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ApraxiaThe Cognitive side of motor control$
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Georg Goldenberg

Print publication date: 2013

Print ISBN-13: 9780199591510

Published to Oxford Scholarship Online: September 2013

DOI: 10.1093/acprof:oso/9780199591510.001.0001

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Levels of therapy

Levels of therapy

Chapter:
(p.229) Chapter 16 Levels of therapy
Source:
Apraxia
Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199591510.003.0016

Two related aspects of therapy studies are whether successes obtained by treating one manifestation of apraxia generalize to other manifestations, and whether task-specific or general approaches to therapy of apraxia are more efficient. The empirical results are rather supportive of a skeptical attitude toward generalization. Several studies demonstrate that improvements are task- or even item-specific and therapeutic approaches that aimed at restitution of general aptitudes were less efficient than approaches that concentrated on practice and rehearsal of concrete tasks. The lack of generalization is equivalent to an inability to cope with novel actions and betrays a high-level disturbance of action control. It may be concluded that therapy fails to restore the high-level components of apraxia or, said in another way, the cognitive side of motor control.

Keywords:   apraxia, gesture, communication, aphasia, therapy, rehabilitation, activities of daily living, cognition, motor control

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