Journal

The Japanese journal of neuropsychology

[Vol.23 No.1 contents]
Japanese/English

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ArticleTitle Effect of motion imagery for recovery of diagonistic dyspraxia in a patient with callosal injury
Language J
AuthorList Aya Sugiyama1), Masaru Mimura2)
Affiliation 1) Section of Speech Therapy, Tokorozawa Rehabilitation Hospital
2) Department of Neuropsychiatry, Showa University School of Medicine
Publication Japanese Journal of Neuropsychology: 23 (1), 58-65, 2007
Received Apr 13, 2006
Accepted Jun 1, 2006
Abstract Only a few studies have tried to manage clinical problems caused by diagonistic dyspraxia following callosal injury. We report a patient with callosal injury who presented with right hand diagonistic dyspraxia. In addition, the patient showed right hand jargon agraphia with accentuation of inability to write kana words. Based on the patient's motivation to overcome disability of writing kana words and to reduce difficulty of using a pushbutton-type telephone, two particular training programs were devised. In training 1, his jargon agraphia of right hand in writing kana words remarkably improved when he was encouraged to image the motion of writing before actual writing. In contrast, facilitation using motor-sensation technique was not effective. In training 2, similar motion imagery technique introduced before actual movement significantly improved pressing correct number with his right finger. Such motion imagery prior to real action may activate his inhibitory brain areas in the left hemisphere, thus leading to control and coordinate his right hand movements.
Keywords inter-hemispheric disconnection signs, diagonistic dyspraxia, jargonagraphia, rehabilitation, motor imagery

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