Aphasia Class 3 Fall 2024 PDF

Screening Purpose: determine the presence (or absence) of a language disorder after a stroke Tools: Numerous screening tools Why do we assess? Confirm Confirm the presence of aphasia Determine Determine the type and severity of the language disorder Distinguish Distinguish apha...

Screening Purpose: determine the presence (or absence) of a language disorder after a stroke Tools: Numerous screening tools Why do we assess? Confirm Confirm the presence of aphasia Determine Determine the type and severity of the language disorder Distinguish Distinguish aphasia from motor speech disorders Distinguish Distinguish aphasia from cognitive-communication disorders Plan Plan for therapy Measure Measure progress  to determine communication strengths & weaknesses of individual with aphasia to identify: Why do nature & extent of communication disorder; we level of preserved abilities; functional & pragmatic aspects of assess? communication abilities; psychosocial well-being; A comprehensive perception of communication assessment aims: impairment from individual with aphasia & family; treatment goals based on specific needs of individual; a baseline to measure improvement  Speech Fluency Spontaneous Speech What do Auditory Comprehension we Naming assess? Repetition Reading Writing  Spontaneous Speech Production Word What do Sentence Discourse Level we Narrative assess? Conversational interaction with their caregiver Constrained conditions (e.g., picture description) Procedural  Auditory Comprehension Word level What do Picture identification we Object identification assess? Sentence level Following commands Picture identification Discourse level  Naming Confrontational What do Closure/sentence we completion assess? Responsive Categorical Phonemic  Repetition What do From shorter, we familiar words assess? To longer, less familiar phrases  Reading Letter and word recognition Reading aloud What do Reading comprehension Using letters, non-words and we words assess? How the individual uses reading in everyday life Consider orthographic, phonological, and semantic processing of written words  Writing Semantic Orthographic What do phonological processing of we written words How the individual uses assess? written language in everyday life Additional Considerations Cultural factors Strategies to compensate for communication impairments in real-life environments Communication partner's ability to facilitate strategies When do we assess? As soon as the patient is medically stable As soon as the referral is received Early assessment & intervention are better prognostic indicators for recovery Take advantage of spontaneous recovery period  Bedside Where do Outpatient clinic (e.g., we hospital, university speech clinic) assess? Patient’s home How do we assess? Brief Case History Screening Detailed Case History (including medical history) Formal & informal measures Formal Assessment using a standardized test battery Boston Diagnostic Aphasia Examination-Third Edition (BDAE-3) https://www.proedinc.com/Products/11850/bdae3-boston- diagnostic-aphasia-examinationthird-edition.aspx Porch Index of Communicative Ability: Administration, Scoring, and Interpretation (Volume 2) (1981) https://www.amazon.com/Porch-Index-Communicative-Ability- Administration/dp/B002B38JRA The Western Aphasia Battery – Revised (2006) https://www.pearsonclinical.com/language/products/100000194/wes tern-aphasia-batteryrevised.html Informal Assessment Case History Taking  Spontaneous Speech Conversational Picture Description How do Procedure Narrative we assess Produce single sentences → Speech longer utterances Fluency? Automatic Speech Recitation Counting Series  Yes/No Questions Single Word Identification: objects; pictures Sentence Identification How do we Questions with single word/specific responses assess Auditory Open-ended Questions Comprehension? Following Commands Simple one-step (familiar/unfamiliar) Simple two-step (familiar/unfamiliar) Complex  Confrontational Naming: objects, pictures How do Sentence Completion Naming: short phrase/sentence and ask to complete with appropriate word we assess Responsive Naming: What do you use to write with? Naming? Categorical Naming Phonemic Naming  Progression From shorter to longer How do we words assess From shorter to longer Repetition? phrases/sentences From most familiar to least familiar