9 - Aphasia Treatments II Flashcards

1
Q

What are Aphasia Models?

2

A

Framework (or representation or set of principles) explaining how something works

Offering uniform language for individuals from difference areas (disciplines, training programs, etc.) to communicate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are Aphasia Treatment Approaches?

2

A

Philosophical way or manner that you approach treatment.

How you go about doing something to accomplish your goal (treatment)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are Aphasia Treatment Techniques?

2

A

The specific thing that you do to accomplish your goal.

The techniques are strategies or tasks that you use to accomplish the goal.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are Aphasia Targets?

A

The specific aspect of language that you are addressing (e.g. word finding, sentence comprehension, sentence level oral reading

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are three adult language models?

A

Locationist

Connectionist

Resource Allocation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are six adult language treatment models?

A

Stimulation – Facilitation

Modality

Linguistic

Processing

Minor Hemisphere Mediation

Functional Communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are two Motor Speech models?

A

Function (Van der Merwe model of motor speech planning/programming)

Treatment (Mayo Clinic Model)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are three Language Development models?

A

Content-Form-Use (Bloom + Lahey)

Optimality Theory

Native Language Magnet Model

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are nine Treatment Approaches for Aphasia?

A

Response Elaboration Training

Promoting Aphasic Communicative Effectiveness

Life Participation Approach

Social Approach

Language Oriented Treatment

Constraint Induced Language Therapy

Communicative Speech Therapy

Computer Applications in Aphasia

Treatment Group Treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are four Treatment Approaches for aphasia?

A

Response Elaboration Training

Promoting Aphasic Communication Effectiveness

Life Participation Approach

Constraint Induced Language Therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are ten treatment targets?

A

Auditory comprehension

Single word comprehension

Sentence comprehension

Discourse comprehension

Reading comprehension

Expressive language/speech production

Word retrieval

Sentence production

Connect speech

Writing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the “Bottom-up” model for Auditory Comprehension?

2

A

Start with physical characteristics of the message

Work way through series of levels until the message is comprehended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the “Top-down” model for Auditory Comprehension?

3

A

Begin with general expectations about what a speaker is likely to say

Use general knowledge to prove or disprove their expectations

Resort to lower-level linguistic analyses only when higher-level processes leave speakers meaning in doubt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How is Single Word Comprehension usually treated?

3

A

Typically consists of pointing drills to an array of pictures or objects

Single word drills are appropriate for patients with severe comprehension impairments; cannot comprehend phrase length utterances

Not appropriate for patients with spared phrase length comprehension • Word level comprehension may be intermittent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are three different ways of targeting Sentence Comprehension?

A

Answering questions (yes-no, open ended)

Following spoken direction (1-step, multistep)

Sentence verification (sentence-to-picture match, multiple choice)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Why is Discourse Comprehension important?

2

A

Difficulty determined by what the patient is asked to comprehend and remember from the discourse and not content and structure

Individuals with aphasia retain some discourse comprehension even in mild-moderate aphasia

17
Q

Why is it important to target Reading Comprehension?

A

Most individuals with aphasia have reduced reading comprehension

18
Q

What deficits may lead to difficulties in Reading Comprehension?

(7)

A

Semantic

Syntax

Memory

Reading processes

Word recognition

Syntactic analysis

Semantic mapping

19
Q

What are four ways to target Reading Comprehension?

A

Functional Reading (Survival reading skills)

Single Word Reading

Sentence Reading

Paragraph + Text Reading

20
Q

What are four ways to target Expressive Language/Speech Production?

A

Phrase and sentence completion

Word and phrase repetition

Confrontation naming, show picture

Responsive naming

21
Q

What are five coping behaviors for Word Retrieval?

A

Delay

Semantic association

Phonetic association

Description

Generalization

22
Q

What are four ways to target Sentence Production?

A

Repetition-elaboration drill

Story completion

Question-answer drill

Picture-story elaboration

23
Q

What are three ways to target Connected Speech?

A

Picture description

Story telling

Conversation

24
Q

What are four days to target Writing?

A

Survival writing

Single words

Sentences

Paragraphs

25
Q

How should we consider Resource Allocation when considering treatments?

A

Cognitive Processes (mental operations)

Processing Resources (mental energy)

26
Q

What three things do we need consider when designing treatment sessions?

A

Frequency and Duration - standard (Compromised medical + physical condition)

Complexity of Treatment (Multiple objectives: language, speech, etc)

Logistics (Need to be flexible - ambulatory vs non-ambulatory, travel, reimbursement)

27
Q

How should we give instructions during treatment sessions?

4

A

Tell patient what you are doing

Be clear and concise

Delivered instructions at a rate the patient can understand

Presented at patient level of understanding

28
Q

How should we give feedback during treatment sessions?

3

A

Incentive Feedback

Information Feedback

General Encouragement