Severe aphasia with impairments in comprehension & production of language
Global aphasia
Central language DO where spontaneous speech preserved/smooth while auditory comprehension impaired
Receptive or Wernicke’s aphasa
Impairment of volitional articulatory control 2/2 cortical dominant hemisphere lesion
Verbal apraxia
Gamma reflex loop path
excite gamma MN causing muscle spindle contraction then increased stretch sensitivity and increased firing from spindle afferents then conveyed to alpha MNs
Flexor withdrawal reflex stimulus
cutaneous sensory stimuli
Plantar reflex
Normal is PF of toes in response to stroking lateral sole of foot from calcaneus to 5th met, S1-2, tibial nerve
Combined cortical sensation testing
discriminative sensory tests including Steriognosis, Tactile Localization, Two Point Discrimination, Bilateral Simultaneous Discrimination, Barognosis, Graphesthesia, Texture recognition
