9 - Aphasia Treatments II Flashcards

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1
Q

What are Aphasia Models?

2

A

Framework (or representation or set of principles) explaining how something works

Offering uniform language for individuals from difference areas (disciplines, training programs, etc.) to communicate

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2
Q

What are Aphasia Treatment Approaches?

2

A

Philosophical way or manner that you approach treatment.

How you go about doing something to accomplish your goal (treatment)

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3
Q

What are Aphasia Treatment Techniques?

2

A

The specific thing that you do to accomplish your goal.

The techniques are strategies or tasks that you use to accomplish the goal.

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4
Q

What are Aphasia Targets?

A

The specific aspect of language that you are addressing (e.g. word finding, sentence comprehension, sentence level oral reading

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5
Q

What are three adult language models?

A

Locationist

Connectionist

Resource Allocation

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6
Q

What are six adult language treatment models?

A

Stimulation – Facilitation

Modality

Linguistic

Processing

Minor Hemisphere Mediation

Functional Communication

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7
Q

What are two Motor Speech models?

A

Function (Van der Merwe model of motor speech planning/programming)

Treatment (Mayo Clinic Model)

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8
Q

What are three Language Development models?

A

Content-Form-Use (Bloom + Lahey)

Optimality Theory

Native Language Magnet Model

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9
Q

What are nine Treatment Approaches for Aphasia?

A

Response Elaboration Training

Promoting Aphasic Communicative Effectiveness

Life Participation Approach

Social Approach

Language Oriented Treatment

Constraint Induced Language Therapy

Communicative Speech Therapy

Computer Applications in Aphasia

Treatment Group Treatment

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10
Q

What are four Treatment Approaches for aphasia?

A

Response Elaboration Training

Promoting Aphasic Communication Effectiveness

Life Participation Approach

Constraint Induced Language Therapy

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11
Q

What are ten treatment targets?

A

Auditory comprehension

Single word comprehension

Sentence comprehension

Discourse comprehension

Reading comprehension

Expressive language/speech production

Word retrieval

Sentence production

Connect speech

Writing

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12
Q

What is the “Bottom-up” model for Auditory Comprehension?

2

A

Start with physical characteristics of the message

Work way through series of levels until the message is comprehended

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13
Q

What is the “Top-down” model for Auditory Comprehension?

3

A

Begin with general expectations about what a speaker is likely to say

Use general knowledge to prove or disprove their expectations

Resort to lower-level linguistic analyses only when higher-level processes leave speakers meaning in doubt

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14
Q

How is Single Word Comprehension usually treated?

3

A

Typically consists of pointing drills to an array of pictures or objects

Single word drills are appropriate for patients with severe comprehension impairments; cannot comprehend phrase length utterances

Not appropriate for patients with spared phrase length comprehension • Word level comprehension may be intermittent

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15
Q

What are three different ways of targeting Sentence Comprehension?

A

Answering questions (yes-no, open ended)

Following spoken direction (1-step, multistep)

Sentence verification (sentence-to-picture match, multiple choice)

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16
Q

Why is Discourse Comprehension important?

2

A

Difficulty determined by what the patient is asked to comprehend and remember from the discourse and not content and structure

Individuals with aphasia retain some discourse comprehension even in mild-moderate aphasia

17
Q

Why is it important to target Reading Comprehension?

A

Most individuals with aphasia have reduced reading comprehension

18
Q

What deficits may lead to difficulties in Reading Comprehension?

(7)

A

Semantic

Syntax

Memory

Reading processes

Word recognition

Syntactic analysis

Semantic mapping

19
Q

What are four ways to target Reading Comprehension?

A

Functional Reading (Survival reading skills)

Single Word Reading

Sentence Reading

Paragraph + Text Reading

20
Q

What are four ways to target Expressive Language/Speech Production?

A

Phrase and sentence completion

Word and phrase repetition

Confrontation naming, show picture

Responsive naming

21
Q

What are five coping behaviors for Word Retrieval?

A

Delay

Semantic association

Phonetic association

Description

Generalization

22
Q

What are four ways to target Sentence Production?

A

Repetition-elaboration drill

Story completion

Question-answer drill

Picture-story elaboration

23
Q

What are three ways to target Connected Speech?

A

Picture description

Story telling

Conversation

24
Q

What are four days to target Writing?

A

Survival writing

Single words

Sentences

Paragraphs

25
Q

How should we consider Resource Allocation when considering treatments?

A

Cognitive Processes (mental operations)

Processing Resources (mental energy)

26
Q

What three things do we need consider when designing treatment sessions?

A

Frequency and Duration - standard (Compromised medical + physical condition)

Complexity of Treatment (Multiple objectives: language, speech, etc)

Logistics (Need to be flexible - ambulatory vs non-ambulatory, travel, reimbursement)

27
Q

How should we give instructions during treatment sessions?

4

A

Tell patient what you are doing

Be clear and concise

Delivered instructions at a rate the patient can understand

Presented at patient level of understanding

28
Q

How should we give feedback during treatment sessions?

3

A

Incentive Feedback

Information Feedback

General Encouragement