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33 Cards in this Set

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A specialty within the profession concerned with two distinctly different sets of disorders: neurophysiological disorders and disorders of swallowing
Medical speech language pathology
Where in the brain is language housed?
The frontal and temporoparietal lobes of the left hemisphere
A LANGUAGE disorder in adults associated with acquired brain damage and affects all aspects of language
Aphasia
What type of disorder is aphasia classified as?
Language disorder
Which aspects of language are affected by aphasia?
All
Causes of aphasia may be...?
Internal (stroke) or external (car accident)
The scientific name for a stroke is?
Cerebrovascular accident or CVA
Aphasia in most cases is caused by?
A stroke
What comm. problems do stroke victims encounter?
Problems speaking, reading, writing, and understanding lang.
Difficulty in naming things, objects, and people is?
Anomia
The substituted words have meanings similar to the correct words
Verbal paraphasia
Paraphrase=paraphasia
"I was working on the television, I mean computer"
The use of words that do not exist
Neologism
Logism= logic,
neologism= not logic
The substituted words sound like the correct words
Phonemic paraphrasia
"I slipped on the lice" instead of ice
Substituing words
Paraphasia
Omission of grammatical elements(telegraphic speech)
Agrammation
telegram-agrammation
Somewhat fluent but irrelevant or meaningless speech often filled with neologistic words
Jargon
The routine use of certain expressions, even obscene ones, in response to any question asked
Verbal stereotypes
Writing disorders caused by aphasia
Agraphia
Reading problems caused by aphasia
Alexia
The failure to understand speech of other people
Impaired Comprehensions of Spoken Speech
Some people give stereotypic responses leading to think they (mistakenly) understood
How can aphasia be classified?
Fluent or nonfluent
How is aphasia assessed?
case history, results of all exams, observation, severity, what and how they say things
An assessment of communication skills in everyday situations
Functional assessment
How is aphasia treated?
Goal of treatment, working with family, treatment is always individualized
The goal of treatment is functional communication. Verbal expression, auditory comprehension of spoken language, and reading and writing skills are the specific targets of treatment.
Can aphasia be fixed without treatment? What is this called?
Spontaneous recovery
Most people with aphasia improve to some degree without treatment
Speech disorders that result from central or peripheral nervous system damage are called
Motor speech disorders or neurogenic speech disorders
What are the two major categories of motor speech disorders
Apraxia of speech and dysarthia
A general term that refers to a disorder of sequenced movement of body parts in the absence of muscle weakness or paralysis
Apraxia
There are several types of apraxia
Patient cannot move muscles of the throat, soft palate, tongue, and cheek for nonspeech purposes, on their own they can make the same movements
Oral apraxia
Are especially effective. The clinician uses pictures, drawings, or actual objects, and models the correct response to evoke the target behaviors.
The patient is encouraged to imitate the clinician’s productions. Correct responses are positively reinforced.
The task is made progressively more complex (e.g., from single words to sentences).
Behavioral treatment procedures
) is difficulty in initiating and executing the movement patterns necessary to produce speech when there is no paralysis, weakness, or discoordination of speech muscles. A marked difficulty in articulating sequenced speech sounds is the main feature of AOS. Prosodic problems may also be found in individuals with AOS
Apraxia of speech (AOS)
The patients cannot comply when requested to move their hand to wave good-bye or to show how a hammer is used. On their own, they can execute these movements.
Limb apraxia
Causes of AOS
Lesions in Broca’s area in the left frontal lobe are often associated with AOS in adults.
Strokes are the most common cause of such lesions.
External trauma to the frontal lobe, tumors, and accidental surgical injury are other causes.
Degenerative neurological diseases (e.g., Alzheimer’s disease) also can affect the frontal lobe.
Lesions in Broca’s area affect motor programming for speech, causing errors in speech production.