Limb apraxia profiles in different clinical samples

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2020
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Dangel, Mareike
Jung, Rebecca
Makhkamova, Inara
Binder, Andreas
Herrmann, Laura
Liepert, Joachim
Möller, Jens Carsten
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Zusammenfassung

Objective: Limb apraxia is a motor cognitive disorder that has been mainly studied in patients with dementia or left hemisphere stroke (LHS). However, limb apraxia has also been reported in patients with right hemisphere stroke (RHS), multiple sclerosis (MS) or traumatic brain injury (TBI). This study’s aim was to report detailed praxis performance profiles in samples suffering from these different neurological disorders by use of the Diagnostic Instrument for Limb Apraxia (DILA-S).

Method: 44 LHS patients, 36 RHS patients, 27 patients with dementia, 26MS and 44 TBI patients participated. The diagnostics included the imitation of meaningless and meaningful hand gestures, pantomime of tool-use, single real tool-use as well as a multistep naturalistic action task (preparing breakfast).

Results: Apraxia occurred in all tested samples but to a varying degree and with dissimilar profiles. LHS patients demonstrated most severe deficits in pantomime, but they were also vulnerable to deficits in real tool-use. Dementia patients showed high incidence rates of apraxia in almost all subscales of the DILA-S. RHS patients demonstrated difficulties in imitation and pantomime of tool-use, but they did not show severe difficulties with real tooluse. TBI patients appeared challenged by multistep naturalistic actions. The tested MS sample did not show clinically relevant symptoms in the DILA-S.

Conclusion: Different types of patients display varying limb apraxic symptoms detectable by the DILA-S. In these limb apraxia susceptible populations, testing should be warranted as standard.

Zusammenfassung in einer weiteren Sprache
Fachgebiet (DDC)
150 Psychologie
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Limb apraxia; DILA-S; stroke; dementia; multiple sclerosis; traumatic brain injury
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ISO 690BUCHMANN, Ilka, Mareike DANGEL, Lisa FINKEL, Rebecca JUNG, Inara MAKHKAMOVA, Andreas BINDER, Christian DETTMERS, Laura HERRMANN, Joachim LIEPERT, Jens Carsten MÖLLER, Gabriel RICHTER, Tobias VOGLER, Caroline WOLF, Jennifer RANDERATH, 2020. Limb apraxia profiles in different clinical samples. In: The Clinical neuropsychologist. Psychology Press, Taylor & Francis. 2020, 34(1), pp. 217-242. ISSN 1385-4046. eISSN 1744-4144. Available under: doi: 10.1080/13854046.2019.1585575
BibTex
@article{Buchmann2020-01-02aprax-46041,
  year={2020},
  doi={10.1080/13854046.2019.1585575},
  title={Limb apraxia profiles in different clinical samples},
  number={1},
  volume={34},
  issn={1385-4046},
  journal={The Clinical neuropsychologist},
  pages={217--242},
  author={Buchmann, Ilka and Dangel, Mareike and Finkel, Lisa and Jung, Rebecca and Makhkamova, Inara and Binder, Andreas and Dettmers, Christian and Herrmann, Laura and Liepert, Joachim and Möller, Jens Carsten and Richter, Gabriel and Vogler, Tobias and Wolf, Caroline and Randerath, Jennifer}
}
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