higher motor behaviour that are not primarily caused by elementary deficits of the sensorimotor system, communication problems, or dementia. These patients present with deficits such as imitating meaningful or meaningless gestures and in dexterity or purposeful use of objects. The different forms of apraxia originate from lesions of different levels/structures of the motor system, reflecting its complexity. Apraxias are caused by deficits in motor programmes generated in the frontal motor areas, in modality-specific higher sensorimotor control, or at the highest level of motor planning and motor conception. The types of apraxia differentially affect activities of daily living and hence show marked differences in the prognosis of recovery and the physiotherapeutic treatment required. Therefore, appropriate diagnosis and treatment of the different forms are of foremost clinical importance. © Springer Medizin Verlag 2005.
引用
收藏
页码:493 / 512
页数:19
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