PPA Flashcards
what are the PPA subtypes?
nonfluent/agrammatic
semantic
lopopenic
primary progressive apraxia of speech
what is the inclusion criteria for PPA?
difficulties with…
-language onset
-lang based activities of daily living
progressive changes
what is the exclusion criteria for PPA?
behaviors at onset
cognitive at onset
caused by stroke or tumor
define non-fluent or aggrammatic
must display either agrammatism or effortful halting speech with in consistent speech errors
must display 2 of the following:
-impaired comprehension for complex sentences
-spared single word comprehension
-spared object knowledge
define semantic PPA
must display:
-impaired confrontation naming
-impaired single word comprehension
must display 3 of the following:
- impaired object knowledge
-surface dyslexia
-spared repetition
-spared speech production
define logopenic PPA
must display both impaired..
-single word retrieval in spontaneous speech and naming
-repetition of sentences/phrases
must display 3 of the following
-phonologic errors in spontaneous speech
-spared single word comprehension and object knowledge
-spared motor speech
-absence of frank agrammatism
which two variants of PPA may be caused by frontotemporal dementia and may or may not have behavioral components?
- nonfluent/aggrammatic
- semantic
what is the pathology for both nonfluent/agrammatic variant and semantic variant for PPA?
frontotemporal lobar degeneration (FTD)
what is the pathology for logopenic variant of PPA?
Alzheimer’s
what does the evaluation process look like for PPA?
- provide speech and language diagnosis
- document present cognitive-communication function
- document improvement over time
- document decline over time
- develop treatment plan
how do we assess PPA?
-connected speech and discourse
-naming
-repetition
-semantic association
-memory
-auditory comprehension
-motor speech evaluation
what is the token test?
comprehension
“point to the..”
what are the guidelines for treatment for PPA?
proactive management
-early evals and follow-ups to determine pattern of decline
early treatment may focus on impaired language functions
AAC should be introduced early
family and caregivers should be involved
true or false: an SLP is necessary component in treatment of PPA
TRUE
what are the treatment approaches for PPA?
lexical retrieval training
oral rereading (for apraxia)
script training (for fluency + functional communication)
AAC
