Test 2 Flashcards
What are the 3 approaches to aphasia treatment?
restorative, compensatory, social.
Restorative approach
(impairment-oriented) - improving the linguistic and grammatical aspects of their communication
Compensatory approach
focus on communicative competence – a person’s use of language in naturalistic environments. Use what they have to communicate more effectively.
Social approach. List 2 principles involved.
focus on communicative competence—a person’s use of language in naturalistic contexts—for the purpose of social interaction
- Communication is dynamic, flexible, and multidimensional
- Communication is collaborative
Top-Down
begin with the desired goal and work your way down
Bottom-Up
break communication down into pieces and begin at the bottom, working your way to the desired goal
Social based approaches should:
Qualitative and quantitative measures, Know that communication is collaborative, Focus on natural interaction, Occur in various natural environments (home, mall, school, etc), Not be contrived
What is PACE? What type of treatment is it?
- Promoting Aphasic Communicative Effectiveness
- Compensatory treatment
- All modalities are given equal value
- You don’t make them say it if they successfully conveyed the message
- Both partners share the communicative burden (The client and clinician take equal turns in the sender and receiver roles, and this promotes conversational participation.)
What are the four principles of PACE?
The clinician and patient exchange new information.
The clinician and patient participate equally as senders and receivers of messages
The patient has a free choice as to the communicative modes used to convey a message
The clinician’s feedback as a receiver is based on the patient’s success in conveying the message.
What is CILT/CIAT? What type of treatment is it?
- Constraint Induced Language/Aphasia Therapy
- Restorative type therapy
- participants are not allowed to use verbal crutches (drawing pictures/pointing)
- By forcing them to talk, it makes them create “brain maps”
In speech therapy, what does constraint, forced use, and massed/intensive practice mean?
- constraint : avoiding use of compensatory strategies such as gesturing
- Forced use : communicating by talking
- Massed/intensive practice : 2-4 hours of speech therapy a day
What is VAT? What type of treatment is it?
- Visual action therapy
- Restorative therapy because you can’t use what you teach for multiple things (this gesture just means this)
- non-verbal program intended to teach representational gestures for functional communication
In terms of VAT, give an example of a proximal limb gesture, distal limb gesture, and oral gesture.
- proximal limb: flag
- distal limb: cell phone
- oral: whistle
Describe the 3 levels associated with VAT
1: employs real objects & pictures of the object and the action pictures.
2: employs no real objects; instead, the action pictures are substituted for the objects
3: employs only the object pictures.
What is TWA? What type of treatment is it?
-treatment of Wernicke’s Aphasia
-Restorative therapy
-More receptive based rather than expressive
-Baseline step: Clinician speaks word, PWA chooses one of 6, next target
-Treatment :
step 1: Reading comprehension. Present printed, lowercase word, ask PWA select corresponding picture
Step 2: Oral reading. PWA reads printed word aloud
Step 3: Repetition. Turn over the card with the printed word, ask person to repeat it after you
Step 4: Auditory Comprehension. Say target word and ask PWA to select the picture that matches the spoken word from 6.
