Aphasia Assessment And Treatment

Question 0

Screenings:

Answer 0

Boston naming

ALPS

quick assessment for aphasia

Question 1

Informal assessment areas:

Answer 1

Conversation(pragmatics, syntax, prosody, articulation, phrase length)

Naming tasks (confrontation naming/generative naming)

Repetition

Auditory comprehension

Reading comprehension

Writing

Automatic sequences

Orientation X3

Question 2

Formal assessment:

Answer 2

BDAE

WAB

CLQT

Question 3

Treatment options

Treat cognitive domains as well:

Also treat metacognitive skills:

Answer 3

Memory, problem-solving, pragmatics, attention, and visuospatial skills

Self-awareness, insight, motivation, self-monitoring, goal oriented behavior

Question 4

Unique considerations for aphasia:

Answer 4

A) teach compensatory strategies-likely not to regain 100% of skills

B)functional goals

C) repeated practice-massed and intensive

D) client specific goals

E)co treat whenever possible

Question 5

Rosenbek’s Principles for Aphasia

Answer 5

a. Prepare for a lifetime of aphasia
b. Patient’s personality is generally intact
c. May need psychological counseling
d. Individualized therapy initially, later group may be beneficial
e. Motivate with success
F. Give homework for best results-promotes generalization
G. Consider AAC

Question 6

Restorative therapy approaches:

Answer 6

Melodic intonation therapy (MIT)

Errorless learning therapy

Compensatory therapy activities

Question 7

Melodic intonation therapy (MIT)

Answer 7

Uses in tact Melody processing and right hemisphere to help retrieve words and expressive language

75% of patients improved with MIT in original study

Modeling and eliciting functional words/phrases and progress through various levels

May sound sing-songy….it’s hard to train out

Question 8

Errorless learning therapy:

Answer 8

The concept is to prevent the patient from producing errors in therapy to avoid reinforcing error production

Set difficulty level just above patient’s ability

Difficulty level set low to avoid errors

Lots of repetition and drill, slowly increased difficulty

Question 9

Compensatory therapy activities

Answer 9

AAC

Low tech devices or high-tech devices

Better with low-tech

Question 10

Formal treatment for nonfluent aphasias:

Answer 10

1. MIT
2. SPAA/HELPSS
3. Rosenbeck changing criteria program

Question 11

MIT for nonfluent aphasia a:

Answer 11

Work on incorporating prosody back into speech by using tactile cues and unison intonation to help the client to remember prosodic cues

Question 12

SPPA/HELPSS

Answer 12

Increased complexity of sentence usage by client

Use repetition and story completion tasks to go through a series of sentence types in order to help the client increase utterance length and use a different array of sentence types

Question 13

Rosenbeck changing criterion program:

Answer 13

Used to increase length of utterance

Discuss a picture with the client and ask different questions

Reinforce different utterance links that increase as you continue through the program

Question 14

Treatment for global aphasia

Answer 14

Gesture approaches- AmerInd, pantomime

AAC (lingraphica, C-speak aphasia

Back to the drawing board

Auditory comprehension (matching pictures, playing cards)

Verbal expression (conversational prompting, associating meeting with speech movements)

Question 15

Treatment for fluent aphasia

Answer 15

Increase auditory comprehension of every day messages

CAIAC-cognitive approach to improving auditory comprehension

Decreased jargon and improve intelligibility

Question 16

Treatment for wernickes aphasia:

Answer 16

Increase auditory comprehension of every day messages

Client goes from matching pictures and written words to reading the words, then repeating them, to identifying the picture upon hearing the word

Question 17

CAIAC-cognitive approach to improving auditory comprehension

Answer 17

To improve understanding of every day messages

Uses cognitive skills outside the modality of verbal output where the client uses attention to improve auditory comprehension

Goes through a series of different tasks such as cancellation, alternating pattern and odd man out pictures

Question 18

Decreased jargon and improve intelligibility:

Answer 18

Use a theme to have individual know what they’re talking about and slow the rate down

Begin by addressing yes/no responses then increase the phrase like

Question 19

Treatment of right hemisphere impairment

Deficit areas:

Answer 19

o Initiation
o Memory
o Left-neglect
o Pragmatics
o Attention
o Facial Recognition o Prosody

Question 20

Right hemisphere impairment assessment:

Answer 20

Screening (interview, scene interpretation, cancellation tasks)

Mini inventory of right brain injury

Rivermead behavioral memory test

Question 21

Treatment of right hemisphere impairment:

Answer 21

MIT-Prosody
o APT – attention and memory
o Environmental changes – neglect
o Story interpretation – initiation
o Social stories and convo about social
appropriateness