Mindy's Flashcards For Dr. Zeine's Adult Language Disorders Package 1

Front 1

true or false: people with aphasia will experience some level of recovery with out intervention

Back 1

true

Front 2

Spontaneous recovery will occur within the first...

Back 2

6 months
(some say there may be a signigicant change within the first 3 or 4 months)

Front 3

spontaneous recovery may depend on what?

Back 3

the size of lesion, the extent of the lesion, and the age of the individual

Front 4

Why is it possible for language abilities to improve without intervention?

Back 4

recovery may be due to physiological restitution aka. reduced swelling, reabsorption of blood from hemorrhage, or improvment of diaschesis

Front 5

what parts of the brain are involved in recovery?

Back 5

the areas around the damage come "off strike", partial resolution in the area of the damage, or the same area on the right takes over

Front 6

which will happen quicker and easier? resolution in the same hemisphere or transfer to the other hemisphere?

Back 6

resolution in the same hemisphere will happen more quickly and easily

Front 7

why would function transfer to the other hemisphere (right)?

Back 7

-extensive damage to the left hemi, release of the right hemi from the left hemi inhibitions, preexistance of some language ability in the right,or treatment aimed at engagment of the right hemisphere

Front 8

what is neuroplasticity?

Back 8

the brains ability to recover function that was lost as a result of an insult. changes occur in the anatomy and physiology of intact cortical and subcortical tissues

Front 9

what is an important factor of neuroplasticity?

Back 9

plasticity depends on use and experience. Environmental enrichment can increase plasticity

Front 10

what type of aphasia has the highest recovery rate?

Back 10

broca aphasia.
then conduction and wernicke is the worst

Front 11

tell me about transcortical sensory aphasia

Back 11

the person will be fluent. they will have good repetition and auditory comprehension. Their speech will be irrelevant and could be mute. They wont initiate conversation

Front 12

tell me about the recovery of someone with transcortical sensory aphasia

Back 12

quick recovery. there is a good prognosis for recovery. especially if they are young

Front 13

what are the problems associated with anomic aphasia?

Back 13

they will have naming difficulties but will have normal auditory comprehension

Front 14

tell me about the recovery of a person with anomic aphasia

Back 14

of all the aphasias this is the mildest but the worst for recovery. some recovery completely but still circumlocute

Front 15

tell me about the recovery of a person with traumatic aphasia

Back 15

the recovery will be in a stair step pattern. They have a better prognosis than cva if patient is young. more than half will show almost complete recovery from aphasia

Front 16

why is a closed head injury better than a penetrating wound?

Back 16

reduces the chance of infection that can be contracted at the time of injury

Front 17

what is the worst type of aphasia for recovery?

Back 17

global aphasia

Front 18

prognostic factors are based on what variables?

Back 18

-shuell's categories, test performance, cause of aphasia, location, site of lesion, age and health of client, type of aphasia

Front 19

why is the cause or etiology of aphasia considered to be a prognostic factor? (2.5 stars)

Back 19

Hemorrhagic, occlusive, secondary to traumatic injury
Trauma: non-penetrating better than penetrating (no infection)
Traumatic: more improvement than vascular. Single stroke better than multiple

Front 20

why is the location of the damage a prognostic factor? (4 stars)

Back 20

temporal parietal : more persisting than other locations in the left hemisphere

Front 21

what about the size of the lesion is considered to be a prognostic factor? (3 stars)

Back 21

the larger the damage the more severe the aphasia and the poorer the out come, which means the poorer the prognosis

Front 22

prognostic factor :social milieu of the client.

Back 22

supportive family, and positive environment will be a good influence on recovery. but there is not enough data

Front 23

prognostic factor: non-linguistic behavior of the client

Back 23

a client who is introverted, depressed, with mood swings and low motivation will have a poor prognosis. but there is not enough data

Front 24

prognostic factor :age(3 stars)

Back 24

the older the client the poorer the prognosis (but there is always exceptions.) there is a negative correlation between age and prognosis

Front 25

true or false. the relationship between spontaneous recovery and prognosis in unclear

Back 25

true

Front 26

a therapist should use spontaneous recovery as a springboard for...what?

Back 26

intensive therapy in the early stages. treatment would be most beneficial 5 times a week, for 30 minutes each.

Front 27

prognostic factor: time between onset of aphasia and the initiation of treatment (3 stars)

Back 27

the longer before treatment begins the more poorer the prognosis. If initiation of therapy is 3-4 months the quality and overall prognosis is affected.

Front 28

when should the client be seen?

Back 28

after the patient is neurologically stable ( 2 to 3 weeks post onset)

Front 29

prognostic factor: severity of aphasia (4 stars)

Back 29

there is a direct correlation between severity of the aphasia and the prognostic outcome

Front 30

prognostic factor: severity of auditory comprehension (4 stars)

Back 30

schuells categories are based on the importance of auditory comprehension. The other modalities are less severely involved.

Front 31

prognostic factor: motor speech problems in addition to aphasia (3 stars)

Back 31

if the client has dysarthria, or apraxia of speech it will make the situation worse. Poor expressive speech, poor prognosis

Front 32

how should we think of each client?

Back 32

as an individual. look at the "big picture"

Front 33

how many groups are involved in schuell's categories?

Back 33

5 groups, plus 2 extra if there is a motor component (not called apraxia). There is a prognostic value for each group 1=good, 5=poor

Front 34

prognostic factors:familiarity of client

Back 34

with kids, try to meet first outside the clinic

Front 35

what is prognostic treatment?

Back 35

the step between diagnosis and treatment. need to find out if client can learn, generalize, retain, and willing to practice.

Front 36

what are the types of reasoning that may be used by professionals?

Back 36

by exclusion. Pathologic. laboratory results (information from standardized tests etc) and clinical reasoning,

Front 37

what are the problems that we face?

Back 37

individuals and their brains differ. also measurement tools differ.