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Disadvantages of beside screening
non-standardised, hard to be consistent, subjective
Advantages of beside screening
flexible, fast, gives direction for further assessment
What does FAST stand for?
Frenchay Aphasia Screening Test
What does BEST stand for?
Bedside Evaluation Screening Test
Examples of standardised bedside screening are…
WAB, BEST, FAST, CDS, Brisbane, IFCI-CFI
What does CDS stand for?
Communication Disability Screener
What does IFCI stand for?
Inpatient Functional Communication Interview
What are the 4 types of fluent aphasia?
Wernicke’s, Transcortical Sensory, Conduction, Anomia
What are the types of non-fluent aphasia?
Broca’s, Global, Transcortical Motor, Mixed Transcortical
What is neuroplasticity?
The brain's ability to repair itself and regenerate connections after TBI or stroke.
Wernicke’s Aphasia characteristics
fluent, poor comprehension, poor repetition
Anomic Aphasia characteristics
fluent, good comprehension, good repetition
Conduction Aphasia characteristics
fluent, good comprehension, poor repetition
Transcortical Sensory Aphasia characteristics
fluent, poor comprehension, good repetition
Transcortical Motor Aphasia characteristics
non-fluent, good comprehension, good repetition
Broca’s Aphasia characteristics
non-fluent, good comprehension, poor repetition
Mixed Transcortical Aphasia
non-fluent, poor comprehension, good repetition
Global Aphasia
non-fluent, poor comprehension, poor repetition
What does WAB stand for?
Western Aphasia Battery
The fibral tract that connects the Broca’s and Wernicke’s area is called the…
Arcuate fasciculus
The first step of the auditory comprehension pathway is…
The ear converts acoustic energy into electrochemical energy into electrochemical energy and transmits it to the brainstem via CN VIII (vestibulocochlear).
In the auditory comprehension pathway, the electrochemical energy transmits from the brainstem to the….
thalamus
In the auditory comprehension pathway, information is relayed from the thalamus to the ____ for ______.
Primary auditory cortex (A1) for signal processing
In the auditory comprehension pathway, info goes from A1 to the ____ area where ____ is attached.
Wernicke’s area, where meaning is attached
In the auditory comprehension pathway, info goes from the Wernicke’s area to the ___ area for _______
Broca's area, higher-level syntactical processing.
Visual information is projected to the thalamus under BA /, via the ___ tracts.
BA 41/42 via the optic tracts.
In the visual pathway, the thalamus projects to the __ lobe’s visual areas (BA - and - ) for visual processing via the ____ tract.
occipital, BA 17-19, geniculocalcarine tract.
The visual areas project 2 different streams of vision. These are the -- and -- streams.
dorsal, ventral
The dorsal stream of vision is responsible for the “---” of vision.
“where”
The ventral stream of vision is responsible for the “---” of vision.
“what”
When reading, the ----, ---- and ---- temporal reading systems activate.
anterior, paneto and occipito
In the oral production of language pathway, desire and thoughts to communicate originate in the --- cortex and are sent to the ----’s area for --- --- and ---- planning.
prefrontal cortex, Broca’s area, language encoding and speech planning
In the oral production of language pathway, the Broca’s area projects information to the ---- --- --- at the top of BA 6 which activates --- ---.
supplementary motor area (SMA), speech plans.
In the oral production of language pathway, the SMA then relays now active plans to the ---- ---- cortex
primary motor cortex
In the oral production of language pathway, the primary motor cortex then sends the plans to the --- --- for execution.
speech muscles
In the written expresison of language pathway, language-encoded thoughts are sent to the --- ---- cortex (BA 6) for ------ motor planning.
premotor, handwriting
In the written expression of language pathway, motor plans are sent to the --- --- cortex.
primary motor cotex
In the written expression of language pathway, the primary motor cortex then sends the writing plans to the --- --- for execution.
dominant hand
In the written expression of language pathway, which part of which lobe coordinates the visuospatial aspects of writing?
left superior parietal lobe
Saliency is where…
lexical items should be topical
What are the elements of the ICF framework?
Impairment, Acitivty, Participation, Environment
Paraphasia (basic definition)
when a person with aphasia says a word but it is not the intended word
“chair” instead of “table” is an example of….
semantic paraphasia
“rat” instead of “cat” is an example of…
mixed paraphasia (semantic and phonemic)
“letophone” instead of “telephone” is an example of…
phonemic paraphasia
“aidou” instead of “eyebrow” is an example of…
neologism
“lamp” instead of “dog” is an example of…
random paraphasia
Circumlocution is…
using a description of the word instead of the target word
Agrammatism is…
limitations in sentence structure and functional morphology, missing grammatical elements, syntactic comprehension
Stereotypial utterance/automatism is…
ability to only produce one word, phrase or meaningless sound combination
Perseveration is…
unintentional repetition of a linguistic unit (getting stuck on something)
Non-fluent aphasia is generally associated with lesion in the….
anterior to central sulcus in the dominant language hemisphere
Fluent aphasia is generally associated with lesion in the…
posterior to central sulcus in the dominant language hemisphere
What type of aphasia?
Broca’s
Bedside screening tests…
auditory comprehension, spontaneous speech, word finding, automatic speech, repetition, reading comprehension, writing