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13 Cards in this Set

  • Front
  • Back

Recovery from stroke time course

Early (first 3 months)- spontaneous quick recovery

6-7 months- things slow down


Late- slower but still some recovery, variability



Changes in diagnosis over time

global to nonfluent (i guess a non-global nonfluent)


Wernicke's to nonfluent


less severe changes more than severe


-younger patients evolve more into Broca's

More patients improve in...

comprehension than production


verbal than written

Contributing factors to spontaneous recovery


(neural mechanisms of recovery)

-adema- brain swells less


-absorption of damaged tissue


-blood flow returning





diaschisis

decreased brain function at a distance from the lesion (synapsis disconnected)

regenerative or collateral sprouting

dendrites look for healthy neurons to connect to

Neuroplasticity

adaptive capacity of the brain

Factors leading to increased plasticity

-repetition


-intensity


-timing


-exposure to training


-specificity- nature fo trainig


-salience- making things rewarding


-age- (younger better)


-transference (one type of skill helpful to others)


-interference (compensatory strategies could interfere)

Do site and size make a difference?

site- yes (localizationist)


size- in general yes but not necessarily

controversial factors affecting recovery

age- younger better


gender- not really w aphasia


handedness- L handed may have bilateral distribution of language but not conclusive


psychosocial- depression has an effect

Approaches to research

case studies-individuals


group studies- control and experimental groups


Frequency of occurence data- counting behaviors etc.


Pre vs post treatment


single subject- 1 person, baseline, therapy, check maintenance

efficacy


potential for positively changing a target pop


effectiveness


changes brought about by treatment in clinical process