Specific treatment methods for aphasia. Flashcards
Specific treatment methods for aphasia.
Personalized Cueing Method (see handout)
Semantic Feature Analysis
Melodic Intonation therapy
Promoting Aphasics’ Communicative Effectiveness (PACE)
Barrier Activities
Consistent “yes” and “no” Responses
Gestural Communication
Communication Boards
Visual Action Therapy
Personalized Cueing Method (see handout)
- In general, it is a semantically based self-cueing approach. The pt generates their own cues for each target word.
- Indicated more lasting benefit when words are trained using self-cueing vs. cue given by a clinician
- See article for steps to take when using this method.
- Treatment is used for anomia. Uses questions or responses that require a one word answer.
Semantic Feature Analysis
- Assumes, based on research about lexical retrieval, that our semantic system is like a web of concepts
- Semantic feature analysis is an organized method of activating these semantic networks
- See handout for the specific chart used to elicit semantic features.
Melodic Intonation Therapy
- The original program takes nonfluent aphasia pts from intoning (or singing) simple 2 syllable phrases to more than 5 syllables across treatment
- The pt is presented with visual cues for the target phrases and phrases are intoned with 2 pitches
- The pt uses higher pitch for stressed words and lower pitch for non-stressed words. (this of the children’s taunt “naa naa naa naa”)
- Also tapping the left hand along with each syllable
- See handout
Promoting Aphasics’ Communicative Effectiveness (PACE)
For severe aphasia
- Concentrates on the ideas to be conveyed rather than linguistic accuracy
- The clinician and client participate equally as senders and receivers
- The speaker has free choice as to which modality is used to convey a message.
- Feedback from the listener concentrates on the adequacy of the message
- Less to do with correction of each individual target and looking at more to see if the message was clear.
Barrier Activities
For severe aphasia
- These are related to PACE and involved placing an opaque barrier between the client and clinician
- Typically, both participants have the same materials on their sides of the barrier.
- Messages are conveyed regarding the materials or how to move them.
- The barrier s removed at the end to determine message accuracy
Consistent “yes” and “no” Responses
For severe aphasia
- Make it very clear to the pt what the goal of this activity is
- Physically assist the pt with five reps. of “yes” (head nods)
- Physically assist the pt with five reps. of “no”
-Request a gestured “yes” response to two unambiguous questions. Do the same for
“no”.
“is your name Bob?”
- Request five repetitions of gestured “yes” then “no”
- Request alternating “yes” then “no”
- Request gestured response to simple questions
- Begin Tx of personal, environmental, and informational questions.
Gestural Communication
For severe
~Being training with one gesture
~When it is intact, add a second
~Drill until pt can alternate between the two gestures
~Then add a third gesture and repeat the process until all three are reliable
Communication Boards
For severe aphasia
~Use boards that have pictures and the written word under the picture
~Try to personalize the pictures
~This makes the item more salient more like to have correct responses with
~Repeated training trials are needed
~Choose only one picture from the board and drill on it.
~Then add one maximally different foil and request the pt to point to target item
~Then do two items from the board and ask pt to point to target item. Continue to three, four, and more items.
~You’ll probably need to do each of the above steps in repeated groups of five.
Visual Action Therapy
For severe aphasia
~Takes a pt through several steps involving object manipulation in order to train pantomimic gestures
~The program beings with perception and recognition of objects
~Then it moves to gesturing with the object in hand
~Then to gesturing without the object
