Samenvatting van het deel spraakapraxie, gegeven door mevr. Coppens (2 de jaar logopedie aan Hogent)
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SPRAAKAPRAXIE
INHOUD
Hoofdstuk 1: spraakapraxie algemeen..........................................................................3
1. Definitie..................................................................................................................3
2. Neurogene basis....................................................................................................3
3. Algemene kenmerken van apraxie........................................................................4
4. Vormen van apraxie...............................................................................................4
4.1 Ideomotorische apraxie....................................................................................5
4.2 Ideotorisch of ideationele apraxie....................................................................5
4.3 Constructieve apraxie......................................................................................5
4.4 Orale of buccofaciale apraxie..........................................................................5
4.5 Spraakapraxie of verbale apraxie....................................................................5
4.6 Logopedische interesse...................................................................................5
5. Onderzoek van apraxie..........................................................................................7
Hoofdstuk 2: spraakapraxie...........................................................................................7
1. Definitie..................................................................................................................7
2. Neurogene basis....................................................................................................7
3. Kenmerken van spraakapraxie..............................................................................8
4. Differentiaaldiagnose...........................................................................................10
4.1 Neurolinguïstisch model van Ellis & Young....................................................10
4.2 Klinische profielen van Wertz.........................................................................11
4.3 Verschil in symptomen spraakapraxie – dysartrie..........................................11
4.4. Verschil in symptomen spraakapraxie – afasie.............................................11
4.4 Conclusie........................................................................................................12
5. Onderzoek...........................................................................................................13
5.1 Doelen............................................................................................................13
5.2 Bestaande onderzoeken................................................................................13
5.3 Onderdelen van het logopedische onderzoek voor spraakapraxie...............13
5.4 Enkele bestaande onderzoeken....................................................................15
hoofdstuk 3: behandeling van spraakapraxie..............................................................19
1. Algemene principes.............................................................................................19
2. Therapie op stoornisniveau.................................................................................19
2.1 Articulatietherapie...........................................................................................20
2.2 benadering vanuit ritme, melodie en automatische spraak...........................22
, 3. Therapie op niveau van activiteiten en participatie.............................................23
3.1 Activiteitenniveau...........................................................................................23
3.2 Participatieniveau...........................................................................................24
4. Aandacht voor de interne en externe factoren....................................................24
4.1 interne factoren..............................................................................................24
4.2 externe factoren.............................................................................................25
Hoofdstuk 4: orale apraxie..........................................................................................25
1. Definitie................................................................................................................25
2. Behandeling.........................................................................................................25
, Hoofdstuk 1: spraakapraxie algemeen
1. Definitie
Definitie:
“Verworven stoornis ten gevolge van een hersenletsel in het willekeurig uitvoeren
van bewegingen die niet het gevolg is van sensorische, motorische, cognitieve, taal-
of motivationele problemen”
2. Neurogene basis
Neurogene basis:
Hersenletsels
Meestal in de linker hersenhelft
Geen lokaliserende waarde
o Corticaal/subcorticaal, anterieur/posterieur
Model van Heilman en Rothi (19393)
o In parietaalkwab bevinden zich practicons
Practicons = bewegingsplannen, zijn individueel verschillend
Zowel LI als RE lichaamshelft
o Lesie anterieur (frontaal ) in de linkerhersenhelft
Praxincons zijn niet aangetast
Kan de beweging niet meer uitvoeren
Maar kan wel zeggen hoe het moet + beweging herkennen
o Lesie posterieur (parietaal) in de linkerhersenhelft
Praxicons zijn aangetast
Kan de beweging niet meer uitvoeren
Kan niet zeggen hoe het moet + beweging herkennen
o Huidige visie: model is zinsvol, maar onvolledig
In de werkelijkheid is het veel complexer
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