adult langauge final study guide info

language disorders

impairments in comprehension and/or production of spoken, written, or gestural communication

what are some cause of adult language disorders/impairments

neurological conditions, acquired brain injuries, neurodegenerative diseases, developmental disorders , stroke

what is most likely to cause adult language disorders

stroke

Broca’s aphasia

nonfluent, effortful speech, comprehension intact

Global aphasia

severe impairment in all language modalities

Anomic aphasia

difficulty retrieving words despite intact comprehension

apraxia of speech (AOS)

motor speech disorder effecting speech planning/ programming

AOS characteristics

may include inconsistent speech errors, difficulty initiating speech, slowed speech rate, cooccurs with Broca’s aphasia

what are cognitive communication disorders

language deficits due to cognitive impairments like TBI dementia, may also present with lack of emotions

cognitive communication disorders symptoms

impaired organization, attention, memory, pragmatics

primary progressive aphasia (PPA)

gradual onset due to neurogenerative disease, variants include semantic: loos of word meaning, nonfluent/ agrammatic: impaired grammar and speech production, logogenic: word retrieval difficulties

what does an assessment of language disorders include

case history/ client interview, standardized test, language sample analysis, neuroimaging (CT/MRI), functional communication eval (should involve the family)

what is restorative therapy

a treatment approach aimed at improving or restoring lost language abilities through direct intervention and practice (following a protocol)

speech-language therapy

exercises to improve naming, sentence construction, comprehension, improve speaking, writing, reading - restorative approach

constraint- induced language therapy (CILT)

encourages patients to use spoken language by restricting the use of compensatory communication strategies, promoting functional communication. restorative approach

semantic feature analysis (SFA)

word retrieval training through linking words to their meaning, category, and associated concepts.restroative approach

compensatory strategies

AAC ( gestures, writing boards), caregiver training for communication support, script training : teaches patients preplanned phrase they can use in daily life

environmental modifications

reducing background noise(add this in once there is progress), simplifying language structure ( can increase once paitent shows improvement) encouraging social participation( support groups, think mental health)

phonological treatment

targets word structure to improve word sound structure to improve pronunciation and word recognition. restorative approach

melodic intonation therapy (MIT)

uses singing and rhythm to activate language areas of the brain

what are aspects of patient center care for aphasia

holistic communication approach, psychological and emotional support, personized goals and adaptive strategies, collaborative care team, enhancing communication

what is a main symptom of semantic PPA

loss of word meaning