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Neuropsychol Rehabil. 2012;22(3):473-88. doi: 10.1080/09602011.2012.658317. Epub 2012 Feb 10.

The cognitive rehabilitation of limb apraxia in patients with stroke.

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Modulo di Neuropsicologia Riabilitativa-UMR-Dipartimento di Neuroscienze/Riabilitazione, Ospedale e Università di Ferrara, Italy.


Apraxia is a higher level motor deficit that occurs when processing a goal-directed action. The apraxic deficit can manifest itself in absence of sensory input deficits or motor output deficits, neglect, frontal inertia or dementia. According to a clinical classification still largely in use, there are two main forms of limb apraxia: ideomotor (IMA) and ideational (IA), observed when a patient is required to imitate a gesture or use an object, respectively. In the present review, we examined only the cognitive treatments of both types of limb apraxia of a vascular aetiology. Despite the high prevalence of limb apraxia caused by left brain damage, and the fact that apraxia has been known for over a century, the literature regarding its rehabilitation is still very limited. This is partly due to the nature of the recovery from the deficit, and in part to the automatic-voluntary dissociation. Here we review those treatments that have proved most successful in helping patients to recover from limb apraxia.

[Indexed for MEDLINE]

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