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Flashcards in Aphasia Dx Tx Deck (15):
1

What is typically tested first? How is it inferred?

Receptive language/auditory comprehension

Typically evaluated first. Why?
•Inferred based on client’s response
•Wernicke’s

2

What are receptive language skills? From simple to complex

  • Social Language
  • Single words
  • Sentences (simple/complex)
  • Paragraphs (simple/complex)
  • Discourse/ Conversation
     

3

What are receptive language tasks? from simple to complex

  • y/n questions
  • Identifying objects/pictures/body parts
  • Following commands
  • Paragraph comprehension
     

4

What is directly assessed?

Expressive language
•Directly assessed
•Is often more important to the patient than comprehension

 

5

What are expressive language skills? From simple to complex

  • Social Language/ Automatic Language
  • Single words
  • Sentences (simple to complex)
  • Paragraphs (simple to complex)
  • Discourse/ Conversation

 

6

What are expressive tasks? From simple to complex

  • Automatic Speech
  • Social speech
  • Naming
    • Phrase Completion
    • Naming to description
    • Responsive naming
    • Confrontation naming
    • Divergent and convergent naming
  • Picture Description
  • Narrative
  • Discourse

  •  

7

Therapy can be ________ or ________. What is each?

Restorative
•Taking advantage of neuroplasticity to develop new pathways and connections in the brain to relearn skills

Compensatory
•Finding alternate ways of accomplishing tasks to compensate for a deficit
 

8

What are the five restorative therapy techniques?

•Stimulation Approach
•Scaffolding
•Melodic Intonation Therapy
•Semantic Feature Analysis
•Constraint Induced Therapy

9

Describe the simulation approach

•“Traditional” Therapy
•Clinician provides a stimuli and elicits a response from client
•Reinforcement used to strengthen correct responses. 
 

Important Concepts for Stimulation Therapy

  • Auditory stimulation of language is primary
  • Stimuli presented at or below current level
  • Repetitive stimuli
  • Every stimulus should elicit some response
  • Maximize the number of responses produced
  • Feedback from the SLP is critical for promoting success
  • Therapy should be intensive and systematic
  • Begin with easy tasks and build on success
  • Vary materials to avoid boredom and frustration
  • New tasks should build on previously ‘mastered’ skills

10

Describe scaffolding

•A form of errorless learning
•Provides cues and structure that allow client to be successful
•Cues are gradually faded as client develops skills to function more independently 
 

11

Describe melodic intonation therapy


•Typically used with more severe aphasias (and apraxia)
•Uses kinesthetic and melodic elements to elicit language
 

12

Describe semantic feature analysis

•Useful for making connections between words/ideas
•Can be used as a compensatory strategy as well as restorative (describe it when you can’t think of the word).

 

13

Describe constraint induced therapy

•Evolved from Constraint Induce Movement Therapy (CImT)
•Constraints are placed on clients strengths in order to force them to develop their weaker skills.
•Requires frequent and intense therapy to elicit measurable neuroplastic change
 

14

What are the three compensatory treatment techniques?

•Multimodal communication
•Promoting Aphasics’ Communication Effectiveness (PACE)
•AAC

15

Describe PACE

Promoting Aphasics’ Communication Effectiveness (Pace)

-Uses barrier task design to simulate more natural conversation

-Emphasizes multi-modal communication

-Completed with the family member or typical communication partner