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Aphasia - 11
Terms in this set (21)
What is the aim of Visual Action Therapy (VAT)?
To treat limb apraxia to get the patient "ready" to learn communicative manual gestures
Who is VAT ideal for?
people with limb apraxia, people with global aphasia, sometimes people with terrible press of speech (rare)
How many levels does VAT have?
3 levels: actual objects, action pictures, object pictures
How does one do VAT?
- gather materials and pics (make your own)
- start simple and move up
- hide object and have person gesture to describe what is hidden
What are the three kinds of movements in VAT?
How are instructions presented in VAT?
What are Amer-Ind gestures?
"Universal American Indian Hand Talk" by Madge Skelly - a system of transparent, simple, manual gestures
How do you get started with Amer-Ind?
- select set of gestures to train
- get pics for each gesture (or words)
- get baseline for gestures
- train recognition/familiarity with gestures (clinician makes gesture, client points to pic)
- train production via imitation in response to pic
- use gestures in tasks
What kind of tasks can you use gestures in?
- picture description
- structured convo
- natural convo
Why doesn't it work to train people with Aphasia in ASL?
ASL is a language, just as left-hemisphere dependent as any other
What kind of patient benefits from Back to the Drawing Board (BDB)?
- severely nonverbal patients - BDAE ASR 1.5 or less
- partial credit on "draw a man"
- correct sequencing of multi-panel cartoons
How does BDB work?
- patient learns to copy cartoons and then draw them from memory
- focus is on drawing sequential actions
What are the BDB steps?
- get drawing skills baseline
- begin training with one-panel cartoons
- look at pic, take away, draw from memory
- discuss deficiencies, demonstrate how it could be drawn, have pt copy original, etc
- try again
- move on to next item if drawing ok
- 2 panel cartoons, repeat steps
- 3 panel cartoons
- post test
What are Lyon's 8 suggestions for drawing?
- "point to most important part"
- show what parts are
- ask for enlargement
- 20 questions type thing
- draw your guess of what it is
- clinician can initiate by drawing
- always involve caregiver
What is the Communicative Drawing Program (CDP)
What does it take to use a communication notebook?
- must have idea of what you want to communicate
- must be able to think of alternative way to express that idea
- must be able to look through pics and match to idea
- must not get distracted along the way
- must hold onto idea
Why do many AAC devices not work for people with aphasia?
Because they're made for people who can't speak, not people who have language problems.
What types of sentences do people produce in C-Speak Aphasia?
- first, SVO sentences
- then, responses to open ended questions
What are the 3 training modules of C-Speak Aphasia?
- generatie language
- assisted writing and emailing
What does use of AAC for aphasia largely depend on?
cognitive ability, especially executive function
What are 5 gesture/visual methods we learned about?
- Drawing (BDB, CDP)
- Communication notebooks
- C-Speak Aphasia
THIS SET IS OFTEN IN FOLDERS WITH...
Aphasia - 1
Aphasia - 2
Aphasia - 3
Aphasia - 4
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