broca's aphasia Flashcards
most common nonfluent aphasia
brocas
two major symptoms of brocas
motor component, verbal articulatory impairment, and agrammatism
motor component
lack of lfuency
verbal articulatory impairment
coexisiting apraxia (in many occassions)
agrammatism
lack of grammatical elements
damage specific to broca’s area does NOT produce broca’s aphasia
true
what does result in brocas aphasia
damage aroun broca’s area, insula, lower motor cortex, sub adjacent subcortical and periventricular white mater
minor broca’s aphasia (damage of specfically brocas area)
-mildly nonfluent speech
-relatively shorter sentences
-mild agrammatism
-presence of phonetic deviations (phonological errors) and a few phonological paraphasias
-possible appearance of foreign accent
semantic paraphasia
substiution of target word with a word that is semantically related or in same semantic category (spoon for fork, shoe for sock)
phonemic paraphasias
phonological errors, including substitution of one or more phonemes of target word (fencil for pencil, cook for book)
neologisms
nonsensical words that do no exists, typically seen in fluent aphasia
promoting aphasics’ communicaicative effectiveness (PACE)
to improve pragmatic skills by teaching them to differentiate between relevant and irrelevant stimuli, use of contextual cues, follow conversational rules, and avoid confabulation
intensive language action therapy (constraint-induced language therapy) CILT
principle: forced use of affected domains (verbal language) and mass practice leads to functional gains in communication
CILT components
only verbal mode is accepted forcing clients to use their affected domains. restricts other language modalities
intensive comprehesnion aphasia program
it is an intensive treatment focusing on neuroplasticity. living with aphasia includes conideration of following factors:
-severity of aphasia
-participation in life situations
-communication and language environment
-personal identity, attitudes, and feelings
intensive comprehesnion aphasia program
it is an intensive treatment focusing on neuroplasticity. living with aphasia includes conideration of following factors:
-severity of aphasia
-participation in life situations
-communication and language environment
-personal identity, attitudes, and feelings
melodic intonation therapy
principle: designed for indviduals with nonfluent aphasia. MIT combines several technqiues including intoned speech, unison production with the clinican, and lip reading
helm elicited language program for syntax simulation
used for adolecescents and adults with agrammatical speech, based on synctactic hierarchy of dfficulty shown by agrammatic clienys
transcranial direct stimulation
it is a non-invasive and inexpensive method aimed at direct activation of affected brain areas. can simultaneously used with speech therapy