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Aphasia - Test 2
classification, therapy
20
Other
Graduate
11/05/2012

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Term
Fluent Aphasia - based on 4 skills
Definition
1. Phrase length per breath group
2. Syntactic complexity
3. Articulatory agility
4. Melodic line
Term
Anterior / Posterior Aphasia - dividing line is ...
Definition
the central sulcus
Term
Receptive Aphasia is seen as ...
Definition
difficulty understanding
Term
Expressive Aphasia is seen as ...
Definition
difficulty speaking/writing
Term
Receptive / Expressive Aphasia terminology is confusing because...
Definition
if you have receptive aphasia you still might have an impairment with both receptive and expressive abilities
Term
Dochotomous groupings for Aphasia
Definition
1. Fluent / Nonfluent
2. Anterior / Posterior
3. Receptive / Expressive
Term
Aphasia & Apraxia - What looks similar?
Definition
Aphasia:
short phrase length, telegraphic speech, word finding problems
Apraxia:
Effortful groping,inconsistent artic, difficulty initiating utterance
Term
Pre-test Observations are helpful bc they:
Definition
1. help validate medical info
2. help identify sensory/behavior characteristics that effect eval
3. help identify areas of deficits
Term
Components of Aphasia Assmt:
Definition
1. Auditory Comprehension
2. Verbal Expression
3. Reading Comprehension
4. Written Expression
(also Informal Observation and Additional Testing)
Term
Impaired Auditory Comprehension description
Definition
1. difficulty assigning meaning to incoming words
2. difficulty understanding word relationships (complex syntax is more difficult)
3. may be confounded by a memory impairment
Term
Auditory Comprehension - Assmt Tasks
Definition
1. Single word comprehension
2. Comprehend objects by function
3. Follow 1,2,3 step directions
4. Comprehend simple yes/no ?s
5. Comprehend complex yes/no?s
6. Comprehend simple and complex Wh ?s
7. Comprehend narratives of increasing length
8. Understand simple conversation with others
Term
Auditory Comprehension - Assmt Tasks - Adjustments for LOW function
Definition
1. Responds to name (look at you when you call their name)
2. Identifies personal belongings/ functional objects
3. Follows 1 step directions in functional contexts (during meal time can they stir their coffee)
4. Demonstrates use of common objects (during meal time, use spoon to eat)
Term
Auditory Comprehension - Assmt Tasks - Adjustments for HIGH function
Definition
1. Same tasks- use less items
2. Increase length/complexity of narratives
3. Task specific assessment
Term
(4) Associated memory deficits
(characterize the impairment you may see in descriptive terms)
Definition
1. Slow rise time
2. Noise build up
3. Retention deficit
4. Information capacity deficit
Term
Slow Rise Time
Definition
an associated memory deficit,
-pt will miss first part of message, but catch the second part (they will repeat end of sentence of follow second part of direction)
-takes longer for language processing system to activate
Term
Noise build up
Definition
an associated memory deficit,
-as complexity and length increases, the pt performance will deteriorate. new information will interfere and comprehension will lag
-apparent in complex material, from a professor, preacher, etc
-give them a break for a complete resolution and recovery of performance
(can be seen with children with attention deficit disorders, traumatic brain disorders)
Term
Retention deficit
Definition
an associated memory deficit,
-pt has trouble remembering the whole message/direction
-as the message increases, the pt performance decreases
-problem seems to be length, whether complex or simple (ie: after a couple minutes)
-will demonstrate difficulty repeating (simple task) after awhile
-breaks will cause pt performance to decrease
Term
Information capacity deficit
Definition
an associated memory deficit,
-aka a working memory deficit
-cant receive and analyze and understand information all at the same time
-will have both good and bad within a task, will have first and last words but maybe not middle during repetition task
-give little pauses during instruction to help pt performance improve
Term
Conditions to modify or facilitate auditory comprehension
Definition
1. Word frequency of occurrence
2. Word class - verbs are difficult
3. Imageability
4. Salience - words more important are easier to understand
5. Presence of context (prior, subsequent, and no context)
6. Personal interest
7. Number of answer choices
8. Decrease rate of speech
9. Increase repetition and redundancy
10. Use of gestures and visual stimuli
Term
Verbal Expression
Definition
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