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8.CD2-Aphasia
CommDis2 SLP405
| Term | Definition |
|---|---|
| F.A.S.T. (stroke response) | Face (smile). Arms (lift). Speech (repeat). Time (3-4hrs) |
| Left hemisphere | Language- reading, writing, speaking, understanding Motor- Apraxia, (R)hemiparesis, (R) hemianopsia, (R) neglect, (R) paresthesia |
| Right Hemisphere | Visuo-spatial, (L) hemiparesis, hemianopsia, neglect, paresthesia |
| Anterior Cerebral Artery | feeds medial, inner surface of the brain. (frontal lobe functions - poor judgement, organization, planning, execution, impulsivity, “act w/out thinking”) |
| Middle Cerebral Artery | Supplies most of the temporal lobe, anterolateral frontal lobe, and parietal lobe. (Perisylvan cortex-aphasia) |
| Stroke | sudden onset of vascular insufficiency or bleeding into or immediately adjacent to the brain. Infarct - region of necrotic tissue resulting from more than a few minutes of oxygen deprivation |
| 3 types of stroke | Occlusion. Hemorrhagic. Transient Ischemic Attack (TIA) |
| Occlusion (3) | 80% of all strokes. Thrombosis (stationary clot), embolism (traveling clot), or pinched artery (spasm/tumor). Painless. |
| Hemorrhagic | Aneurysm (painful): extra- or intracerebral |
| Transient Ischemic Attack (TIA) | clot dissolves and brain function returns? |
| Wernicke’s aphasia | Fluent, but lacks content (jargon). Good prosody. Good arctic. Good phonology. Inability to comprehend speech of others and one's own. Poor reading, (occasionally better preserved reading comprehension than oral reading might suggest The mechanics of ha |
| Assessment (3) | 1.Fluency: (content, prosody, form) 2. Comprehension 3. Repetition |
| Assesment tools | Case history (sudden onset), Standardized tests, Language sample |
| Standardized tests (3) | Boston Diagnostic (BDAE) - type, percentile, 2hrs. Western Aphasia Battery (WAB) - fluency, comp, rep, naming, quotient, 1/2hr , Communicative Activities of Daily Living (CADL) - gestures, expressions, partial participation |
| Boston diagnostic - nonfluent aphasias | Global - poor comp & poor rep. Broca’s - good comp & poor rep. Transcortical motor - good comp & good rep |
| Boston diagnostic - fluent aphasias | Wernicke’s - poor comp & poor rep. Conduction - good comp & poor rep. Transcortical sensory - poor comp & good rep |
| Informal Language Samples | Elicit a narrative: a fairy tale, an event (stroke, 9-11), describe a picture |
Created by:
ashea01
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