Aphasia Assessment And Treatment

Front 1

What is a FUNCTIONAL assessment test for aphasics?

Back 1

CADL- Communicative Abilities of Daily Living

Front 2

What is a SYNDROME oriented assessment test for aphasics?

Back 2

1. BDAE- Boston Diagnostic Examination

2. WAB- Western Aphasia Battery

Front 3

What is a SYMPTOM & SEVERITY oriented assessment test for aphasics?

Back 3

1. MTDDA- Minnessota Test for the Differential Diagnosis of Aphasia

2. PICA- Porch Index of Communication Abilities

Front 4

What is a specialty test that focuses on READING COMPREHENSION for aphasics?

Back 4

RCBA- Reading Comprehension Battery for Aphasia

Front 5

What is a specialty test that focuses on GRAMMAR for aphasics?

Back 5

CYCLE- Curtiss-Yamada Comprehensive Language Examination

Front 6

What is a specialty test that focuses on MEMORY for aphasics?

Back 6

Wechsler Memory Scale

Front 7

What is a specialty test that focuses on COMPREHENSION for aphasics?

Back 7

Token Test

Front 8

What is a specialty test that focuses on NAMING for aphasics?

Back 8

BNT- Boston Naming Test

Front 9

BDAE

pros/cons?

Back 9

Strengths:
- Alt ways to elicit speech
- Range of difficulty w/in tasks
- Sufficient # of items
- Extended testing probes
- Short form

Limitations:
- Not exhaustive
- Doesn't always provide diagnosis
- Doesn't provide therapeutic approach

Front 10

What is the BDAE?

Back 10

(Boston Diagnostic Aphasia Exam)

Comprehensive Assessment: (percentiles)

- Speech production (convo, pic description, narrative discourse); Oral expression (non-/verbal agility automatics, melody, repetition, naming
- Aud Comprehension (word, sent level)
- Praxis: natural, conventional, pretend, vegetative
- Reading
- Writing

Front 11

What is the Minnesota Test for Differential Diagnosis of Aphasia-II?

Back 11

Provides operational of aphasia; objective method for evaluating changes resulting from treatment

- 7 types of Aphasia (categories):

Front 12

What is the CADL?

Back 12

(Communication Activities of Daily Living)

Assess the communicative abilities of individuals with aphasia in their NATURAL ENVIRONMENTS!

Tests:
Reading
Writing
Using numbers
Social interactions
Contextual Communication
Nonverbal communication
Humor, metaphor, absurdity

Front 13

What is the PICA?

Back 13

Porch Index of Communication Abilities

- Designed to provide an istrument that was sensitive to change so as to measure the effects of tx, drugs, surgery, time, and myriad of other variables of communication

- Helps makes a prediction of eventual recovery based on pt's performance

- 18 subtests (verbal output, auditory comprehension, visual comprehension, writing, copying, reading, pantomime/gesture)

Pros- very sensitive to change; normative data; extensive mulitdimensional scoring system

Cons- Training is long (40 hours); Does not classify aphasia into classic aphasia syndrome categories; Short version has different results; Education level may influence performance

Front 14

What is the BDAE?

Back 14

Primary focuses on diagnosis of classic atomically-based aphasia syndromes; Has 27 subtests (fluency, comp, artic, naming, reading/writing, repetition, singing/rhythm, spatial perception, math skills);Includes COOKIE-THEFT pic

Pros- standardized test; Differential diagnosis of aphasia/assigned classic categories; Analysis of functional communication

Cons- Presumes that aphasias are anatomically based and therefore it may not accommodate individuals who are exhibit IDIOSYNCRATIC symptoms relative to lesion sites

Front 15

What is the WAB?

Back 15

Western Aphasia Battery- shorter & psychometrically more sophisticated than BDAE

- Scores produced aphasia quotient (severity of language impairment), language quotient (overall lang abilities), cortical quotient (cognitive impairment)

Pros- Tests Apraxia, construction, visuospatial & calculation; normative data; Tests functional communication; May classify dementias, TBIs, & RHD

Cons- Accuracy is questioned (clinicians judgements don't always match); It doesn't always agree with BDAE results

Front 16

What is the MTDDA?

Back 16

Minnesota Test for Differential Diagnosis of Aphasia- Believes that all aphasia disorders involve unitary loss of language that may vary in severity & may be accompanied by other disorders

- Identifies 5 types of syndromes (simple aphasia, aphasia w/ visual involvement, aphasia w/ sensorimotor involvement, aphasia w/ generalized brain damage, & irreversible aphasia syndrome)

Pros- Most comprehensive assessments; Provides reliable info which tx can be guided; can individualized the assessment based on pt

Cons- has NO interpretive devices for differentiating among aphasic language disorders; Takes a long time; Its an old test

Front 17

What is the ADP?

Back 17

Aphasia Diagnostic Profiles- Based on BDAE, aphasic severity profile, alternate communication profile, error profile, & behavioral profile; Normed data; 9 subtests (fluency, speech content, naming, aud/reading comp, repetition, gesturing, singing, writing)

Front 18

What is the PALPA?

Back 18

Pyscholinguistic Assessment of Language Processing in Aphasia- theory-based devised to evaluate the mind's language system through analysis to make inferences about where the pt breaks down in linguistic processing; 60 subtests (aud comp, reading/spelling, word/pic semantics, sentence comp)

Pros- May help to guide tx targeted to specific mental processes

Cons- No normative data; must be experienced

Front 19

What is the NCCEA?

Back 19

Neurosensory Center Comprehensive Exam for Aphasia- Comprehensive assessment of language function (not guided by a preconceived theoretical interpretation of aphasia); 20 subtests (lang comp/production, reading/writing, visual/tactile processing)

- Lang comp is similar to original Token Test

Pros- Normed; Age/education influence results; Visual/tactile processing is examined

Cons- Doesn't recognize subtle disorders; Old test

Front 20

What are two tests for bilingual aphasics?

Back 20

1. Multilingual Aphasia Exam

2. Bilingual Aphasia Exam

Front 21

What are some SUPPLEMENTAL TESTS? (4)

Back 21

1. ALPS (Aphasia Language Performance Scale)

2. Bedside Eval & Screening Tests of Aphasia-2: assess aud comp, reading, naming, repetition, & convo

3. Acute Aphasia Screening Protocol: assess attention, orientation, aud comp, & basic expressive skills

4. Quick Assessment for Aphasia: assess aud comp, verbal expression, reading, writing, math, naming, and covo

Front 22

What are some tests for auditory comp? (5)

Back 22

1. Token Test

2. ACTS (Auditory Comprehension Test for Sentences): examines vocab, sentence length, grammatical complexity on sentence comp; good for MILD aphasics

3. DCT (Discourse Comprehension Test): only test for TBI's spoken discourse comprehension

4. FACT (Functional Auditory Comprehension Test): 1-3 step commands

5. Pyramids and Palm Trees: Pyscholinguistic- seeks to breakdown site in language processing

Front 23

What is a formal assessment for grammar?

Back 23

SCT- Story Completion Task

Front 24

What are some formal assessments for word-finding? (2)

Back 24

1. BNT (Boston Naming Test)

2. TAWF (Test of Adolescent/Adult Word Finding)

Front 25

What are some formal assessments for reading comprehension? (2)

Back 25

1. RCBA (Reading Comprehension Battery for Aphasia)

2. Nelson-Denny Reading Skills Test: useful if pt has subtle/mild reading impairments

Front 26

What are some formal assessments for functional communication? (3)

Back 26

1. CADL (Communication Activities in Daily Living-II)

2. FCP (Functional Communication Profile)

3. ASHA Functional Assessment of Communication Skills for Adults