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37 Cards in this Set

  • Front
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most pop. batt. used in acute care, rehab, research & Op settings ares
Boston Diag. aphasia examination (BDAE), minnesoda test for the differential diag. of aphasia (MTDDA), western aphasia batt. (WAB), aphasia diag. profile (ADP)
for assessm=ing severe lang. impairments: the _____ or ____ may be used. these tests probe simple lang. fx; accept gest. and verbal responses
Boston ass. of severe aph. or communicative effectiveness in severe aph.
phonlogy tests that look at processing sound elements of words and ______
Ex of test ?
-syllables & suprasegmentals-Psycholinguistic ass. of alng. processing in aph. (PALPA)
orthography- pts with reading and writing prob. have diff. coverting _____ to ____ or ____ to ______
ex of test
graphemes to phonemes
phonemes to graphemes
test of word reading efficiency- contains 2 subtests: sight word eff. (ID real words in 45 sec.); phonetic decoding eff. (read nonword aloud in 45 sec.
lexical-semantic processing- involves phonological input & output levels ( stores __)
orthographic input and output (stores ___), and semantic level
Ex. of tests
-of prev. heard of prod. spoken word forms
-prev. read or written word forms
-tests- reading comp. batt. for aph or revised token test (used w/ high. level)
Ex. of tests for lexical -semantic production (non-standardize)
-standarized test-??
(spoken and written)
-confrontation naming
-definitions
-category naming
-verbal influ.
-phrase comple.
-repetition
-automatics ex: counting days of week

-Boston naming
ind. with aph may have concomitant impair. such as ????
-attention
-memory
-executive fx
-processing speed deficits
the presence of a cog. impair may affect tx and prog.- why?
doing more than one thing at a time can be very diff. for client
prob. with standard. cog. test batt. is that most are __

cog. tests-
linguistically based thus making it diff. for aph. population
-cog. linguistic quick test- att, memory, exec. fx, lang, visuospatial
nonverbal memory tests
visual memory span subtest of wechsler memory scale- revised. pt. tries to remem. shapes and colors and responds by pointing to items in the order presented
visual neglect tests
-line bisection
-cancellation tasks
-drawing or copying item
-read aloud
-copy words, sentences
4 theoretical orientations to aphasia tx
1 stimulation-facilitation
2 deblocking
3 operant conditioning
4 functional/compensatory
stim. fac. based on 3 pts
1- disruption on pt. ability to access exisitng knowlede and pathway can be strengh. through stim.
2- use intense and repetet. program
3- reorgan. pt. lang. sys.
deblocking- pathways disrupted. use intact lang. sys. to repair lang. sys. 2 ways to do this
1- intasystemic- w/in lang modal. ex: singing to facili. output
2- intersystemic- use one modal. to stim. another ex: use gesturs to facl. verbal output
operant conditioning- less frq. used. loss of ____ not ____ to learn lang. through____
ling. knowledge not access -heavy reinforcement
functional/compensatory- focus on exchange of ccomm. strat. instead of syntax and seman. lang. func. is lost so est comm. through
what ever lang. modal. still avail.- gestures, writing, facial express.
auditoy comp. deficits- treatment tasks
-single word- matching word to pic
-spoken sent.- id printed words
-discourse compre.- higher, answer ?'s about a pic.
reading comp. tx tasks
-single printed words- matching printed word to a pic.
-comp. of printed sent- match pic. to printed sent
-survival reading skills- reading mater. might see in every day lives- calendar, phone book
speech prod. tx tasks
1. sent. completion
2. word and phrase repet.
3. confrontation naming- pic. of object and have them name it
4. synonyms and antonyms
5. sent. prod. through imitation, rep.-elabor, story complet, story elabor, question-answers
6. connected speech via picture description, story telling, pro/con, hot topics
written expression tx tasks
1. point letter ass. phoneme
2. ID alphabet letter name
3. Copy indiv. letters
4. Write letter of alpha. to dictation
5. copy indiv. word
6. words to dictation
7. copy sentences
8. sent. to dict.
9. produce sent. given target word
10. survival writing skills- writing cks, shopping list
computer axial tomography (CAT)
proves a 3D struct. image of brain and body. allows you to see bone strct. and soft tissue not as percise in detecting a lot of lesions
magnetic resonance imaging (MRI)
provides 3D horizontal a gag. vew. more sensitive than CAT, able to reveal cerebral infarction at early stage
finctional magnetic resonance image (fMRI)
provides 2D-3D struct. and functional images of the brain
positron emission tomography (PET)
provides a 2D-3D functional image of the brain during a spec.task
advantages to MRI
-good spatial resolution (how clear)
-sensitive to blood flow
-no need for radiation
-3D horizontal and sagittal view
-diff. btwn gray matter, wh. matter, and cs fluid
disadvantage to MRI
-expensive
-long time to conduct exam
-uncomfortable, confined
-magnetic filed exposure
-sensitive to motion
advan. to PET
-sensit. to blood flow
-provides funct. info.
-tolerate motion
-quiet environ
-easy to set up
-easy to analyze data
-can be easily used for sp. and lang. experiments
disadv. to PET
-expensive
-exposure to radioactive substance
-poor spacial resolution
-moder. temporal resolution( how quick can pick up image)
-limited # of trials
advan. to fMRI
-measurements of changes in blood oxygen levels of the brain
-both anatomical and funct. info.
-good spacial res.
-good temporal
disad. to fMRI
-measuremts of changes in cerabral blood flow hrough radioactive tracer
-functional info. only
-moder. spatial res.
-poor temporal
brocas
good aud. comp
poor- naming, fluency, repetition
wernickes
good fluency
poor- aud. comp, naming, rep.
global
poor aud. comp, naming, fluency, repet
anomic
good- aud. comp, fluency, rep
poor- naming
conduction
poor- naming, rep
good- aud. comp, fluency
TCM
poor- naming, fluency
good- aud. comp, rep
TCS
poor- aud. comp, naming
good- fluency, repet.