Aphasia recovery and outcomes
Terms
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- Neurological variables important for outcomes
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1. medical (PMH)
2. neurological (type of lesion)
3. medications - anagraphical factors:
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age
sex
handedness
heath status - Assuming that language processes affect aphasia
-
erroneous
-metacognitive processes - Disconnection theory of recovery
- occurs by re-establishment of connections between undamaged lang. areas
- Mechanism of recovery
- vicarious functioning- remapping of functions to new areas
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functional of functional compensation
"redundancy recovery" - activation of spared parts of a partially damaged distributed system
- Recovery theory
- depends on activivation of homologous structures in the R hemisphere
- Neuronal mechanism of recovery
- regenerative and collateral sprouting refers to changes in connections between neurons from intact cells to denervated regions
- self initiation is:
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essential for independance
judge by actions - goals as clinican
- -identify and close the gap between current comm status of patient and the functional demands of their lives
- Process Approach
- focus on spared abilities to treat compensate impaired abilities
- Impaired vs. spared abilites:
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1. produces no vs little propositional speech
2. work within vs outside modality of speech