Department of Psychology, University of Konstanz, Konstanz, Germany.
Lurija Institute for Rehabilitation Science and Health Research, Kliniken Schmieder, Allensbach, Germany.
Curr Neurol Neurosci Rep. 2024 Nov 16;25(1):1. doi: 10.1007/s11910-024-01391-6.
Apraxia typically involves impairments in gesture production and tool use, affecting daily life activities. This article reviews current conceptualizations and developments in diagnostic and therapy.
Apraxia has been studied in various neurological conditions, particularly stroke and dementia, but recent studies show gesturing deficits in psychiatric populations as well. Promising results have emerged from integrative treatment approaches involving intensive practice of gestures or daily activities. However, several reviews have noted the only marginal progress in apraxia therapy research despite new technologies, like virtual reality and brain stimulation, offering fresh opportunities for assessment and therapy. Advances in lesion-symptom mapping and connectivity analyses led to more detailed neuroanatomical models emphasizing parallel and gradual processing. These models facilitate the understanding of underlying mechanisms of motor cognitive performance and its decline. Finally, the digital era prompts the need to study digital tool use in apraxia, with initial efforts underway.
失用症通常涉及到手势生成和工具使用方面的障碍，影响日常生活活动。本文综述了当前在诊断和治疗方面的概念和进展。
失用症已在各种神经疾病中进行了研究，尤其是在中风和痴呆症中，但最近的研究表明，在精神科人群中也存在手势缺陷。综合治疗方法，包括对手势或日常活动进行强化练习，已经取得了有希望的结果。然而，尽管虚拟现实和脑刺激等新技术为评估和治疗提供了新的机会，但仍有几项综述指出，失用症治疗研究进展甚微。在病变-症状映射和连接性分析方面的进展导致了更详细的神经解剖模型，强调了平行和渐进的处理。这些模型有助于理解运动认知表现及其下降的潜在机制。最后，数字时代促使人们需要研究失用症中的数字工具使用，目前已经在进行初步的努力。
