Aphasia Flashcards
assessment of aphasia - aims to detemine…
To determine (1) presence of aphasia, and if so, (2) the type, (3) any coexisting disorders, and (4) how it affects daily living.
SCREENINGS are completed at the…
examples are…
hospital bedside to get an initial impression.
e.g., Western Aphasia Battery (WAB) Bedside, Bedside Evaluation Screening Test (BEST).
DIAGNOSTIC TESTS are used to evaluate …
all facets of communication: repetition; naming, sentence and discourse production; speech fluency; auditory comprehension of single words, sentences, paragraphs, and discourse; reading and writing; functional communication skills; gestures and pantomime.
components of an assessment (tests)
- screenings
- diagnostic tests
- specific skill tests
- functional tests
SPECIFIC SKILL TESTS are usedd 2
to evaluate further a specific facet of communication.
e.g., Reading Comprehension Battery for Adults (RCBA) to evaluate reading further.
FUNCTIONAL TESTS are used to evaluate
daily communication in everyday settings.
e.g., Communicative Abilities in Daily Living (CADL), Communication Effectiveness Index (CETI), Functional Assessment of Communication Skills for Adults (FACS).
Treatment may be administered individually or in-group (basic or advanced), with goals focused on:
COMPREHENSION
EXPRESSION
READING
WRITING
COMPREHENSION
Beginning in single words (e.g., pointing to pictures).
Then gradually increasing to sentences and discourse with topics of relevance and interest.
EXPRESSION targets
Beginning with single-word naming (typically with cueing) –> then gradually increasing to sentences (e.g., picture descriptions) and discourse (ie. oral story, descriptions of daily activities or special events) with topics of relevance and interest.
READING
Must evaluate premorbid level and current need.
Beginning with printed words, then gradually increasing to sentences and paragraphs.
Goals include survival reading skills (e.g., medications, maps, menus, banking).
WRITING
Must evaluate premorbid level and current need.
Beginning with printed words, then gradually increasing to sentences and paragraphs.
Goals include survival writing skills (e.g., name, lists, notes and reminders, forms, letters).
Social approaches to aphasia emphasize
natural interaction, conversation, functional communication and enhancement for life participation (e.g., through compensatory strategies).
New experimental approaches include
non-invasive brain stimulation, drug treatment, physical exercises, and iPad apps.
Types of therapy
TYPE OF THERAPY
Phonological Component Analysis (PCA)
Semantic Feature Analysis (SFA)
Verb Network Strengthening Treatment (VNeST)
Treatment of Underlying Forms (TUF)
Melodic Intonation Therapy (MIT)
Anagram & Copy Treatment/Copy & Recall Treatment
Intensive Language Action Therapy (ILAT)/Constraint Induced Language Therapy (CILT)
Promoting Aphasics Communicative Effectiveness (PACE)
Partner training
Phonological Component Analysis (PCA)
Picture in the centre with phonological cues to work up to word with (rhyme, first sound, first sound association, last sound, last sound association, syllables)
Semantic Feature Analysis (SFA)
Picture in centre with semantic cues to work up to word with (category, use, action, description, location)
Verb Network Strengthening Treatment (VNeST)
“Who” and “what” placed on either side of a verb. Pt generates examples and reads each aloud. Add-on of “why”.
Treatment of Underlying Forms (TUF)
Putting sentence together with agent, verb, object, and reversing it by making passive or question.
Melodic Intonation Therapy (MIT)
Tapping, humming intonation of target word together with fading cues.
Anagram & Copy Treatment/Copy & Recall Treatment
ACT: Writing target words with tiles, fading cues
CART: Writing target words with written model
Intensive Language Action Therapy (ILAT)/Constraint Induced Language Therapy (CILT)
Social communication therapy involving card game (with requesting, proposing, accepting and rejecting.
Promoting Aphasics Communicative Effectiveness (PACE)
Card game where Pt is the sender or receiver of a message and can choose modality of message
Partner training
Just what it sounds like
Associated Disorder w aphasia
alexia, agraphia, agnosia
alexia - loss of reading skills
agraphia - loss of writing skills
agnosia - loss of recognition/understanding of meanings AND can be auditory, auditory-verbal, visual, tactile (can grasp meaning from in tact sensory modality)
Bilingualism and aphasia
Different patterns of recovery (i.e. time that each language is recovered, strength of recovery) based on L1 vs. L2, stronger vs. weaker based on current use, etc.
Bilingualism and aphasia assessments
Assessment of bilingual clients should include a detailed language history, an interpreter, non-standardized or tests for bilinguals (e.g., Bilingual Aphasia Test).
does treating the weaker language have beneficial, transferable effects on the stronger language?
yes? lol. There is some evidence that treating the weaker language has beneficial, transferable effects on the stronger language.
