Apraxias
Apraxias
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DOI：
10.1007/s00115-005-1908-7
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发表时间：
2005-04-01
期刊：
影响因子：
1.1
通讯作者：
Fink, G
中科院分区：
文献类型：
--
作者：
Binkofski, F;Fink, G
失用症是高级运动行为的缺陷，主要不是由感觉运动系统的基本缺陷、沟通问题或痴呆引起的。这些患者存在缺陷，例如模仿有意义或无意义的手势，以及灵巧或有目的地使用物体。失用症的不同形式起源于运动系统的不同水平/结构的病变，反映了其复杂性。失用症是由额叶运动区产生的运动程序缺陷引起的，在特定于模态的高级感觉运动控制中，或在运动规划和运动概念的最高水平。失用症的类型对日常生活活动的影响不同，因此在恢复的预后和所需的物理治疗方面表现出明显的差异。因此，不同形式的适当诊断和治疗具有重要的临床意义。
Apraxias are deficits in higher motor behaviour that are not primarily caused by elementary deficits of the sensorimotor system, communication problems, or dementia. These patients present with deficits such as imitating meaningful or meaningless gestures and in dexterity or purposeful use of objects. The different forms of apraxia originate from lesions of different levels/structures of the motor system, reflecting its complexity. Apraxias are caused by deficits in motor programmes generated in the frontal motor areas, in modality-specific higher sensorimotor control, or at the highest level of motor planning and motor conception. The types of apraxia differentially affect activities of daily living and hence show marked differences in the prognosis of recovery and the physiotherapeutic treatment required. Therefore, appropriate diagnosis and treatment of the different forms are of foremost clinical importance.