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
what are the similarities between PPA and acute aphasia intervention?
script training
multiple oral rereading
CART
semantic feature analysis
what aphasia treatments should not be used for PPA?
- treatment of underlying forms
- verb network strengthening
- constraint induced language treatment
how can we educate for a person with PPA and family members?
- information counseling
- education on communication startegies
- resources
