4.2 Neuropsychological assessment of apraxia & agnosia

Neuropsychological assessment of agnosia TEST

• Birmingham object recognition Battery (BORB)

• Visual objects spatial perception (VOSP) 

• Test of the 15 objects

• Poppelreuter

• Cambridge Face Perception Test (CFPT; Duchaine) 

• Facial recognition test (Benton) 

• Cambridge Memory Test for Faces (CFMT, Duchaine) 

Birmingham object recognition Battery (BORB)

• Process: Visual processing & object recognition 

• Age: 16-90 

• Time: 40 mins aprox

Visual objects spatial perception (VOSP)

Process: Apperceptive visual agnosia 

Age: 20-70+

Time: 40-80 mins

Test of the 15 objects. 

Process: Visual discrimination & visual interference 

Age: 8+

Time: 5-10 mins

Poppelreuter

Process: Visual perception & visual interference 

Age: 8+

Time: 5 mins

Cambridge Face Perception Test (CFPT; Duchaine) 

Process: Recognizing non familiar faces 

Age: 16-56

Time: 15 mins

Facial recognition test (Benton) 

Process: Recognizing non familiar faces 

Age: 6-74

Time: 7-10 mins

Cambridge Memory Test for Faces (CFMT, Duchaine) 

Process: Recognizing non familiar faces 

Age: 16-56

Time: 8-10 mins

Neuropsychological assessment of apraxia test

• Cubes (WAIS/WISC/NEPSY) 

• Imitating hand positions (NEPSY-II)

• Fingertip tapping (NEPSY-II) 

• Manual motor sequences (NEPSY-II)

• Nose- finger (CUMANES/CUMANIN)

• Thumb-fingers (CUMANES/CUMANIN)

Cubes (WAIS/WISC/NEPSY) 

• Processes assessed: Constructional praxia 

• Ages assessed: 5+

• Administration line: 10 mins

Imitating hand positions (NEPSY-II)

• Processes assessed: Coordination of the fingers & hands

• Ages assessed: 5-12

• Administration line: 7 mins

Fingertip tapping (NEPSY-II) 

• Processes assessed:Coordination of the fingers & hands

• Ages assessed: 5-16

• Administration line: 7 mins

Manual motor sequences (NEPSY-II)

• Processes assessed:Coordination of the fingers & hands

• Ages assessed: 5-12

• Administration line: 7 mins

Nose- finger (CUMANES/CUMANIN)

• Processes assessed:Coordination of the fingers & hands

• Ages assessed: 5-11

• Administration line: 5 mins

Thumb-fingers (CUMANES/CUMANIN)

• Processes assessed: Coordination of the fingers & hands

• Ages assessed: 5-11

• Administration line: 5 mins

Examining for apraxia entails assessment of a 

• Variety of learned movements of the face, the limbs & the body

Conditions to assess APRAXIA

• Imitation: symbolic movements, using actual objects or pantomiming their use without objects.

• Command

Battery to measure Apraxia

• Battery: FAST-R (Florida Apraxia Screening test– Revised) 

• Process: Ideatory & Ideomotor praxis 

• Age: +16

• Time: 15 mins

What is ideomotor praxia?

• The ability to perform learned meaningful movements or gestures on command

What body parts can be assessed in ideomotor praxia?

• Face, upper limbs, lower limbs, & whole body

How can ideomotor praxia be assessed using objects?

• Ask the patient to demonstrate learned actions with objects.

• Examples: use a toothbrush, hammer a nail, kick a ball, or sweep with a broom.

How can ideomotor praxia be assessed using symbolic gestures?

• Ask the patient to perform meaningful gestures without objects.

• Examples: salute, make an “OK” sign, bow, or blow a kiss.

What is constructional praxia & how can it be assessed?

• Ability to construct/copy spatial designs.

• Example: copy the Rey Complex Figure.

What is ideatory praxia & how can it be assessed?

• Ability to correctly organize a sequence of actions to achieve a goal.

• Example: preparing a letter for mailing.

Ideomotor

• HOW to perform a learned movement
  → “Show me how you brush your teeth.”

Ideatory

• SEQUENCE of multiple actions
  → “Show me all the steps for preparing a letter for mailing.”

Constructional

• BUILD/COPY something spatially
  → “Copy this figure.”