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33 Cards in this Set
- Front
- Back
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What is non-fluent aphasia?
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Non-fluent; perservative speech
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What types of words dominate non-fluent aphasia?
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Word selection dominated by content words,
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How is paraphrases used in non-fluent aphasia?
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rarely few paraphrases
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Do non-fluent aphasic monitor their speech?
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preserved self-monitoring
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How long are non-fluent aphasic phrases?
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Phases < 4 words
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What is fluent aphasia?
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Fluent speech w/ few perservations
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What types of words dominate fluent aphasia?
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Uses both content & function words
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How is paraphrases used in fluent aphasia?
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Prominent paraphrasis
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How long are fluent aphasic phrases?
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Phrases > 5-6 words
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Do fluent aphasic monitor their speech?
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Self-monitoring is poor
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What is the distribution of fluent & non-fluent aphasics in acute & chronic stages?
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About 1/2 & 1/2. Over time non-fluents become fluent (79%); b/c of practice
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What is the range of the aphasic severity scale?
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0= No usable speech 5= Minimal handicap
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What are the types of nonfluent aphasia syndromes?
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Global, Broca, & Transcortical motor
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What are the types of fluent aphasia syndromes?
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Wernicke's, Anomic, Conduction, & Transcortical
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What are the basic assessment tasks to diagnose aphasic syndrome?
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Spontaneous speech production, Repetition, Comprehension, Naming, Reading, & Writing
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Describe global aphasics.
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Not able to say much (single words or over learned phrases), severe deficits in all language modalities, spares non-verbal intelligence
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How do global aphasic appear when they communicate?
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Appear to communicate more purposefully by the use of gestures & facial expressions
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Describe Broca's aphasia.
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Uses real words, speak haltingly, trouble producing speech, naming, & repeating. Comprehension in tact
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How do Broca's aphasic patients sound when they speak? Look?
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Telegraphic; articulation maybe impaired. Uses gestures to compensate
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Are Broca's patients aware of deficits?
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Fair-Good awareness
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What is the most common type of non-fluent aphasia?
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Broca's
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Describe the verbal output of Wernicke's patients?
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Uses jargon (unaware of deficits)
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What is impaired in Wernicke's patients?
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Repetition, confrontation, naming, & auditory comprehension
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Describe anomic aphasic patients?
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"tip of tongue" (aware of deficit)
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Describe the verbal output of anomic patients?
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Complete utterances marked by inability to retreive words & circumlocutions
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What lesion causes anomic aphasia?
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Angular gyrus
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Describe the verbal output of conduction aphasia patients.
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Conversational speech appears normal but repetition & confrontation naming is poor (good auditory conprehension). Some paraphrasis & circumlocutions (aware of deficit)
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What lesion causes conduction aphasia?
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Damage to arcuate fasiculus (connects Broca & Wernicke)
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Which aphasias are the mose severe?
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Non-fluent tends to be most severe
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Of the fluent aphasia, which is the most severe?
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Wernicke's
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How do aphasias evolve?
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Non-fluent evolves into fluent, butnever the reverse
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How do Broca's patients evolve?
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Into anomic
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How do Wernicke's patients evolve?
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Into conduction or anomic
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