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Aphasia Set 5
PALPA, BASA, VAST, Other tests (bedside), prognostic variables, FIM
29
Communication
Graduate
10/15/2011

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Term
Multilingual aphasia exam
Definition
Eng & Spanish;
equivalent in content. not just translated
working on
- chinese
- french
- german
- italian
- portugese
Term
PALPA- Psycholinguistic assessment of language processing in aphasia: is not _______ oriented
Definition
localizationist/classification
Term
PALPA is designed as ____ to do what?
Definition
a clinical resource to individually tailor assessment.
Term
subtests are selected to test ____ ___ of language processing.
Definition
specific aspects
Term
PALPA has TERRIBLE psychometric properties
Definition
32 nbd controls (mean & SD's)
25 ppl w/ aphasia
(data not presented)
Term
Each "task" or subtest in aphasia has:
Definition
instructions
stimulus materials
presenter's form
marking form
suggestions (where to go next)
& tasks vary in length
Term
PALPA includes: Auditory processing, Reading & Spelling, Picture & Wrd semantics & Sen. Comprehension....
Definition
lots of linguistic info.
Term
PALPA : Unique aspects
Definition
large number of subtests (64)
flexibility in choosing subtests (tailor to individual needs)
Term
PALPA: Strength
Definition
complete linguistic orientation; based on language processing modell
Term
(5) PALPA : Weaknessess
Definition
paucity of normative data (almost none)
no validity & reliability have been established
focus is on nouns
not for diagnosing aphasia or describing severity
may need adaptaion for use in US
Term
Comprehensive aphasia test has 3 things.
Definition
1. Cognitive screen
2. language battery
3. Disability Questionnaire
Term
Boston Assessment of Severe Aphasia (BASA) is designed as a ___ exam for ___ patients. How long does it take to administer? __ items. __ & __ responses recoreded.
Definition
bedside exam for SEVERE patients.
it takes 20-30 min.
61 items.
verbal & gestural responses are recorded
Term
VAST Verb & sentence test
Definition
- developed to investigate disorders affecting production & comprehension of VERBS and SENTENCES.
- used for wide population of ppl w/ aphasia
- provides insights about underlying impairments
- motivates therapy
Term
VAST subtests of COMPREHENSION
Definition
Verb & sen. Comprehension
- grammaticality judgement
Term
VAST subtests of PRODUCTION
Definition
action naming
FITB: finite V's & infinitives in sentences
Sentence construction
sen anagrams w/ & w/o pics
Wh-anagrams (who, what where when)
Term
VAST: administration
Definition
3 hours
may administer selective tests
flexibility in scoring (not standardized like PICA)
Term
VAST : Psychometric Data
Definition
good internal consistency
(no test-retest available)
not a huge normative sample
Term
A BEDSIDE EXAM is a ___ procedure used to explore ___ & ___.
Definition
SCREENING PROCEDURE; used to explore STRENGTHS & WEAKNESSES (across diff lang modalities)
Term
Typical procedures for a bedside exam:
Definition
- sample spontaneous speech, conversational speech
- repetition
- comprehension
- wrd finding
reading & writing
Term
Screening tests are used to determine what?
___ may be questionable, particularly for mild cases.
Definition
the presence of aphasia & if additional testing is needed.
SENSITIVITY may be questionable particularly for mild cases
Term
What are 2 examples of screening tests?
Definition
ALPS (Aphasia Language performance scales)
BEST-2 (Bedside Evaluation Screening Test)
Term
Cognitive screens are not usually included in an aphasia battery, but what tests is it in?
Definition
WAB & BDAE: Cognitive screens look at non-linguistic visuospatial reasoning
Term
What are 2 cognitive screens that can be used w/ and aphasia battery?
Definition
Ravens coloured progressive matrices
TONI=test of non verbal intelligence
Term
Prognostic variables:
age
gender
education & premorbid intelligence
etiology/type of stroke
time post-onset
lesion
motor speech disorders
physical status
mental health
medications
Cognitive functioning
aphasia severity
aphasia type (global 3+mo bad; anomic good)
Insights/self cueing
responsiveness to cueing/trial therapy
attitude
family support
Definition
Term
Statistical prediction of recovery: PICA
Definition
predictors:
high-low (score) gap
- high overall prediction (HOAP)
- peak-mean difference
Term
The WHO (world health organization) has the ICF (international classification of funcitoning, health, and disability) [partner to the ICD international classification of disease] & serves as the framework for _____'s scope of practice
Definition
ASHA
Term
ICF: 2 parts
Definition
international classification of FUNCTIONING, disability and health
1. functioning & Disability
body functions, structures, activity & participation
2. Contextual factors
environmental factors
personal factors (intelligence, attention probs)
Term
The FIM (Functional independence measure) is a rating of __. and has a general view, not sensitive to changes that might happen due to therapy.
Definition
indepedence/dependence (1-7)
The team gets together and rates
Term
Domains of the FIM
Definition
- self care
- sphincter control
- mobility transfer
- locomotion
- communication
- social cognition
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