Platz T
Abteilung für Neurologische Rehabilitation, Klinik Berlin, Campus Benjamin Franklin, Charité -- Universitätsmedizin Berlin.
Nervenarzt. 2005 Oct;76(10):1209-10, 1213-4, 1216-8, 1220-1. doi: 10.1007/s00115-005-1936-3.
Apraxic phenomena occur in various neurological conditions. Selective motion control is viewed as the basic capacity to make fine and precise, isolated or independent face or limb movements. Its deficit can indicate limb-kinetic apraxia if it is not explained by paresis, somatosensory deafferentation, or ataxia. The core deficit in ideomotor apraxia could be deficient movement representations, i.e. the combination of invariant features of intrinsic and extrinsic coding for a given movement, which are most important when movements have to be performed outside their typical context. Ideational apraxia would be defined by a semantic deficit related to action. Frontal apraxia is characterised by an action-sequencing deficit. A detailed model is proposed regarding processes relevant to praxis.
失用现象发生于多种神经疾病中。选择性运动控制被视为进行精细、精确、孤立或独立的面部或肢体运动的基本能力。如果其不能由轻瘫、躯体感觉传入缺失或共济失调来解释,那么其缺陷可能提示肢体运动性失用。观念运动性失用的核心缺陷可能是运动表象不足,即针对特定运动的内在和外在编码的不变特征的组合,当运动必须在其典型背景之外进行时,这些特征最为重要。观念性失用将由与动作相关的语义缺陷来定义。额叶失用的特征是动作序列缺陷。提出了一个关于与运用相关过程的详细模型。