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Role of Praxis in Diagnosis and Assessment

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Atypical Parkinsonian Disorders

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

Apraxia is a term used to denote a wide spectrum of higher-order motor disorders that result from acquired brain disease affecting the performance of skilled and/or learned movements with or without preservation of the ability to perform the same movement outside the clinical setting in the appropriate situation or environment. The disturbance of purposive movements cannot be termed apraxia, however, if the patient suffers from any elementary motor or sensory deficit (i.e., paresis, dystonia, ataxia) that could fully explain the abnormal motor behavior or if it results from a language comprehension disorder or from dementia (1,2). Nevertheless, praxic errors are at present much better defined clinically and kinematically and may be distinguished from other nonapractic motor behaviors (3, 4). Praxic disturbances may affect specific parts of the body (i.e., limb apraxia, facial apraxia) and may involve both sides of the body (i.e., ideational [IA] and ideomotor apraxias [IMA]), preferentially one side (i.e., limb-kinetic apraxia [LKA]), or alternatively, interlimb coordination, as in the case of gait apraxia.

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Authors and Affiliations

  1. Raúl Correa Institute of Neurological Research, FLENI, Buenos Aires, Argentina

    Ramón Leiguarda MD (Professor of Neurology)

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  1. Ramón Leiguarda MD
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Editors and Affiliations

  1. Movement Disorder Program, Department of Neurology, University of Louisville School of Medicine, Louisville, KY

    Irene Litvan MD (Raymond Lee Lebby Professor of Parkinson Disease Research, Director) (Raymond Lee Lebby Professor of Parkinson Disease Research, Director)

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Leiguarda, R. (2005). Role of Praxis in Diagnosis and Assessment. In: Litvan, I. (eds) Atypical Parkinsonian Disorders. Current Clinical Neurology. Humana Press. https://doi.org/10.1385/1-59259-834-X:197

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  • DOI: https://doi.org/10.1385/1-59259-834-X:197

  • Publisher Name: Humana Press

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