Aphasia Flashcards

1
Q

What is aphasia?

A
  • Impairment of language affecting production or comprehension of speech and ability to read or write
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is expressive language?

A
  • Using words
  • Using sentences
  • Expressing thoughts
  • The use of words, sentences or gestures to convey meaning
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is receptive language?

A
  • Understanding directions
  • Comprehension of words
  • Comprehension of grammar
  • Ability to understand words, sentences, and meanings
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the two components of communication?

A
  • Language: expressive and receptive

- Speech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is speech?

A
  • Vocalized form of communication
  • Refers to the actual sounds of spoken language
  • Uses phonemes combined into words
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are some speech disorders?

A
  • Apraxia
  • Dysarthria
  • Stuttering
  • Articulation disorders
  • Phonological disorders
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is Broca’s aphasia?

A
  • Expressive aphasia because area that is damaged is near the motor cortex
  • Also known as non-fluent aphasia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is Wernicke’s aphasia?

A
  • Receptive aphasia
  • Also known as fluent aphasia because rhythm and rate of language is fluent but garbled
  • Poor ability to understand
  • More difficult to treat
  • Most people with fluent aphasia do not have any physical deficits
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are functions of the left hemisphere?

A
  • Analytic thought
  • Logic
  • Language
  • Science and math
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are functions of the right hemisphere?

A
  • Holistic thought
  • Intuition
  • Creativity
  • Art and music
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the two types of CVA?

A
  • Hemorrhage (sometimes there is rapid improvement in symptoms because blood is reabsorbed
  • Ischemia:
    1) Thrombosis
    2) Embolism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What happens during a hemorrhagic stroke?

A
  • Rupture of weakened arterial walls
  • Hematoma
  • Increase in intracranial pressure
  • Arteriovenous malformation
  • Causes: hypertension, TBI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What happens during a ischemic stroke?

A
  • Edema
  • Increase in intracranial pressure
  • Neuron death
  • Release of neurotoxins
  • Causes: embolism, thrombosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How is aphasia classified?

A
  • Language fluency: is the language smooth, forward flowing, and effortless?
  • Language impairment in: production (expression), comprehension, naming, and repetition
  • Modality: speaking, listening, writing, reading
  • Anatomical regions of the brain affected
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are characteristics of Broca’s aphasia?

A
  • Non-fluent
  • Poor repetition
  • Good comprehension, usually
  • Halting, effortful
  • “Telegraphic” in nature
  • Content words are present (e.g. nouns, verbs)
  • Function words are omitted (e.g. articles, auxillaries
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are characteristic of global aphasia?

A
  • Non-fluent
  • Poor comprehension
  • Poor repetition
  • More guarded prognosis
  • A severe form of aphasia
  • Inability to read or write
17
Q

What is transcortical motor aphasia?

A
  • Non-fluent
  • Good comprehension
  • Good repetition
  • Grammar can be normal
  • Difficulty initiating and organizing responses
  • Similar to Broca’s aphasia but individual is able to repeat
18
Q

What are characteristics of Wernicke’s Aphasia?

A
  • Fluent
  • Poor comprehension
  • Poor repetition
  • Not as common as Broca’s
  • “Word jumble”
  • Often there is no accompanying hemiparesis
19
Q

What are characteristics of transcortical sensory aphasia?

A
  • Fluent
  • Output may be meaningless or unintelligible
  • Poor comprehension
  • Intact repetition
  • More rare
  • Difficulty reading and writing
20
Q

What are characteristics of conduction aphasia?

A
  • Fluent
  • Good comprehension - written
  • Poor repetition
  • Quite rare
  • Individuals are usually aware of their errors (unlike Wernicke’s)
21
Q

What are characteristics of anomic aphasia?

A
  • Marked difficulty with word retrieval and naming
  • Comprehension is usually very good
  • Usually mild
  • Good prognosis
  • Can use strategies to compensate
22
Q

What are SLP therapeutic interventions for aphasia?

A
  • SLPs provide a variety of language based interventions depending on the type of aphasia, residual skills, and any comorbid issues
  • It is helpful to know the person’s prior level of function, occupation, educational level, and support network
  • Therapy tends to be compensatory and restorative
23
Q

What factors affect recovery?

A
  • Hemorrhagic vs Ischemic
  • Lesion size
  • Age
  • Handedness
  • Gender
  • Motivation
  • Depression
  • Mono- vs bilingualism
24
Q

What is important to remember about clients with aphasia?

A
  • Cognition and intelligence are usually not affected with a stroke
  • Important to know if individual is bilingual
  • Important to know individual’s personal goals
25
Q

Remember acronym SLOW!

A

S - shorter sentences. Use short, simple sentences
L - less information at a time. Give one direction at a time
O - observe. Is your client understanding you? Do you need to use a gesture in addition to your words?
W - wait. Give client time to process and respond.