Learn About Apraxia

What is the definition of Apraxia?

Apraxia is a disorder of the brain and nervous system in which a person is unable to perform tasks or movements when asked, even though:

  • The request or command is understood
  • They are willing to perform the task
  • The muscles needed to perform the task work properly
  • The task may have already been learned
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What are the alternative names for Apraxia?

Verbal apraxia; Dyspraxia; Speech disorder - apraxia; Childhood apraxia of speech; Apraxia of speech; Acquired apraxia

What are the causes of Apraxia?

Apraxia is caused by damage to the brain. When apraxia develops in a person who was previously able to perform the tasks or abilities, it is called acquired apraxia.

The most common causes of acquired apraxia are:

  • Brain tumor
  • Condition that causes gradual worsening of the brain and nervous system (neurodegenerative illness)
  • Dementia
  • Stroke
  • Traumatic brain injury
  • Hydrocephalus

Apraxia may also be seen at birth. Symptoms appear as the child grows and develops. The cause is unknown.

Apraxia of speech is often present along with another speech disorder called aphasia. Depending on the cause of apraxia, a number of other brain or nervous system problems may be present.

What are the symptoms of Apraxia?

A person with apraxia is unable to put together the correct muscle movements. At times, a completely different word or action is used than the one the person intended to speak or make. The person is often aware of the mistake.

Symptoms of apraxia of speech include:

  • Distorted, repeated, or left out speech sounds or words. The person has difficulty putting words together in the correct order.
  • Struggling to pronounce the right word
  • More difficulty using longer words, either all the time, or sometimes
  • Ability to use short, everyday phrases or sayings (such as "How are you?") without a problem
  • Better writing ability than speaking ability

Other forms of apraxia include:

  • Buccofacial or orofacial apraxia. Inability to carry out movements of the face on demand, such as licking the lips, sticking out the tongue, or whistling.
  • Ideational apraxia. Inability to carry out learned, complex tasks in the proper order, such as putting on socks before putting on shoes.
  • Ideomotor apraxia. Inability to voluntarily perform a learned task when given the necessary objects. For instance, if given a screwdriver, the person may try to write with it as if it were a pen.
  • Limb-kinetic apraxia. Difficulty making precise movements with an arm or leg. It becomes impossible to button a shirt or tie a shoe. In gait apraxia, it becomes impossible for a person to take even a small step. Gait apraxia is commonly seen in normal pressure hydrocephalus.
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What are the current treatments for Apraxia?

People with apraxia can benefit from treatment by a health care team. The team should also include family members.

Occupational and speech therapists play an important role in helping both people with apraxia and their caregivers learn ways to deal with the disorder.

During treatment, therapists will focus on:

  • Repeating sounds over and over to teach mouth movements
  • Slowing down the person's speech
  • Teaching different techniques to help with communication

Recognition and treatment of depression is important for people with apraxia.

To help with communication, family and friends should:

  • Avoid giving complex directions.
  • Use simple phrases to avoid misunderstandings.
  • Speak in a normal tone of voice. Speech apraxia is not a hearing problem.
  • Do not assume that the person understands.
  • Provide communication aids, if possible, depending on the person and condition.

Other tips for daily living include:

  • Maintain a relaxed, calm environment.
  • Take time to show someone with apraxia how to do a task, and allow enough time for them to do so. Do not ask them to repeat the task if they are clearly struggling with it and doing so will increase frustration.
  • Suggest other ways to do the same things. For example, buy shoes with a hook and loop closure instead of laces.

If depression or frustration is severe, mental health counseling may help.

Who are the top Apraxia Local Doctors?
Elite
Highly rated in
30
conditions
Neurology

Mayo Clinic

Rochester, Minnesota

200 1st St Sw 
Rochester, MN 55905

Keith Josephs is a Neurologist in Rochester, Minnesota. Dr. Josephs has been practicing medicine for over 25 years and is rated as an Elite doctor by MediFind in the treatment of Apraxia. He is also highly rated in 30 other conditions, according to our data. His top areas of expertise are Apraxia, Primary Progressive Aphasia, Frontotemporal Dementia, and Corticobasal Degeneration. He is licensed to treat patients in Minnesota. Dr. Josephs is currently accepting new patients.

Elite
Highly rated in
1
conditions

Université De Lyon

Bron, FR 69500

Francois Osiurak is in Bron, France. Osiurak is rated as an Elite expert by MediFind in the treatment of Apraxia. He is also highly rated in 1 other condition, according to our data. His top areas of expertise are Apraxia, Developmental Dysphasia Familial, Corticobasal Degeneration, and Frontotemporal Dementia.

 
 
 
 
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Elite
Highly rated in
4
conditions

University Of Sydney

Camperdown, NSW, AU 

Kirrie Ballard is in Camperdown, Australia. Ballard is rated as an Elite expert by MediFind in the treatment of Apraxia. They are also highly rated in 4 other conditions, according to our data. Their top areas of expertise are Apraxia, Primary Progressive Aphasia, Swallowing Difficulty, and Dysarthria.

What is the outlook (prognosis) for Apraxia?

Many people with apraxia are no longer able to be independent and may have trouble performing everyday tasks. Ask the health care provider which activities may or may not be safe. Avoid activities that may cause injury and take the proper safety measures.

What are the possible complications of Apraxia?

Having apraxia may lead to:

  • Learning problems
  • Low self-esteem
  • Social problems
When should I contact a medical professional for Apraxia?

Contact the provider if someone has difficulty performing everyday tasks or has other symptoms of apraxia after a stroke or brain injury.

How do I prevent Apraxia?

Reducing your risk of stroke and brain injury may help prevent conditions that lead to apraxia.

What are the latest Apraxia Clinical Trials?
Childhood Apraxia of Speech: Neurobiological and Behavioural Markers and Experience Dependent Changes of Neural Connectivity Induced by Treatment
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Gait as Predictor of Cognitive Decline, Dementia, and Risk of Falls in MCI. A Cohort Study
What are the Latest Advances for Apraxia?
Neuromodulation: A combined-therapy protocol for speech rehabilitation in a child with cerebral palsy.
Effects of anodal stimulation and motor practice on limb-kinetic apraxia in Parkinson's disease.
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Apraxia of Eyelid Opening and Blepharospasm in Two Spinocerebellar Ataxia Type 3 Patients.
Who are the sources who wrote this article ?

Published Date : June 23, 2020
Published By : Amit M. Shelat, DO, FACP, FAAN, Attending Neurologist and Assistant Professor of Clinical Neurology, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Basilakos A. Contemporary approaches to the management of post-stroke apraxia of speech. Semin Speech Lang. 2018;39(1):25-36. PMID: 29359303 pubmed.ncbi.nlm.nih.gov/29359303/.

Kirshner HS. Dysarthria and apraxia of speech. In: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology in Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016:chap 14.

National Institute on Deafness and Other Communication Disorders website. Apraxia of speech. www.nidcd.nih.gov/health/apraxia-speech. Updated October 31, 2017. Accessed August 21, 2020.