Types of Aphasias
Good communicators ; poor speakers
Agrammatic and Telegraphic Speech
impaired ability to repeat
Broca's Aphasia
Promotes inclusion in a society that communicates
Social Approach
Deficit in word finding ability
Anomia
The second-highest classified level of evidence
RCT
Occlusion to primary branch of middle cerebral artery in left hemisphere supplying zone of language
Global Aphasia
Receptive deficits
impaired repetition
reading / visual deficits
loss of pragmatic skills
Wernicke's Aphasia
Empowers individuals with aphasia, the focus is on the patient’s life goals.
Life Participation Approach
substituting a word that has a similar meaning
semantic paraphasias
Brain tissue death
necrosis
Occlusion of inferior/posterior branches of MCA to posterior one-third of superior gyrus of temporal lobe
Wernicke's Aphasia
poor auditory comprehension
relatively intact repetition
fluent speech with semantic paraphasias
visual deficits
Transcortical Sensory Aphasia
The five environments mentioned in the Environmental Approach
External, Physical, Internal environments, Immediate social milieu, and cultural environment
zeroing in behavior to fix errors
Conduit d’approche
Sub-cortically divides the two brain hemispheres
Vermis
Occlusion to arcuate fasciculus
Conduction Aphasia
Fluent speech
intact auditory comprehension
phonemic paraphasias
aware of error and self repair
Conduction Aphasia
Intensive auditory stimulation directly provided by the clinician ...?
Schuell’s Stimulation Approach/Traditional Stimulation Approach
Nonstop output of speech
logorrhea
The most common type of recovery pattern in bilingual aphasia
parallel recovery
occlusion of anterior cerebral artery of most anterior branches of MCA o supplementary motor cortex and area anterior to Broca’s.
Transcortical Motor
intact receptive language
likely anomia
able to repeat
phonemic and global paraphasia
Transcortical Motor Aphasia
4 key components of the ICF Model
. 1. severity of aphasia
2. participation
3. personal, emotional and identity factors
4. environment (supportive or barrier)
unable to recognize deficits
anosognosia
As one language recovers, the other regresses and vice versa.
antagonistic recovery
Occlusion to anterior area between MCA and posterior cerebral artery at temporal-occipital-parietal area
Transcortical Sensory Aphasia