Apraxia is impaired motor activity not explained by weakness, incoordination, abnormal tone,

bradykinesia, movement disorder, dementia, aphasia, or poor cooperation. Failure to perform an act
at all is not apractic; the act must be performed incorrectly. Parts of the act might be omitted or
performed out of sequence or incorrectly oriented in space. Three types of testing are
conventionally employed (Table 5–3); these might involve limb or buccofacial gestures (eg,
hitchhiking, sticking out the tongue), object manipulation (eg, opening a door with a key, blowing
out a match), or serial acts (eg, folding a letter, putting it in an envelope, sealing the envelope, and
placing a stamp on it).