Broca's Aphasia

Inferior frontal lobe damage

Where does the damage occur that causes Broca’s aphasia?

Nonfluent

Is Broca’s aphasia fluent or nonfleunt?

• Naming ability

• Repetition Ability

• Fluency

What are 3 things that are impaired in Broca’s aphasia?

Auditory comprehension

What is relatively preserved in Broca’s aphasia?

False

T or F: Those with Broca’s aphasia are NOT aware of their deficits

True

T or F: Those with Broca’s aphasia have reading and writing deficits

• Contralateral hemiparesis / hemiparalysis

• Apraxia

• Dysarthria

What are 3 non-speech signs and symptoms of Broca’s aphasia?

Verbal output

What is the most significant impairment of Broca’s aphasia?

Strengths

What do you want to use to facilitate improvement in weak areas?

Functionally-related

What do you want to keep tasks related?

Prompting Aphasics’ Communication Effectiveness (PACE)

Goal is functional communication, not normalcy / accuracy and allows communication to be cooperative

Drawing

This is done as a need for good sequencing and comprehension ability

As a substitute / supplement to verbal communication

Why do you train in drawing as a treatment strategy?

Helm Elicited Program for Syntax Stimulation (HELPSS)

Done for agrammatic Broca’s type of aphasia and needs good comprehension and cognition

Pictures

What is given with stories to help them get started?

Story completions

This is used to elicit certain syntactic structures

Agrammatic Broca’s type of aphasia

What is the HELPSS used for?

Imperative intransitive

A command or instruction using an intransitive verb, meaning the verb doesn’t require a direct object to complete its meaning

Imperative transitive

A sentence that uses a verb in the imperative mood (giving a command or instruction) that also requires a direct objects to complete its meaning

WH-Interrogative

A question that starts with a wh-

Declarative Transitive

E.g., “He paints houses.” as the house is being the receiver of being painted

Declarative Intransitive

A sentence where the verb does not use a direct objective

Comparative

A comparison between two or more things

Melodic Intonation Therapy

This is for nonfluent Broca’s with patients with poor repetition ability where melody and intonation are used to increase verbal output

Left hand

Which hand is used for tapping during a melodic intonation therapy treatment?

Group Therapy

What type of therapy may increase generalization in Broca’s aphasia?

Conversational coaching

This is where you use scripts for specific situations