Case Studies
Mr. Jack says things like "The tool cup here at bottom down hammer up" and "So nice ipad tink on the top good show I'd say!" His sentence length is intact, and he appears to ramble on when talking. He makes little sense but is unaware of his issues. What type of aphasia does he have?
Wernicke's Aphasia
__________ paraphasia is when an entire word is substituted for the intended word. It is a word with a similar meaning, such as saying “son” instead of “daughter”.
Semantic
Name the 4 lobes
Frontal, Occipital, Parietal, and Temporal
What are the four components of language?
Reading, writing, auditory comprehension, and verbal expression
Cues are related to the meaning of a word. You can describe the word, give the category, gesture the use, or give a sentence to complete.
Semantic Cues
Mr. John has much difficulty producing words and saying things. He also struggles to understand what is said to him. He cannot read, write or repeat. Overall, he is significantly impacted in receptive-expressive language, and he has difficulty controlling his emotions. What kind of aphasia does he present with?
Global Aphasia
__________ it is when a sound substitution or rearrangement is made, but the stated word still resembles the intended word. Examples include saying “dat” instead of “hat”.
Phonemic paraphasia
What lobe is language association? (Wernicke's area, analysis and elaboration of speech sounds, comprehension of spoken language, verbal memory, language in dominate hemisphere, etc)
Temporal Lobe
Name 4 reading comprehension tasks
Object to word
Picture to word
Reading at the sentence level
Reading at the paragraph level
Functional reading task
Cues are related to the sound of a word. You can give the first sound of the word, the first few sounds, or the first syllable if needed.
Phonemic Cues
Mrs. Sally says "I...um...um...book...bills...uh...to give..." as she has a difficult time making a full sentence. She struggles to find the words to say. She shakes her head ashamed that she is having such a hard time. What type of aphasia does she have?
Broca's Aphasia
A word that is repeated inappropriately instead of an intended word.
Also can mean when someone is "stuck" on one idea.
Perseveration
What lobe does "Broca's Aphasia" affect?
L Frontal Lobe
Name 4 auditory comprehension tasks
Object ID
Y/N questions
Body part ID
Following commands
Provide a sentence that the patient can complete with the target words. For example, “You sleep on a ________.”
Sentence Lead in
Brocas, transcortical motor, and global are what kinds of aphasia
Nonfluent aphasia
Often used with people of aphasia when trying to name a word. Pt will typically describe the word using long sentences but not name it.
Circumlocution
This structure connects the two cerebral hemispheres
Corpus callosum
Name 4 written expression tasks
Tracing
Copying
Write personal information
Write simple words
When working on writing tasks, you can provide the patient with the first letter of the target word, such as
b _ _.
Or you can provide multiple letters, such as P_nc_l.
Fill in blank cues
Wernickes, anomic, conduction, transcortical sensory is what kind of aphasia
Fluent aphasia
____________ is the use of non-real words in place of the intended word. Examples include calling a toothbrush a “slunker”.
Neologism
A stroke affecting this artery commonly results in aphasia
The middle cerebral artery (MCA)
Name 4 verbal expression tasks
Confrontation naming
Responsive Naming
Generative Naming
Word association/opposites
A physical cueing technique where the ST guides an individual's hand or arm to complete a movement
Hand over Hand