wernickes aphasia Flashcards
most commonly affected areas wernickes aphasia
posterior 3rd of superior temporal gyrus
primary temporal lobe lesions wernickes
deficits in understanding individual, isolated spoken areas but can understand with context
more posterior temporal lobe lesions cause
deficits in vision with more deficits in written language compared to oral or spoken language
features of wernickes aphasia include
-poor auditory/language comprehension
-poor repetition
-anomia
-neologisms
-rapid rate of speech (press of speech)
-well articulated, prosodic speech with paraphasia and perseverations
-deficits including excessive comments and irrelevant responses
goal of treatment wernickes
reduce severe auditory comprehension deficits.
stimulation procedures to facilitate a structured content and carefully controlled difficulty levels and administered with
-picture matching
-word recognition
-item sequencing
-answering questions
-following directions
methods to increase task complexity
-# of items to be responded to in a response field
-changing nature of any stimulus items
-varying frequency of any stimulus items
-controlling number and types of cues provided
use of pragmatic strategies to maximize patient success
request for clarification as a nonvocal or facial gestures instead of verbal responses which have errors, vocal behaviors, or verbal responses with appropriate linguistic elements
attentive reading and constrained summarization (ARCS)
Focus is on attention when reading aloud and orally summarizing the text
model-based approaches
used when the pattern of deficits do not conform to the characteristics of traditional aphasia syndromes
non-traditional case examples
-a patient with intact naming of objects from tactile but not with visual presentation
-a patient with category specific naming and comprehension deficits (relatively preserved performance of animals but greater deficits for foods and body parts)
