ALI 2: Profiles + Lang Assessments

Question 1

PROFILES OF APHASIA

Benefits + uses of aphasia profiles

Answer 1

> derived from localisation approach
can anticipate strengths + needs
hypothesis based on obs later can test

HOWEVER

> Profiles may overlap => aphasia variable
Remember - each person unique!!

Question 2

PROFILES OF APHASIA

What key areas of strengths and weaknesses do the profiles refer to?

Answer 2

> Fluency + output (incl writing)
Auditory comprehension (incl reading)
Repetition
Naming (object, pict, WFD)

Question 3

PROFILES OF APHASIA

What is FLUENT aphasia?

Answer 3

SPEECH PRODUCTION IMPAIRED
impacts:
> sentence/speech production
> exp language
> motor skills

UNDERSTANDING IS OKAY

LOCALISATION
> anterior
> ant. lesion in dominant hemisphere
===> inability to execute speech production

Question 4

PROFILES OF APHASIA

What is NON-FLUENT aphasia?

Answer 4

UNDERSTANDING IS IMPAIRED
impacts:
> receptive language
> sensory ability
> grasping meaning

SPEECH PRODUCTION IS OKAY

LOCALISATION
> posterior
> post. lesion in dominant hemisphere
===> lack of comprehension + paraphasic output

Question 5

PROFILES OF APHASIA

List the FLUENT aphasias

Answer 5

> anomic
conduction
transcorticol sensory
Wernicke’s

Question 6

PROFILES OF APHASIA

Lists the NON-FLUENT aphasias

Answer 6

> Transcorticol motor
Broca’s
Mixed transcorticol
Global

Question 7

PROFILES OF APHASIA

go to sheet for details of aphasia!!

Answer 7

test ya self now!!

Question 8

PROFILES OF APHASIA

How do we observe input/comprehension?

Answer 8

> Spoken lang
> Written lang
> Gesture
> Drawing/pictures
> Facial expressions
> Environmental context/ resources 
       ===> communication ramps

Question 9

PROFILES OF APHASIA

How do we observe output/expression?

Answer 9

> Speaking - articulation
> Writing - mechanism + content (lang/words)
> Gesture/sign
> Drawing
> Facial expressions
> Context/resources (AAC??)

Question 10

ASSESSMENTS: SCREENING

3 screens ya gotta know

Answer 10

> Aphasia Screening Test, AST (Whurr)
Frenchay aphasia screening test, FAST
Multimodal communication screening task

Question 11

ASSESSMENTS: SCREENING

Aphasia Screening Test, AST (Whurr)

Answer 11

Gives profile of communication, screens:
> listening
> speaking
> reading
> writing. 

Severe- mod. Impaired aphasia.
Outlines strengths and weaknesses.

Question 12

ASSESSMENTS: SCREENING

Frenchay aphasia screening test, FAST

Answer 12

Can be used by non-SLTs to assist in identifying aphasia.

Assesses:
> understanding of spoken language
> reading
> writing.

Good reliability.

Question 13

ASSESSMENTS: SCREENING

Multimodal communication screening task

Answer 13

tests persons ability to

> match pictures to categories;
use pictures, gestures, writing, and drawing to communicate a message;
find relevant messages;
combine 2+ symbols to convey a message;
spell out words to communicate;
use the initial letter cueing to help listeners better understand their natural speech.

Question 14

ASSESSMENTS: LANGUAGE BATTERIES

List em

Answer 14

> Boston diagnostic aphasia examination (BDAE)
Western Aphasia Battery, WA-B
Comprehensive aphasia test, CAT (Swinburn et al)

Question 15

ASSESSMENTS: LANGUAGE BATTERIES

Boston diagnostic aphasia examination (BDAE)

Answer 15

Evaluates lang skills based on
> perceptual modalities (aud, vis, gesture),
> processing functions (comprehension, analysis, problem-solving),
> response modalities (writing articulation, manipulation).

5 subtests:

1. Conversational speech,
2. Auditory comprehension,
3. Oral expression,
4. Reading,
5. Writing.

Assessment provides aphasia severity rating and indicates areas of language dysfunction.

COOKIE THEFT: Image presented + pp must describe. Con sp sample gained. Quantitative analysis of sample – use of correct info. Evaluates efficiency – content + how much relevant + time

Question 16

ASSESSMENTS: LANGUAGE BATTERIES

Western Aphasia Battery, WA-B

Answer 16

screening and full asx. Up to 45 mins w 8 subtests (incl reading and writing).

Question 17

ASSESSMENTS: LANGUAGE BATTERIES

Comprehensive aphasia test, CAT (Swinburn et al)

Answer 17

Screen of cognition and vision.

Lang batt –
> comprehension,
> production,
> spoken +written lang.

Overview of lang + suggestions for asx. Shit for mild aphasia – mightn’t show deficit.

Question 18

ASSESSMENTS: COMMUNICATION

What do they test? List em…

Answer 18

Ability, perceptions, confidence, readiness

> CADL-2 (Holland et al.)
Inpatient functional communication interview, ICFI (O’Halloran et al.)
Comm disability profile (Swinburn & Byng)
Communication Confidence Rating Scale for Aphasia, CCRSA (Cherney & Babbitt)
Communication Outcomes after Stroke, COAST

Question 19

ASSESSMENTS: COMMUNICATION

CADL-2 (Holland et al.)

Answer 19

asx of func comm.

Involves - reading timetables, menus, shopping, making phone calls.

Score /100 + percentile.

50 items in areas:
> Reading, writing and using numbers	
> Humour, metaphors, absurdity 
> Social interaction
> Divergent communication
> Contextual communication
> Nonverbal communication
> Sequential relationships

Question 20

ASSESSMENTS: COMMUNICATION

Inpatient functional communication interview, ICFI (O’Halloran et al.)

Answer 20

Describes comm in hospital setting (15 hos set situations) + provides info to staff to support comm. Identify focus for intervention.

Question 21

ASSESSMENTS: COMMUNICATION

Comm disability profile (Swinburn & Byng)

Answer 21

Client self report of perc of ability or diff. Cover comm, particp and emotions. Superior to disability Questnn. In C.A.T.

Question 22

ASSESSMENTS: COMMUNICATION

Communication Confidence Rating Scale for Aphasia, CCRSA (Cherney & Babbitt)

Answer 22

Condition specific-measures. Slef-eficacy and stuttering. Yields total score (10-40)

Question 23

ASSESSMENTS: COMMUNICATION

Communication Outcomes after Stroke, COAST

Answer 23

20 items. client/career reports how well/diff various funct comm aspects. Impact on activity and QoL.