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Ecological implications of limb apraxia: Evidence from mealtime behavior

  • Anne L. Foundas (a1) (a2), Beth L. Macauley (a3), Anastasia M. Raymer (a3), Lynn M. Maher (a3), Kenneth M. Heilman (a3) (a4) and Leslie J. Gonzalez Rothi (a4) (a5)...


Humans learn skilled acts in order to effectively interact with their environment. A loss of the ability to perform skilled acts is termed apraxia. Apraxia has been thought to be of theoretical interest, but the ecological implications of apraxia are controversial and have not been fully studied. We examined ten patients with unilateral left hemisphere cerebral infarctions (eight of whom were apraxic) and compared their mealtime eating behavior to a group of neurologically normal, age-matched controls. The stroke patients were less efficient in completing the meal. They made more action errors and were less organized in the sequencing of mealtime activities. Because the patients made more errors while using tools than when performing nontool actions, their deficit could not be accounted for by an elemental motor deficit. A positive relationship was found between mealtime action errors and the severity of apraxia. These findings suggest that limb apraxia may adversely influence activities of daily living. (JINS, 1995, I, 62–66.)



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DeRenzi, E. (1985). Methods of limb apraxia examination and their bearing on the interpretation of the disorder. In Roy, E.A. (Ed.), Neuropsychological Studies of Apraxia and Related Disorders (pp. 4564). Amsterdam: North Holland.
Geschwind, N. (1975). The apraxias: Neural mechanism of disorders of learned movement. American Scientist, 63, 188195.
Heilman, K. & Rothi, L.J.G. (1993). Apraxia. In Heilman, K.M., and Valenstein, E. (Eds.), Clinical Neuropsychology (3rd ed., pp. 141164). New York: Oxford University Press.
Kertesz, A. (1982). The Western Aphasia Battery. New York: Grune & Stratton.
Liepmann, H. (1900). Das Krankeitsbild der Apraxie (Motorischen Asymbolie). Monatsschrift für Psychiatrie und Neurologie, 8, 1544, 102–132.
Liepmann, H. (1905). Die linke Hemisphare and das Handelns. Müncher Medizinische Wochenschrift, 52, 23222326, 2375–2378.
Mayer, N.H., Reed, E., Schwartz, M.F., Montgomery, M., & Palmer, C. (1990). Buttering a hot cup of coffee: An approach to the study of errors of action in patients with brain damage. In Tupper, D.E. & Cicerone, K.D. (Eds.), The Neuropsychology of Everyday Life, Vol. 2: Assessment and Basic Competencies (pp.259284). Norwell, MA: Kluwer Academic Publishing.
Poeck, K. (1985). Clues to the nature of disruptions to limb praxis. In Roy, E.A. (Ed.), Neuropsychological Studies of Apraxia and Related Disorders (pp. 99110). New York: North Holland.
Rothi, L.J.G., Ochipa, C., & Heilman, K.M. (1991). A cognitive neuropsychological model of limb praxis. Cognitive Neuropsychology, 8, 443458.
Rothi, L.J.G., Raymer, A., Ochipa, C., Maher, L.M., Greenwald, M., & Heilman, K.M. (1992). Florida Apraxia Battery, Experimental Edition.
Roy, E.A. (1983). Neuropsychological perspectives on apraxia and related action disorders. In Magill, R.A. (Ed.), Memory and Control of Action (pp. 293320). Amsterdam: North Holland.
Schwartz, M.F., Reed, E.S., Montgomery, M., Palmer, C., & Mayer, N.H. (1991). The quantitative description of action disorganization after brain damage: A case study. Cognitive Neuropsychology, 8, 381414.
Sundet, K., Finset, A., & Reinvang, I. (1988). Neuropsychological predictors in stroke rehabilitation. Journal of Clinical and Experimental Neuropsychology, 10, 363377.



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