Acronym
RET
Response Elaboration Training
TUF (Treatment of Underlying Forms)
Targets underlying grammatical structure and metalinguistic awareness to improve complex sentence production and comprehension
Focuses on canonical vs. noncanonical sentence forms
True or False: PACE (Promoting Aphasic's Communicativeness Effectiveness) involves the clinician and client taking turns being the sender/receiver getting across messages on cards through verbal communication only.
False: Encourages successful communication using any modality rather than focusing on linguistic accuracy, total communication approach
Identify two treatments that target written/reading impairments:
(be able to identify if for written or for reading)
CART (Copy And Recall Treatment): Client repeatedly copies and recalls written words to strengthen graphemic representations
ACT (Anagram and Copy Treatment): Client arranges scrambled letters to spell target words and then copies them (easier than free writing because letters are provided)
Problem-solving: unique in targeting self-monitoring and independent strategy use rather than specific words
MOR (Multiple Oral Readings): Repeated oral reading of the same passages to improve reading rate and whole-word recognition (uses repeated practice with connected text)
ORLA (Oral Reading for Language in Aphasia): Clinician and client read connected text together repeatedly to strengthen semantic and phonological reading pathways
A 67-year-old man with Broca’s aphasia speaks mostly in single words and short phrases after a left MCA stroke. He becomes frustrated during conversation because he knows what he wants to say but cannot retrieve verbs or expand his utterances. During structured tasks, he benefits when the clinician models longer responses and asks wh-questions.
MIT
Melodic Intonation Theraoy
Which treatment targets perseverative responses by increasing awareness and cueing correction of inappropriate repeated responses?
Tap - Treatment for Aphasic Perseveration
PACE stands for...
Promoting Aphasic's Communicative Effectiveness
(Encourages successful communication using any modality rather than focusing on linguistic accuracy; Take turns being the sender/receiver getting across messages on cards)
What does TWA stand for?
Is it for reading, writing, or auditory comp?
TWA (Treatment of Wernicke’s Aphasia: Uses a hierarchy involving reading, oral reading, repetition, and auditory comprehension to rebuild spoken word comprehension; uses spoken word-to-picture matching; cueing hierarchy approach
A 58-year-old woman with severe nonfluent aphasia and apraxia of speech can only produce a few automatic phrases such as “okay” and “thank you.” She responds positively to music and can imitate short sung phrases more easily than spoken ones. Her family wants treatment focused on increasing verbal output.
SFA
Semantic Feature Analysis
Briefly explain CILT (Constraint-Induced Language Therapy)
modeled after constraint-induced movement therapy. Forces use of verbal speech by restricting compensatory communication methods (gesture, writing, AAC). Intensive verbal practice intended to stimulate impaired language systems.
Identify: gesture-based treatment that teaches symbolic pantomimes for communication when verbal language is severely impaired, great for those with global aphasia due to focus on symbolic gestures
VAT (visual action therapy)
What is MOR?
MOR (Multiple Oral Readings): Repeated oral reading of the same passages to improve reading rate and whole-word recognition (uses repeated practice with connected text)
A 72-year-old man with anomia frequently pauses during conversation and says, “I know it but can’t get it out.” When given semantic descriptions or the first sound of a word, he is often able to retrieve the target. He wants strategies that help him both in therapy and in daily conversations.
PCA
Phonological Components Analysis
What is Script Training?
Client practices personally meaningful conversational scripts repeatedly to improve fluent production of functional language
A-FROM
1.) What does it stand for?
2.) Identify each of the four components. (Hint: These components are inspired by the WHO-ICF.)
Framework for Outcome Measurement
- Participation in life situations
- Personal identity, attitudes, feelings
- Language and related impairments
- Communication and language environment
What is ORLA?
ORLA (Oral Reading for Language in Aphasia): Clinician and client read connected text together repeatedly to strengthen semantic and phonological reading pathways
A 61-year-old woman with Wernicke’s aphasia demonstrates fluent speech with poor auditory comprehension. She performs much better when written keywords are provided and can accurately match written words to pictures more easily than spoken words to pictures. Her clinician wants to strengthen spoken word comprehension.
VNeST
Verb Network Strengthening Treatment
Uses automatic/spontaneous utterances as a starting point to build voluntary speech production
Target pop: Severe nonfluent aphasia
VCIU: Voluntary Control of Involuntary Utterances
LPA
1) What does this stand for?
2) Give two of the five principles.
Life Participation Approach to Aphasia
•the explicit goal of intervention is enhancement of life participation
•all those affected are entitled to services
•measures of success include documented life enhancement
•both personal and environmental factors are targets of intervention
•emphasis is on availability of services as needed at all stages
Compare CART and ACT. (Hint: identify the primary difference and how this may impact load for the client.)
ART and ACT: both target graphemic representations for writing; ACT reduces memory demands by providing letters
A 70-year-old man with global aphasia has extremely limited verbal expression but demonstrates good intent to communicate through facial expression and pointing. His spouse reports frequent communication breakdowns at home. The clinician wants to improve functional communication using nonverbal modalities and partner training.