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30 Cards in this Set
- Front
- Back
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Agraphia
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without reading
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List the three ways aphasia can be categorized
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1.Anatomical (ex. transcortical)
2. Linguistic (ex anomic) 3. Honorific (ex, Broccas, Wernickes) |
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Define Honorific
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To Honor someone
Because of their research, Brocca and Wernicke have places in the brain named after them. woo hoo |
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Current ways to classify Aphasia
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According to Generalists; Fluent /Non Fluent, that's all just differences in severity
According to Localizationists; anatomical, Brocca's Wernicikes |
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Salient Characteristics of Aphasia
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Fluent/Non Fluent
Auditory Comprehension Repetition Naming |
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Non-Fluent Shopping List
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Agrammatic
sparse amount of speech sometimes perseverative Many pauses Disturbances in Prosody Single word utterance Word Substitution |
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Define Agrammatism
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Without Grammar
Ex. Missing Function words "Telegraphic speech" |
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Define paragrammatism
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"word salad'
Confused or incomplete use of grammatical structures. Often associated with Wernickes or posterior lesions |
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Fluent Aphasia Shopping List
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May not have meaning
a lot of speech few perseverations articulation is within normal limits |
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Classifications of Aphasia
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Acute Vs Chronic
Acute+ Still happening Chronic= What is left |
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Fluent Aphasics most likely have a lesion where?
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Postieriorly
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Non Fluent Aphasics most likely have a lesion where
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Anteriorly
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Fluency is affected by what?
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*Location of Lesion
*Severity *Type of Aphasia *Time post-onset |
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Fluency Dichotomy is based upon what?
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Rate and flow of speech
Prosody Patterns of speech errors Frequency of repetitions Occurrence of Jargon |
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Brown's Hypothesis for Aphasia
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Central Language Processor
If CLP is impaired then all language modalities are impaired |
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WHAT IS THE PUNCH LINE?
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Aphasia is a multimodality disorder it can and should me differentiated from the single modality impairments often associated with Aphasia
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What is Apraxia of Speech?
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a single modality disorder
Phonology disorder resulting from the impaired compcity to select program or execute the positioning of the speech musculature for the voluntary production of speech sounds |
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Apraxia of Speech is thought to result from lesions...
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deep inside Brocca's area and ;may include the insula
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More about Apraxia
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Again... it is a single modality disorder
Lingustic functions may interact with aphasia frequently co-exists with Brocca's aphasia Requires clinical management DIFFERENT from language intervention for aphasia |
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Apraxia is NOT
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*an aphasia
*a a result of muscular weakness, slowness, or coordination *language disruption is not a primary component |
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Three current systems of classification
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Fluent/non fluent
Boston Diagnostic Aphasia Examiniation (BDAE) Western Aphasia Battery (WAB) |
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Fluent/Non Fluent
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Mid West, Mayo clinic
Unitary in nature Only differences in severity |
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WAB
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Localized in nature
Brocca's, Wernicke's Transcoritcal |
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WAB assesses
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Auditory Comp
Oral Expressive Speech Reading Writing BUT.... onlty aud comp and ex language are used to classify |
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What are the two tests to give classification of Aphasia
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WAB
BDAE |
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Disturbance in Prosody means what?
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Stress in the wrong places
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True or False?
Can non fluent aphasics have abnormal articulation? |
Yes.,
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What is the continuum of fluency for non fluent aphasics?
First Five |
0) no words or short meaningless utterances
1) recurrent stereotypic utterances with varied intonation, conveying some meaning 2) single words, often paraphasias, effortful and hesitant 3) fluent recurrent utterances or mumbling, very low volume of jargon 4)Halting telegraphic speech, mostly single words, often paraphasia, but with occasional verbs or prep phrases,, automatic sentence only. Ex. Oh I don't know. 5) often telegraphic but more fluent speech with some grammatical organization, prominent paraphaisas some prep sentences |
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Continuum of fluency for non fluent aphasia (6-10)
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6) More complete prepositional sentences, More normal syntactic patterns, still paraphasias
7)Phonemic jargon with symblance to English syntax and rhythm , with varied phonemes and neogolisms, may be voluble, must be fluent 8) circumlatory. fluent speech, marked word finding, may have semantic jargon, Sentences are often complete but may be irrelevant. 9) and 10) normal speech, no slowing , halting, or paraphasias |
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Characteristics of fluent aphasia
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1. a lot of speech
2. few pauses 3. few perseverations 4. articulation within normal limits |
