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Distinction between ideomotor and ideational apraxia

F. Frank LeFever flefever at ix.netcom.com
Sun Apr 25 20:33:07 EST 1999


Seems to me they write a lot about this stuff down in Florida.  Maybe
do search on Ken Heilman, Leslie Gonzalez-Rothi, Cynthia Ochipa?

F. Frank LeFever, Ph.D.
New York Neuropsychology Group



In <7ftphu$28a$1 at nnrp1.dejanews.com> inquisitor79 at my-dejanews.com
writes: 
>
>Hi! I'm a third year occupational therapy student and I am currently
working
>on a case study of a man with a left middle cerebral artery ischaemic
stroke
>predominately effecting the fronto-parietal area.  We have been told
that he
>has difficulty with daily activities in terms of using objects
appropriately,
>completing components of the task in correct sequence and shifting
smoothly
>from one movement to another.  From this I initially assumed that he
has
>ideational apraxia but am confused between the exact distinction
between this
>and ideomotor apraxia.	We have been asked to write a discription of
how this
>person would perform when brushing his teeth and combing his hair,
giving a
>discription of every step undertaken.  What I wanted to know is if a
person
>has ideational apraxia are all of their action bizarre such as
brushing their
>hair with the toothbrush?  And when are they able to complete the task
>correctly? Is it possible that difficulty using objects appropriately
and
>completing componenets of a task in the correct sequence could be due
to
>ideomotor apraxia, and if this is the case then he would have
difficulty
>initiating the task and knowing how the task is done?  Basically I am
very
>confused about the classification of apraxia and the level of
dysfunction
>experienced by people who have this problem, that is what they are
capable
>of.  I would appreciate it, if anyone had any idea about this topic if
they
>could share this knowledge with me or direct me towards a source where
this
>is explained well.  Thanks for taking the time to read my question.
>
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