Therapy for Spoken Expression Flashcards
NICE Guidelines
45 mins, x5 days
Brady et al (16)
The more intense the more effective.
RCP National Guidelines for stroke (16)
As frequent as tolerated after first four months
Which words to choose
Palmer et al (17) conducted a study on word choice. Most common: food and drink, nature, entertainment, people and places.
Internal Semantic Therapy
Direct semantic tasks to target semantic impairment. Categorisation tasks, odd one out, APTUS and TACTUS.
Typical semantic tasks include:
Categorisation, category feature decription, word defintions, word-picture matching, semantic judgements, yes/no judgements, odd one out.
Cueing Hierarchy
Errorless vs errorful.
Look at most useful cues and make a hierarchy.
Encourage self-cues and eventual reduction in use.
Semantic feature analysis
For people with semantic level problems or access to from POL.
Naming set - work through the semantic features and support PWA identify. Could write down and can be generalised. Boyle (04)
Phonological Component Analysis
Similar to SFA but phonological factors. SLT can give choices and for people with impaired representations in POL or access to.
Leonard et al (08)
Constraint Induced Aphasia Therapy (CIAT)
Forced use and constraint. Increasingly more challenging linguistic goals that are individually tailored. Cues if necessary. Pulvermuller (01)
Script Therapies
Personally relevant scripts are practised face to face or via computer. Functional.
Goldberg et al (12).
VNEST
Verb network strengthening treatment
verb and choice of nouns, PWA aphasia identifies if sentences are acceptable. Potential to generalise. 3 word phrase elicited. Strengthens semantic and lexical connections.
Edmonds et al (09)
Computer Therapy
TACTUS, APTUS, Step by Step, Cue speak
Generalisation - untreatmed items, everyday communication, VNEST most likely to be generalised.
Zheng et al (15)
Whitworth et al (15) - NARNIA
Functional Therapy
Joint working Personal Care and meal prep Family and carer training Real Life situs Drawing and gestures
Joint Working
OT Physio Nursing Staff Psych Voluntary sector
