Apraxia
Apraxia is a condition that affects a persons ability to carry out pre-planned movements despite the fact that the individual has the desire to complete the task and has the physical capacity to do so. At Liverpool Neuro Physio we believe that once apraxia has been diagnosed it is important to commence physiotherapy treatment as soon as possible in order to maintain and improve the current level of functional ability you possess.
- What is apraxia?
- Types of apraxia
- Effects of apraxia
- Physiotherapy treatment for apraxia
- Benefits of physiotherapy treatment for apraxia
What is apraxia?
Apraxia is a disorder of the brain and nervous system in which a person is unable to carry out certain tasks or movements even though they know how to do them and have the physical ability to perform them. For example, you may not be able to form a fist with your fingers. Apraxia is caused by damage to the part of the brain that coordinates motor planning. Apraxia can also develop as a result of problems with brain development.
At Liverpool Neuro Physio we understand that living with apraxia is frustrating for you and your families. As a result your physiotherapist can help alleviate some of the difficulties you experience as result of your apraxia by providing advice and assistance on suitable strategies and prompts as well as task practice in order to help you improve your performance of everyday tasks.
Types of apraxia
Apraxia comes in many forms and each type affects a different part of the body. The following types of Apraxia can be managed by physiotherapy intervention:
Ideational apraxia
Ideational apraxia inhibits an individuals ability to create a plan for a specific movement. Ideational apraxia results in the individual finding it difficult to perform complex tasks which have previously been learned in the correct order. For example the individual would find it difficult to put their socks on before they put their shoes on.
Ideomotor apraxia
Ideomotor apraxia inhibits an individuals ability to carry out commands form the brain. Individuals with ideomotor apraxia find it difficult to voluntarily complete tasks they have previously learnt how to perform, even when given the necessary objects.
Limb-kinetic apraxia
Limb-kinetic apraxia inhibits an individuals ability to carry out precise, careful movements with a finger, an arm or a leg. For example the individual may struggle using hand tools such as a screwdriver, even though they understand what the screwdriver does and how to use it.
Gait apraxia
Gait apraxia affects an individuals ability to coordinate movements for walking. Gait apraxia is characterised by shuffling and halting steps, stooped posture, and an inability to step over obstacles.
Effects of apraxia
The effects of apraxia include:
- Poor coordination
- Difficult performing a skilled action
- Difficulty performing a purposeful action
- Lack of coordination between generating new ideas and physically carrying them out
- Inability to assemble objects
Physiotherapy treatment for apraxia
Once apraxia has been identified it is important that physiotherapy treatment is commenced as soon as possible in order to maintain and improve your current level of functional ability. Physiotherapy treatment for Apraxia varies from person to person.
At Liverpool Neuro Physio your physiotherapist will:
- Complete a thorough assessment of your condition in order to identify specific problems you are having difficulties with.
- Assist in task practice. Your physiotherapist can teach you techniques to break down a task into simple steps in order to perform it effectively. Your physiotherapist can also teach you to use cues, such as verbal cues or written cues, in order to help you achieve the task.
- Provide gait training in order to improve the coordination of your limbs during walking.
- If appropriate, provide advice on additional equipment that can help to increase your functional independence.
- Your physiotherapist will also manage additional physical problems that may be present alongside your apraxia such as muscle weakness or stiffness. Your physiotherapist will select appropriate strengthening and stretching exercises specific to the problem you are experiencing.
Benefits of physiotherapy treatment for apraxia
Physiotherapy treatment for apraxia is often very effective. Benefits of treatment may include:
- Improved coordination
- Improved balance
- Improved muscle control
- Reduced anxiety
- Improved confidence
- Improved independence
- Improved quality of life
At Liverpool Neuro Physio our experienced physiotherapists can provide you with effective treatment for your form of apraxia with the aim to improve and maintain your functional abilities.
To arrange an appointment or to speak to one of our specialists, call us on 0151 558 0188 or email office@liverpoolneurophysio.co.uk.