Assesment Of Language Disorders In Adults

Front 1

Single-Word comprehension

Back 1

picture vocabulary tests:not a valid test of single word comprehension, large proportions of low-frequency words, designed to estimate an individual's receptive vocabulary & not daily life word comprehension

Front 2

Single-Word comprehension
variables

Back 2

*frequency of occurrence
*semantic similarly=stronger effect
*acoustic similarly=harder to conduction aphasia
*part of speech= nouns & verbs easier
*reference ambiguity=abstract pics are harder
*fidelity=noisy environment is harder

Front 3

Sentence comprehension
yes-no questions

Back 3

personal information, perception of surroundings, knowledge learned in school, general knowledge

Front 4

Sentence comprehension
Token test

Back 4

requires manipulation of large and small colored circles and squares in response to the examiner's instruction

Front 5

Sentence comprehension
variables

Back 5

*length
*syntactic-greater effect
*reversibility & plausability
*predictability
*personal relevance
*semantic relationships
*reasoning & inference
*rate
*redundancy
*response choices

Front 6

Spoken Discourse

Back 6

*short paragraphs that are read aloud & then examiner asks questions
*story-like or expository more difficult for people with brain injury

Front 7

Spoken Discourse
variables

Back 7

*salience (main ideas)
*directness
*redundancy
*cohesion & coherence
*speech rate & emphatic stress

Front 8

Oral reading

Back 8

*patient reads list of words & sentences
*patient does not have to comprehend what is read

Front 9

Reading comprehension
single words

Back 9

*patient matches printed words to pictures
*patient matches printed words to spoken words

Front 10

Reading comprehension
sentences

Back 10

*patient responds to printed yes-no questions
*patient completes unfinished sentences
*patient follows printed instructions requiring gestural or manipulative responses

Front 11

Reading Comprehension Battery for Aphasia (RCBA)

Back 11

*standardized test of reading comprehension
*single-words, sentences, signs,labels, and short paragraph

Front 12

Speech production

Back 12

*Recitations, rhymes, sentence completions, repeating short simple phrases
*sentence completion are more difficult than the others

Front 13

Speech production

Back 13

*Speech repetition
*Confrontational naming
*Word Fluency Test=name as quickly as u can all animals u can think of (WAB)

Front 14

Speech production
variables

Back 14

*frequency of ocurrence
*length and phonologic complexity
*Semantic characteristics
*form of stimuli
Context

Front 15

Sentence production

Back 15

define words, make sentence from words

Front 16

Discourse

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*story retelling
*Interviews and conversations
*picture description

Front 17

Written language

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*automatized sequences (easiest)
*copy
*write to dictation
*write self-formulated material (hardest)

Front 18

Minnesota Test for Differential Diagnosis of Aphasia

Back 18

47 subtests; permits users to assign patients to one of five major and two minor categories of aphasia

Front 19

Porch Index of Communicative Ability (PICA)

Back 19

same 10 test stimuli in each of its 18 tests

Front 20

Boston Diagnostic Aphasia Examination (BDAE)

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27 subtests, permits users to assign patients to aphasia syndrome

Front 21

Western Aphasia Battery (WAB)

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can classify patients into classic aphasia syndromes with a taxonomic procedure

Front 22

Purpose of screenings

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*identify pts for treatment
*rule out the need for treatment
*to answer consultation requests
*assess pts for whom standardized testing is contraindicated

Front 23

Assessed behaviors

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*conversational samples
*aud.-verbal comprehension
*repetition skills
*naming skills
*writing
*reading
*automatic speech & singing
*non-verbal communication

Front 24

other assessed behaviors
connected speech

Back 24

*Cookie Theft pic from Boston Diagnostic Aphasia Examina.
*Limits:visual impairments, juvenile, not very interesting

Front 25

Functional Communication

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The ability to receive a message or to convey a message, regardless of the mode . To communicate effectively and independently in a given moment. ASHA.

Front 26

Functional Assessment

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the measurement of an individual's ability to perform daily life activities despite disease, disorder, or impairment.

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Functional Assessment of Communication (ASHA)

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extent of ability to communicate with others;variety of contexts;environmental modifications;adaptive equipment; time required to communicate;listener familiarity with the client.

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Functional Assessment
addl factors

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*severity of comm. disturbance
*pre-morbid lifestyle
*discharge setting
*Addl settings in which patient must function

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Purpose of Functional Assessment

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*identifies retained functional abilities
*identifies deficits limiting independence functioning
*identifies environmental factors which support independent function
*identifies demands placed on patient by environmental factors
*identifies changes that must be made as compensatory strategies to enable the patient to function in his environment

Front 30

Functional Independence Measure (FIM)

Back 30

most widely accepted functional testing used. A scale used to measure one's ability to function with independence.

Front 31

FIM

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a score is collected:
w/in 72 hrs AFTER admission
w/in 72 hrs BEFORE discharge
between 80 -180 days after discharge

Front 32

FIM limitations

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insensitive to change in communication over time; use of assistive devices automatically lowers the rating, no validity;have to be licensed

Front 33

Functional Communication Profile (FCP)

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a rating scale for language function of everyday life;rates levels of ability in 45 communicative behaviors across five categories:movement, speaking,understanding,reading comprehension, writing/calculations.

Front 34

Communicative Activities of Daily Living (CADL)

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incorporates natural language activities & natural style in order to more closely approximate normal communication.

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Communicative Activities of Daily Living (CADL)

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contains 50 items;normative data based on 175 adults with neurogenic communication disorders

Front 36

ASHA functional assessment of communication skills for adults (ASHA FACS)

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rates communicative adequacy in 4 domains: social communication, communication of basic needs, daily planning, reading/writing/number concepts