Apraxia

Apraxia is the ability to do movements regardless of having the desire and capacity to perform the actions. Apraxia is an obtained by disorder of praxis, but is not caused by

  • Incoordination
  • Sensory loss,
  • Or failure to understand simple commands

 The disease caused by damage to some parts of the cerebrum. Apraxia is sometimes confused with disease such as ataxia, aphasia, abulia, allochiria. Whereas Ataxia, a lack of harmonization of actions, aphasia an incapability produce or understand language; abulia, the lack of desire to do action, allochiria in which desired persons stimuli to one side on the other side of body. The other development disorder of motor planning is Developmental coordination disorder.

Types

  • Ideomotor apraxia
  • Ideational/conceptual apraxia
  • Buccofacial or orofacial apraxia
  • Constructional apraxia
  • Gait apraxia
  • Limb-kinetic apraxia
  • Oculomotor apraxia
  • Apraxia of speech

What Are the Symptoms of Apraxia of Speech?

There are a variety of speech-related symptoms including:

  • Difficulty stringing syllables together
  • Childhood babbling
  • Difficulty to saying complex words
  • Repeated attempts at pronunciation of words
  • Speech inconsistencies
  • Incorrect inflections
  • Excessive use of nonverbal forms of communication
  • Distorting of vowel sounds
  • Omitting consonants
  • Fumble or struggle to make words

Childhood apraxia of speech may include:

  • Limited vocabulary
  • Grammatical problems
  • Problems with coordination and fine motor skills
  • Difficulties chewing and swallowing
  • Clumsiness

Causes

Apraxia is caused by a lesion which is located in the left or right side of hemisphere of the brain and characteristically it is seen in the lobes. Lesions may be due to Dementia, Brain tumor, Multiple sclerosis, Stroke, Cerebral palsy and neurodegenerative diseases like

  • Alzheimer’s disease
  • Parkinson’s disease
  • Huntington’s disease

Treatment

Treatment for the patient who suffering from apraxia is

  • Speech therapy
  • Occupational therapy
  • Physical therapy

But the treatments have received not much importance because the tendency for the condition to resolve impulsively in critical cases. Nature of the automatic-voluntary dissociation of motor abilities states that, people with apraxia can perform activities themselves. Nevertheless, in this way we can say the patient suffering from this disease have less independence to do his daily activities and that evidence treatment of apraxia is insufficient.

Prognosis

The patient suffering from apraxia prognosis varies. With therapy, some patient may improve considerably or may show very little improvement. Use of a communication aid may benefit the apraxia patients. However, many people who are suffering from apraxia are no longer work independent; therefore they should avoid activities in which they harm themselves or others.