Apraxia

Question 1

What is ideational apraxia?

Answer 1

a type of limb apraxia where the person has an inappropriate idea of how a movement should be executed. This may also include inappropriate use of an object (e.g., toothbrush to brush your hair

Question 2

What is dressing apraxia?

Answer 2

a type of limb apraxia where there is difficulty in completing steps required to execute a movement

Question 3

What is ideomotor apraxia?

Answer 3

a type of limb apraxia in which a person has the idea of a movement to execute but struggles to execute it

Question 4

What is apraxia?

Answer 4

an issue with performing movements that are planned in advance, purposeful, or volitional. This issue can occur without there being slowness or weakness, sensory loss, or comprehension deficits. This

Question 5

The neuromotor basis for apraxia is

Answer 5

planning and programming errors

Question 6

Which type of apraxia occurs most frequently?

Answer 6

oral and verbal

Question 7

What are symptoms of apraxia?

Answer 7

perseveration of movements, transpositions, abnormal sequencing of movements, groping, spacing errors; substitute one movement for another; pause while they move; start a movement late; they do more movements

Question 8

What are symptoms of apraxia of speech?

Answer 8

periods of error free speech, groping with facial grimaces; substitutions; repetitions; and distortions; inconsistent articulation errors; hard to start utterances; intrusive schwas; they produce meaningful utterances more accurately; more errors on longer, more complex words; have more errors on SMR (sequential motor rate) tasks than alternate motor rate tasks

Question 9

What complaints would a pt with apraxia make?

Answer 9

I’m not as fluent as I once was; I stutter; I mispronounce my words; I know the words I want to say but it is not coming out right; swallowing issues are rare.

Question 10

For prosody, phonemic paraphasias are _____, but apraxia of speech is _____

Answer 10

WNL; abnormal

Question 11

For sound and syllable intervals, phonemic paraphasias are ______, but apraxia of speech is _____

Answer 11

lengthened and often segmented/sound syllables

Question 12

For vowels and consonants, phonemic paraphasias are _____, but apraxia of speech is

Answer 12

lengthy duration

Question 13

For rate of speech, phonemic paraphasias are ____, but apraxia of speech is _______

Answer 13

slow

Question 14

Symptoms of severe AOS include

Answer 14

predictable speech errors; muteness; limited repertoire of speech sounds, a few meaningful or unintelligble utterances; usually accompanied by severe aphasia or severe nonverbal oral apraxia; automatic speech may be as bad as volitional speech

Question 15

What are four speech features that are most useful to identifying apraxia of speech?

Answer 15

trouble starting utterances; effortful groping when correcting the position of their articulators along with facial grimacing; intrusive schwas, syllable lengthening and syllable shortening; inconsistent articulatory errors (which may be more complex than simple)

Question 16

What specific areas of the brain are damaged and lead to apraxia?

Answer 16

the insula, the internal capsule, the lateral premotor cortex, pathways that connect the parietal lobe to the frontal lobe; all of these are in the left hemisphere

Question 17

What is Liepmann’s 2 step praxis system?

Answer 17

it is a system of muscle movement consisting of 2 steps: ideation (i.e., thinking of the action you want to take) and execution (i.e., performing the desired action)