Aphasia

Question 1

what is A-FROM

Answer 1

• Aphasia Framework for Outcome Measurement
• framework for considering the nature of outcomes
• discuss individual goals
• inform assessment

Question 2

how do we get relevant information

Answer 2

• person and others reporting (questionnaires)
• observe language abilities in natural, (un)structured situations (video recording)
• elicit responses

Question 3

why collect elicited responses

Answer 3

• assessment of symptom severity and impact (explanation and feedback)
• goal setting (support a client’s understanding of symptoms and impact)
• report writing (objective evidence of change)

Question 4

screening test purpose

Answer 4

determine presence/absence of aphasia

Question 5

comprehensive aphasia test purpose

Answer 5

in-depth analysis of language functioning

Question 6

test for specific language function purpose

Answer 6

• assess specific functions
• provide further information

Question 7

nonstandard test purpose

Answer 7

provide valuable ways to systematically observe a certain behavior

Question 8

methods of clinical assessment

Answer 8

• fine-grained linguistic measures
• broad-brush linguistic measures
• sentence discourse data
• functional self-rating scale (activity/QOL)

Question 9

what skills underlie expression of single words in aphasia

Answer 9

• semantics
• phonological processing

Question 10

assess phonology and motor speech skills

Answer 10

• word and non-word repetition
• word and non-word reading

Question 11

naming error analysis (types of errors)

Answer 11

• semantic close (fork for knife)
• semantic distant (borrow for library)
• super-ordinate error (furniture for chair)
• associative error (tyre for car)
• compensatory (gesture, drawing)
• phonological (whole word error: tablet for table)
• sound error (talet for tablet)
• jargon error (shploon for chair)
• latency effect (slow)
• circumlocution (thing you bang a nail with for hammer)
• no verbal response

Question 12

? deficits are commonly observed in people with aphasia, resulting in ?

Answer 12

• sentence production deficit
• results in frequency communication breakdown

Question 13

measures of connected speech

Answer 13

• Linguistic Communication Measures (LCM)
• Correct Information Units (CIU analysis)
• POWERS

Question 14

Linguistic Communication Measures (LCM)

Answer 14

• total number of words (all words produced, include errors and neologisms)
• number of content units (only count accurate content words)
• number of correct words in content units (total number of correct words contained within the content units)
• number of correct bound/contracted grammatical morphemes in content units (number of correct grammatical endings, include contractions)

Question 15

LCM measures

Answer 15

• index of lexical efficiency (total number of words in the narrative / by the number of content units)
• index of grammatical support (total number of correct words in content units + number of correct endings / number of content units)

Question 16

ad hoc measures of connected speech

Answer 16

• word count in specific number of minutes
• number of full grammatical sentences in x minutes
• number of distracting pauses in 3 minute monologue
• successful circumlocutions
• reduced commenting on own difficulties/swearing
• number of content words (nouns, verbs, adjectives)
• information content (time to convey key points in picture description)