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Body representation in people with apraxia post Stroke- an observational study
Donncha Lane1,2, Alessia Tessari3, Giovanni Ottoboni3
1National Rehabilitation Hospital, Dublin, Ireland.
People with apraxia after stroke have impaired body schema, affecting action planning. Rehabilitation may benefit from targeting these body schema deficits.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Cognitive Psychology
Background:
- Stroke can lead to neurological deficits, including apraxia, which affects motor planning.
- Body representation, encompassing body schema and body image, is crucial for motor control.
- Understanding how stroke impacts body representation in apraxia is vital for effective rehabilitation.
Purpose of the Study:
- To examine the effects of apraxia on body schema and body image following supratentorial stroke.
- To compare body representation in stroke survivors with and without apraxia.
Main Methods:
- An observational, cross-sectional study was conducted with 30 post-stroke participants (10 with apraxia, 20 without).
- Body schema was assessed using hand laterality recognition and body part knowledge tests.
- Implicit body image was evaluated using the sidedness test.
Main Results:
- The apraxic group more frequently had left-sided brain lesions.
- Participants with apraxia demonstrated significantly poorer accuracy and slower reaction times on hand laterality tasks.
- Apraxic individuals showed reduced performance on body part knowledge tests, but body image (sidedness test) was unaffected.
Conclusions:
- Apraxia following stroke is associated with deficits in body schema, essential for action planning and execution.
- These findings suggest that targeting body schema impairments could be a valuable addition to apraxia rehabilitation strategies.
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