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CommDis2 SLP405

F.A.S.T. (stroke response) Face (smile). Arms (lift). Speech (repeat). Time (3-4hrs)
Left hemisphere Language- reading, writing, speaking, understanding Motor- Apraxia, (R)hemiparesis, (R) hemianopsia, (R) neglect, (R) paresthesia
Right Hemisphere Visuo-spatial, (L) hemiparesis, hemianopsia, neglect, paresthesia
Anterior Cerebral Artery feeds medial, inner surface of the brain. (frontal lobe functions - poor judgement, organization, planning, execution, impulsivity, “act w/out thinking”)
Middle Cerebral Artery Supplies most of the temporal lobe, anterolateral frontal lobe, and parietal lobe. (Perisylvan cortex-aphasia)
Stroke sudden onset of vascular insufficiency or bleeding into or immediately adjacent to the brain. Infarct - region of necrotic tissue resulting from more than a few minutes of oxygen deprivation
3 types of stroke Occlusion. Hemorrhagic. Transient Ischemic Attack (TIA)
Occlusion (3) 80% of all strokes. Thrombosis (stationary clot), embolism (traveling clot), or pinched artery (spasm/tumor). Painless.
Hemorrhagic Aneurysm (painful): extra- or intracerebral
Transient Ischemic Attack (TIA) clot dissolves and brain function returns?
Wernicke’s aphasia Fluent, but lacks content (jargon). Good prosody. Good arctic. Good phonology. Inability to comprehend speech of others and one's own. Poor reading, (occasionally better preserved reading comprehension than oral reading might suggest The mechanics of ha
Assessment (3) 1.Fluency: (content, prosody, form) 2. Comprehension 3. Repetition
Assesment tools Case history (sudden onset), Standardized tests, Language sample
Standardized tests (3) Boston Diagnostic (BDAE) - type, percentile, 2hrs. Western Aphasia Battery (WAB) - fluency, comp, rep, naming, quotient, 1/2hr , Communicative Activities of Daily Living (CADL) - gestures, expressions, partial participation
Boston diagnostic - nonfluent aphasias Global - poor comp & poor rep. Broca’s - good comp & poor rep. Transcortical motor - good comp & good rep
Boston diagnostic - fluent aphasias Wernicke’s - poor comp & poor rep. Conduction - good comp & poor rep. Transcortical sensory - poor comp & good rep
Informal Language Samples Elicit a narrative: a fairy tale, an event (stroke, 9-11), describe a picture
Created by: ashea01