Acquired dysgraphia Flashcards

(34 cards)

1
Q

What modalities could be affected by dysgraphia?

A
  • hand writing
  • typing
  • oral spelling
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2
Q

What is the Rapsack and Beeson model of writing (2000)?

A

Linguistic
- semantic system
- orthographic output lexicon
- graphemic output buffer
Motor
- allographic realisation
- graphemic motor planning

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3
Q

What is the Patterson and Shewell model of writing (1987)?

A
  • semantic system
  • orthographic output lexicon
  • graphemic output buffer
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4
Q

What are the three routes of spelling single words?

A
  • lexical semantic route
  • sublexical route
  • direct lexical route
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5
Q

What is the lexical-semantic route?

A
  • semantic system
  • orthographic output lexicon
  • graphemic output buffer
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6
Q

Describe the semantic system

A
  • semantic conceptual system (central system used in comp and retreival)
  • sucessful semantic activation = activation of corresponding representation in orthographic output lexicon
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7
Q

What writing impairments may be seen if semantic system damaged?

A
  • errors in spontaneous writing
  • errors in writing to dictation
  • limited written output
  • semantic errors (and no responses)
  • imagebility effect
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8
Q

Describe the OOL

A
  • ordered store of spellings of known and actively used orthographic forms
  • Structured by cohorts based on similarity of form
  • frequency is imp variable in accessibility of info
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9
Q

What writing impairments might be seen with OOL damage?

A
  • dissociation between modalities
  • representations tend to be degraded rather than completely lost
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10
Q

Describe the graphemic output buffer

A
  • implicit/unconscious, short-term, limited capacity store
  • intermediate products of encoding are held until the specification of word/clause is complete
  • abstract, info about case not specified
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11
Q

What impairments may result from damage to graphemic output buffer?

A
  • length effects
  • spelling errors
  • errors across tasks for both words and non-words
  • no frequency or imagebility effect
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12
Q

Describe the sublexical route of writing

A
  • phonological-graphemic conversion
  • ‘sounding out’/ segmenting the word into phonemes & translating phonemes into graphemes
  • used for non-words and unfamiliar words (allows acquisition of new spellings if new words, writing non-words to dictation)
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13
Q

What error might be observed if someone is using the sublexical route?

A

regularisation of irregular spelling

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14
Q

Why might transcoding routes be imp in rehab?

A
  • If an individual has difficulty retrieving information in one modality, if G-P rules are present or ‘stimulable’, could teach an autonomous phonemic cueing strategy
  • Example: An individual is unable to retrieve spoken word ‘soap’, but can write it. If know that letter ‘s’ = sound /s/ then might be able to self-generate initial phonemic cue to trigger spoken naming
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15
Q

Describe the direct lexical route

A
  • retrieval of word in phonological output lexicon directly activates word within OOL
  • may be able to write a word dictated to them via a lexical route bypassing the semantic system
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16
Q

What will using the direct lexical route result in?

A

can write irregular words to dictation without knowing meaning of word

17
Q

What are the stages of post-lexical processing?

A
  • allographic realisation
  • graphemic motor programming
18
Q

What is a key feature of post-lexical processing?

A
  • modality specific motor codes (written, oral, typing)
  • therefore can spell orally, through skilled finger movement, or pressing keys
19
Q

How can dysgraphias be divided?

A
  • Rapsack and Beeson (2000) model
    Linguistic section = central dysgraphias
    Motor section = peripheral dysgraphias
20
Q

Define central agraphia

A
  • disruption from semantic level to abstract orthographic representation in OOL, to output buffer
  • no dissociation between modalities
21
Q

Define peripheral agraphias

A
  • disruptions post-buffer
  • observe dissociations between different modes of spelling output
22
Q

What are the different central agraphias?

A
  • phonological
  • surface
  • deep
    Often show a mixed pattern of impairment - pure subtypes rare
23
Q

Describe deep dysgraphia

A
  • impaired semantic-OOL mapping
  • unable to use P-G rules, so spelling not constrained by phonological system
24
Q

What writing impairments may be seen with deep dysgraphia?

A
  • semantic errors (defining feature)
  • imeagability effect
  • content words better than function
  • can’t write non-words
  • no regularity effect
25
Describe phonological dysgraphia
- write via a lexical route - impairment to sub-lexical route
26
What writing impairments may be seen with phonological dysgraphia?
- no regularity effect - poor non-word writing - good writing of real words with some spelling errors - lexical errors (tend to be morphological or structurally similar) - imageability effect may be present
27
Describe surface dysgraphia
- impaired semantic-OOL mapping - spelling via P-G rules is preserved
28
What writing impairments may be seen with surface dysgraphia
- can write non-words - better writing regular and non-words than irregular - regularisation of irregular words or partial knowledge (e.g. sward)
29
What tasks might be done to test spelling?
- Writing letters - Written picture naming - Writing to dictation - Written picture description - Written copying - Typing/keyboard - Oral spelling - Assembling letter tiles
30
What are some imp things to consider when assessing spelling?
- may be using their non-dominant hand - may have poor posture/positioning for writing - may have additional visual or perceptual deficits - pre-morbid spelling ability
31
Describe peripheral agraphias
- dissociations between different modes of spelling output - indicates the abstract orthographic representation is intact, but cannot be realised in some modalities
32
What are the variants of peripheral agraphia?
- fluent - impaired allographic realisation - apraxic - impaired graphic motor programming
33
What are the features of fluent agraphia?
- normal letter strokes - movement plans for letters intact - words contain ommissions, substitutions, etc - difficulty generating correct letter plan from abstract representation - may confuse upper and lower case - may detect own letters and spell correctly orally
34
What are the features of apraxic agraphia?
- poorly formed letters - disrupted movement plans for letters (may not resemble letter, incorrect, incomplete, fuse together)