Week Eight Flashcards

1
Q

What level in the sentence production model do problems often occur?

A

Problems often occur at the functional level, where creation of the predicate argument structure occurs.

This often results in problems with passive sentences and reversible sentences.

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2
Q

What assessments can assess sentence production problems?

A

Standardised
-PALPA (sentence to picture matching)
- VAST
- Token test and reporters test

Informal
-Picture description
- reversible sentences

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3
Q

What are the treatment options for sentence production?

A
  • Response elaboration training
  • Sentence production program for aphasia
  • Mapping therapy
  • Treatment of underlying forms
  • Verb network strengthening treatment
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4
Q

What is the goal and method of response elaboration therapy?

A

Goal: use longer phrases including more related words

Method: SLT elicits a response, confirms with a correctly modeled sentence and asks wh-questions to help the client elaborate. Can use pictures or spontaneous conversation.

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5
Q

What is the goal and method of sentence production program for aphasia?

A

Goal: Improve sentence production in PWA with agrammatism

Method: trains a hierarchy of sentence productions

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6
Q

What is the goal and method of mapping therapy?

A

Goal: Improve grammatical comprehension and production in PW non-fluent aphasia

Method: Trains ability to map connection between words’ thematic roles and their location in the sentence

Different levels of difficulty (passives, 2-argument structure)

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7
Q

What is the goal and method of treatment of underlying forms?

A

Goal: Focus on non-canonical sentences and good for PWA less severe form.

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8
Q

Give an overview of peripheral alexias

A

Peripheral alexias affect the early stages of the reading process and involve difficulty perceiving the written word.

Different types include: pure alexia, neglect alexia, attentional alexia and visual alexia

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9
Q

Give an overview of central alexias

A

Central alexias affect the later stages of the reading process and involve impairments in lexcial or sublexical processing.

Different types include: surface alexia, deep alexia, and phonological alexia

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10
Q

Describe a pure alexia

A
  • Impairment in the way written words are perceived and analysed. Specifically, difficulty in the simultaneous parallel identification and processing of words.
  • Characterised by letter-by-letter reading
  • Impairment in the level between visual feature analysis and letter analysis
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11
Q

Describe neglect alexia

A

-Impairment in the way written letters are perceived and analyzed. Especially in the correct identification of beginning and end of words. E.g, cat - car, book- look

  • Impairment at the level of letter analysis
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12
Q

Describe attentional alexia

A
  • Impairment of the way words are written and perceived. Specifically, incorrect productions of letters in a word as a result of interference from other letters in the word. E.g., butterfly- flutterfly
  • Impairment at the level of the letter analysis
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13
Q

Describe visual alexia

A
  • Impairment in the way written words are analyzed and perceived. Specifically producing words that are similar to target words.

-similar to neglect alexia but errors are not spatially consistent and are almost always real-word substitutions

-Occurs at the level of letter analysis and othographic input lexicon

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14
Q

Describe surface alexia

A
  • Central alexia
  • Impairment in the way written words are processed during lexical reading

-Impaired reading of irregularly spelled words with relatively intact reading of regularly spelled words and pseudo-words.

-Impairment at the level of the lexical reading route

Types of errors:

-Visual errors: Inappropriate selection of word at the orthographic input lexicon (blank-bank)

-Regularization errors: Over-reliance of the grapheme-phoneme (non-lexical route) E.g., pint produced as pInt

-Visual and semantic errors: impairment accessing the semantic system e.g., cat - cab

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15
Q

describe deep alexia

A
  • Central alexia
  • Impairment in the way words are processed during lexical and non-lexical reading
  • Impaired pseudo word reading in conjunctions with the productions of semantic and visual errors in oral reading.
  • Dual impairment of both the lexical and non-lexical routes

Types of errors:
- Impaired psuedoword reading
- semantic errors (apple - banana)
- Visual errors (table - cable)
- Morphological errors (baking - baked)
- Greater success in reading concrete words (chair - freedom)

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16
Q

Describe Phonological alexia

A
  • Central alexia
  • Impairment in the way written words are processed during non-lexical reading

-Impaired pseudo-word reading in conjunction with the absence of semantic reading errors

  • Sometimes, lexicalization errors (blaf - black) can be seen. This is due to overreliance on lexical route reading
17
Q

Assessments for alexias

A

Standardized assessment: PALPA subtest

Peripheral alexia (non-standardized): shape to letter matching, abstract letter identification

Central alexia (non-standardised):
- Visual word recognition: to assess a persons lexical network. Identifying if a word is real or not

  • Semantic processing: Assess access to semantic from visual orthography.
    -Category sorting task: has to categorize written cue cards into categories e.g., fruit, animals

-Non-lexical processing: evaluation of the reading process that does not include the lexical-semantic system.
-graphemic parsing: segment words into smaller units (syllables, phonemes)
-Graphemic blending
- Grapheme to phoneme letter conversion: assess the activation of orthographic and phonological representations. Present individual letters and ask to produce corresponding sound

18
Q

What can cause reading problems?

A
  • Phonological impairment
  • Lexical impairment
  • Semantic memory
  • Cognitive impairment
19
Q

Treatments for surface alexia, phonological alexia and deep alexia

A

Surface Alexia
- Focus on improving irregularly spelled words
- lexical reading treatment (focus on identifying existing words and learn to access them faster)
-Speeded presentation
- Visual imagery (think about the word and what it looks like)

Deep Alexia and phonological alexia
-Focus on reactivating nonlexical or both routes
- phonomotor treatment
- Retaining grapheme to phoneme correspondence
- Priming

20
Q

What are some text based treatment approaches?

A

Text based treatment approach:
- Read aloud with SLT and SLT helps to identify errors, key words, key message

Text based Strategies
- Previewing text
- Skim
- Read slowly
- Visualize
- Summarize at end of paragraph
- Stop and check understanding

21
Q

What are the three routes of writing?

A
  1. Lexical semantic route
  2. Lexical non-semantic route
  3. Non-lexical route
22
Q

What are the peripheral agraphias?

A
  • Allographic dysgraphia
  • Apraxic dysgraphia
  • Motor nonapraxic dysgraphia
  • Spatial dysgraphia
23
Q

What is a central agraphia and the different types?

A

A central agraphia is a problem in lexical-semantic, lexical non-semantic and nonlexical spelling routes.

  • Lexical/surface dysgraphia
  • Phonological dsygraphia
  • Deep dysgraphia
  • Semantic dysgraphia
  • Graphemic buffer dysgraphia
24
Q

Describe lexical/surface dysgraphia

A

-Difficulty spelling irregular or ambiguous words
- Damage to orthographic output lexicon

25
Q

What are some assessments for writing problems?

A
  • Standardised assessment such as CADL-2 which includes writing
  • Find out what pre-morbid abilities were

-Spontaenous writing

  • Single word writing
  • Writing to diction

-

26
Q

Treatment of writing disorders

A

LEXICAL ROUTE

Anagram, copy & treatment (ACT)
-accurate spelling of single words
- Arrange letters in correct order, copy repeatedly, then write from memory

Copy and recall (CART)
- Look at picture and repeatedly copy word

*Combine ACT for new words and CART for treated words, prompted by conversation

NON-LEXICAL ROUTE

Improve phoneme-grapheme correspondence
- Teach grapheme-phoneme representations of initial letters and key words

27
Q

What are some compensatory strategies for writing?

A
  • Spell check softwares
  • Personal writing document with relevant information form pt to copy/paste from
28
Q

Describe phonological dysgraphia

A
  • Impairment of non-word spelling with preserved real-word spelling
29
Q

Describe graphemic buffer dysgraphia

A
  • Errors in grapheme order in all spelling tasks
  • Spontaneous writing and writing to diction is impaired
  • Word length has significant effect (shorter = better)
30
Q

Describe deep dysgraphia

A
  • Impairment across lexical-semantic, lexical non-semantic and non-lexical route
  • semantic errors (cat-dog)
  • non-word spelling errors
31
Q

Describe semantic dysgraphia

A

-Impairment in the semantic system
- Problems with semantic concepts
- written to dictation ok
- difficulty with homophones