Roy E A, Square-Storer P, Hogg S, Adams S
Department of Kinesiology, University of Waterloo, Ontario, Canada.
Int J Neurosci. 1991 Jan-Feb;56(1-4):177-86. doi: 10.3109/00207459108985414.
Several task demands were examined in a battery of praxis tests: the movement system (limb versus axial), input modality (command versus imitation), movement complexity (single gestures versus a sequence of gestures), type of limb gesture (transitive versus intransitive), and the representational nature of the gestures. Performance accuracy for a group of left hemisphere patients was significantly lower than for two other groups of patients with either right hemisphere damage or no brain damage on all gestures. The right hemisphere patients were significantly different from the normals only for the most complex gestures involving a three movement sequence. Within the left hemisphere group performance to command was not different from imitation. Representational and nonrepresentational gestures were not different, and axial gestures was not different from the limb gestures. The transitive and complex gestures were not different but were both performed less accurately than the intransitive gestures. The implications of these findings for understanding apraxia were discussed.
运动系统(肢体与躯干)、输入方式(指令与模仿)、运动复杂性(单个手势与一系列手势)、肢体手势类型(及物与不及物)以及手势的表征性质。一组左半球患者在所有手势上的表现准确性显著低于另外两组分别患有右半球损伤或无脑部损伤的患者。右半球患者仅在涉及三个动作序列的最复杂手势上与正常人有显著差异。在左半球组中,对指令的表现与模仿没有差异。表征性和非表征性手势没有差异,躯干手势与肢体手势也没有差异。及物和复杂手势没有差异,但两者的表现准确性均低于不及物手势。讨论了这些发现对理解失用症的意义。