A Review of Theoretical and Clinical lssues in Limb Apraxia

肢體性動作失用症之學理及臨床文獻解析

吳菁宜(Ching-Yi Wu) ； 林克忠(Keh-Chung Lin) ； 陳嘉玲(Chia-Ling Chen)

《職能治療學會雜誌》 18卷 (2000/09) Pp. 59-71

https://doi.org/10.6594/JTOTA.2000.18.06

摘要

本篇報告整合及分析肢體性動作失用症具代表性之重要文獻，以進一步了解該症狀的本質及可能的治療方式。本文章解析與學理和臨床相關的文獻，其內容包括以下四項：一、引導研究進行之理論模式；二、錯誤形式的評估與分析，包括以觀察法所提供的敘述、腦傷側邊對肢體性動作失用症狀表現的影響，以及使用現代動作分析儀對該症狀了解的重要性；三、以身體當作所要操控之物體的病理徵狀之意義，同時亦探討該症狀與失用症的關聯；四、針對治療手法加以著墨。文末除了回顧與闡述失用症領域的重要發現外，並指出臨床及未來研究應發展的方向。

關鍵字

動作失用症,復健,動作動量分析

並列摘要

This paper was developed to review recent advances in the study of limb apraxia in order to further understand the nature of this disorder and possible approaches to its interventions. The following issues surrounding research on this area that are of theoretical relevance and practical importance were addressed: (1) a theoretical model that would guide research into limb apraxia; (2) assessment and analysis of error types involving observational descriptions of error patterns, manifestation of laterality effects of brain lesions, and kinematic analysis of spatio-temporal deficits; (3) the pathological significance of body part as objects (BPO) and its relationship with limb apraxia; and (4) remediation. Implications for future research and clinical practice are provided.

並列關鍵字

apraxia,rehabilitation,movement kinematics