Aphasia Flashcards
Etiology
Most common: stroke
Ischemic Stroke
Blocked or interrupted blood supply
- Thrombus (collection)
- Embolus (traveling mass)
Hemorrhagic Stroke
Bleeding in the brain due to ruptured blood vessels
Fluent Aphasias
Wernicke’s,
Transcortical Sensory
Conduction
Anomic
Non-Fluent Aphasias
Broca’s
Transcortical Motor
Mixed Transcortical
Global
Aphasia Assessment Areas
Four Lang. Modalities: - Reading - Writing - Aud. Comp. - Verbal Expression PLUS: Memory Cognition
Standardized Aphasia Tests
- Boston Diagnostic
- Western Aphasia Battery (WAB)
- Minnesota Test for Differential Diagnosis
- Porch Index of Comm. Ability
- Aphasia Diagnostic Profile (ADP)
Functional Assessment Tools
FCP (functional comm. profile)
CADL-2 (Comm. Abilities in Daily Living)
- ASHA-FACS (ASHA functional assess. of comm. skills)
Better Prognosis
- Younger & healthier
- High level of Ed
- Smaller Lesion
- No other med or behav. disorders
- Less severe aphasia
- Quick tx initiation
- Supportive family
Parallel Recovery
Multilingual pts
Both lang. improves rate/degree
Differential Recovery
Multilingual pts
1 lang. improves more than other
Successive Recovery
Multilingual pts
Max recovery in 1 lang. before improvement in the other lang.
Antagonistic Recovery
Multilingual pts
As 1 lang. improves, other regresses
Selective Recovery
Multilingual pts
Only 1 lang. shows improvement
Family & Caregiver Education
- Time & Phase of post-stroke
- How ready they are to participate meaningfully in programming
- Emotional support, counseling, & engage family members in process
- Brochures/pamphlets
- Show simple comm. strategies
- Problem solving strategies
- Support Groups
- Write everything down
Neologism
Non-Word
Jargon
Series of Non-Words
Anomia
Word Finding Deficits
Circumlocution
Intentionally speaking around target words due to inability to retrieve target word
Phonemic Paraphasia
Sound errors or transpositions
Semantic Paraphasia
Right Category, wrong word. Semantically related words
Perseveration
Word used previously is repeated involuntarily & incoherently for target
Verbal Stereotypies
Repetitive stereotypical utterances
- Real words & Neologisms
Agrammatism
Speech contains only substantive words (nouns), short phrases (telegraphic utterances), omits function words.
Selective impairment of word retrieval
Paragrammatism
Speech contains grammatical errors: wrong tense markers, misuse of pronouns & syntactic constructions
Praxis
Ability to produce purposeful, learned movements
Apraxia
Disturbed ability to produce purposeful, learned movements, despite intact mobility, usually caused by LH brain damage.
Movements can still be made reflexively, but not voluntarily
