Functional Plasticity in the Absence of Structural Change

J Child Neurol. 2017 Apr;32(5):505-511. doi: 10.1177/0883073816688833. Epub 2017 Jan 27.

Abstract

This work presents a case of a young woman with apraxia and a severe body scheme disorder, 10 years after a childhood frontal and occipitoparietal brain injury. Despite specific limitations, she is independent in performing all activities of daily living. A battery of tests was administered to evaluate praxis and body representations. Specifically, the Hand Laterality Test was used to compare RS's dynamic body representation to that of healthy controls (N = 14). Results demonstrated RS's severe praxis impairment, and the Hand Laterality Test revealed deficits in accuracy and latency of motor imagery, suggesting a significant impairment in dynamic body representation. However, semantic and structural body representations were intact. These results, coupled with frequent use of verbalizations as a strategy, suggest a possible ventral compensatory mechanism (top-down processing) for dorsal stream deficits, which may explain RS's remarkable recovery of activities of daily living. The link between praxis and dynamic body representation is discussed.

Keywords: Hand Laterality Test; TBI; motor imagery; parietal cortex; rehabilitation.

Publication types

  • Case Reports

MeSH terms

  • Apraxias / diagnostic imaging
  • Apraxias / physiopathology*
  • Body Image
  • Brain / diagnostic imaging
  • Brain / physiopathology*
  • Female
  • Functional Laterality / physiology*
  • Humans
  • Magnetic Resonance Imaging
  • Neuronal Plasticity / physiology*
  • Neuropsychological Tests
  • Young Adult