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Acquired Language Disorders
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Table of Contents

Preface Acknowledgments Chapter 1. An Overview of Neuroanatomy and Neurophysiology Related to Acquired Language Disorders (ALD) The Neuron Neurotransmitters The Brain: A Brief Review of Structures and Functions The Coverings of the Brain, Ventricles, and Cerebrospinal Fluid Cerebral Cortex The Brainstem Subcortical Structures The Cerebellum Neural Pathways Cerebral Blood Flow Cerebrovascular Accidents Brain Imaging and Selected Medical Tests for Acquired Language Disorders CAT Scan or CT Scan MRI fMRI PET Scan SPECT Scan ASL Examination of the Carotids: Doppler Ultrasound or Audculation of the Carotids Endocardiography Angiography References Chapter 2. Elements of Assessment in Acquired Language Disorders Assessment Areas of Language Function Characteristics of Major Aphasic Syndromes Definitions of the Clinical Characteristics of the Major Aphasic Syndromes Extralinguistic and Paralinguistic Consideration in Assessment Types of Assessment Functional Assessment Bedside Assessment Cognition, Aphasia, and the ALD Target Model(t) The Target Model and Cognitive Assessment in Acquired Language Disorders Modifications to Standard Approaches to Assessment Use of Standardized Tests for Individuals with Cognitive-Communication Disorders Commonly Used Assessments for Acquired Language Disorders: Arizona Battery for Communication Disorders of Dementia Addenbrooke's Cognitive Examination Assessment of Language-Related Functional Activities Mini Mental State Exam Global Deterioration Scale Boston Diagnostic Aphasia Examination-3 Burns Brief Inventory of Communication and Cognition Cognitive Linguistic Evaluation Cognitive Linguistic Quick Test Coma Recovery Scale-Revised Comprehensive Aphasia Test Communication Activities of Daily Living, Second Edition The Kentucky Aphasia Test Psycholinguistic Assessments of Language Processing in Aphasia Reading Comprehension Battery for Aphasia Ross Information Processing Assessment-2 The Scales of Cognitive and Communicative Ability for Neurorehabilitation Scales of Cognitive Ability for Traumatic Brain Injury Western Aphasia Battery-Revised Selected Assessments for Aphasia by Category Comprehensive Language Batteries Functional Tests of Communication Tests Bases on a Cognitive Neuropsychological Model Tests Examining Specific Areas of Language Performance Treatment and Goal Setting Documentation of Progress Service Delivery to People with Acquired Language Disorders The Acute Care Setting The Rehabilitation Setting The Home Care Setting The Outpatient Setting The Long-Term Care Setting Summary References Appendix 2-A. Quick Reference Diagnostic Chart for Acquire Language Disorders Appendix 2-B. Functional Communication Connections Chapter 3. The Major Nonfluent Aphasias Introduction Broca's Type Aphasia Characteristics A Functional Case Analysis of Maurice Critical Thinking/Learning Activity Treatment Considerations Some Therapeutic Options Transcortical Motor Aphasia Characteristics Functional Case Analysis of Vincent Critical Thinking/Learning Activity Treatment Considerations Some Therapeutic Options Global Aphasia Characteristics A Functional Case Analysis for Elizabeth Critical Thinking/Learning Activity Treatment Considerations Some Therapeutic Options References Chapter 4. The Fluent Aphasias Introduction Wernicke's Type Aphasia Characteristics A Functional Case Analysis of Mildred's Wernicke's Aphasia Critical Thinking/Learning Activity Treatment Considerations Some Therapeutic Options Transcortical Sensory Aphasia (TSA) Characteristics A Functional Case Analysis of John's TSA Critical Thinking/Learning Activity Treatment Considerations Some Therapeutic Options References Chapter 5. Other Aphasic Syndromes Subcortical Aphasia Introduction Characteristics of the Subcortical Aphasias A Functional Case Analysis of Winnie's Subcortical Aphasia Critical Thinking/Learning Activity Treatment Considerations Some Therapeutic Options Primary Progressive Aphasia Introduction Characteristics A Functional Case Analysis of Luis's Primary Progressive Aphasia Critical Thinking/Learning Activity Treatment Considerations Some Therapeutic Options Acquired Alexia and Agraphia Characteristics A Functional Case Analysis of Sue's Alexia Critical Thinking/Learning Activity Treatment Considerations Some Therapeutic Options References Chapter 6. Right Hemisphere Disorder Introduction Characteristics RHD and Pragmatic Impairment Visual-Perceptual Deficits Visuomotor Deficits Auditory Perceptual Deficits Cognitive Deficits A Functional Case Analysis of Debra Critical Thinking/Learning Activity Treatment Considerations Some Therapeutic Options References Chapter 7. Traumatic Brain Injury Introduction Characteristics Types of Brain Injury Symptoms Related to Localization of the TBI Prognostic Consideration in Head Injury Premorbid Intelligence Age at the Time of Injury Duration of Coma Posttraumatic Seizures Hydrocephalus Spasticity Cognitive-Linguistic Impairment Due to TBI Establishing Goals for the Theraputic Course Postconcussive Syndrome Mild TBI Rating Scales for Functional Outcomes A note about Generalization in People with TBI A Functional Analysis of Samuel's TBI Critical Thinking/Learning Activity Treatment Considerations Therapeutic Options References Chapter 8. Dementia Introduction Characteristics Diagnostic Factors Stages of Dementia Memory Systems and Dementia Types of Dementia Vascular Dementia Parkinson's Dementia Fronto-Temporal-Parietal Dementias Creutzfielt-Jakob Disease Huntingon's Disease Overview of Research on Treatment for Dementia A Functional Case Analysis of Max's Dementia Critical Thinking/Learning Activity Treatment Considerations Some Therapeutic Options References Chapter 9. Encephalopathy Introduction Characteristics Drug and Alcohol Intoxication A Functional Case Analysis of Tommy Critical Thinking/Learning Activity Treatment Considerations Some Therapeutic Options References Chapter 10. Past, Present and Future Considerations in Acquired Language Disorders Historical Overview of Efficacy and Evidence in the Treatment of Acquired Language Disorders in Adults Randomized Controlled Trials and Aphasia Treatment Treatment Approaches and Future Trends Biological and Pharmacologic Interventions Intensity of Treatment Computer-Assisted Technology and Treatment of Aphasia AAC for Adults with ALD: Aphasia, Primary Progressive Aphasia, TBI, and Dementia The Use of Applications (Apps) in the Rehabilitation of the ALD Patient The Use of Video Games in the Rehabilitation of the ALD Patient References Appendix A. Case History Form Background Information Health and Medical History Educational History Psychosocial and Family History Appendix B. Skills Assessment Inventory How to Use the SAI Appendix C. Cognitive-Linguistic Evaluation Appendix D. Selected Treatment Programs and Approaches A Treatment Sequence for Phonological Alexia/Agraphia Anagram, Copy, and Recall Therapy Concurrent Treatment for Reading and Spelling in Aphasia Constraint-Induced Language Therapy Divergent Word Retrieval Life Participation Approach to Aphasia Lingraphica Mapping Treatment Melodic Intonation Therapy MossTalk Words Narrative Story Cards Nonsymbolic Movements for Activation of Intention Normal Sentence Production Oral Reading for Language in Aphasia with Virtual Therapist Promoting Aphasics' Communicative Effectiveness Response Elaboration Training Schuell's Stimulation Approach Semantic Feature Analysis Sentence Production Program for Aphasia Sentence Shaper Speech Entrainment Treatment of Underlying Forms Visual Action Therapy Appendix E. The World Health Organization and the International Classification of Functioning, Disability, and Health Body Functions and Structures Activities and Participation Contextual Factors (Environmental Factors and Personal Factors) The ICF and the Rehabilitation of the Person with an Acquire Language Disorder Reference Appendix F. The Octagon Worksheet for Functional Communication Appendix G. Test Your Knowledge Case #1 Case #2 Case #3 Case #4 Case #5 Case #6 Case #7 Answer Key Index Accompanying PowerPoint slides and CD include lecture material for: Review of Neuroanatomy The Target Model Assessment in Acquired Language Disorders (ALD) Nonfluent Aphasia Fluent Aphasia Subcortical Aphasia Primary Progressive Aphasia (PPA) Acquired Dyslexia and Dysgraphia Right Hemisphere Disorder (RHD) Traumatic Brain Injury (TBI) and Post Concussive Syndrome (PCS) Dementia Encephalopathy

About the Author

James M. Mancinelli, MS CCC-SLP is the University Clinical Coordinator/Supervisor for La Salle University's Speech-Language-Hearing Science Program. He teaches the graduate course in acquired language disorders, the introductory and advanced clinical practicum courses, as well as undergraduate courses in clinical procedures and professional issues. Mr. Mancinelli is a certified speech-language pathologist and has 25 years of clinical experience in medical speech-language pathology, evaluating and treating patients across the lifespan in acute care, rehabilitation, long-term care and out-patient settings. Evelyn R. Klein, PhD, CCC-SLP is Associate Professor at La Salle University in the Department of Speech-Language-Hearing Science and teaches the graduate course in acquired language disorders as part of her teaching responsibilities. Dr. Klein is an ASHA Fellow and a certified speech-language pathologist with more than 25 years of clinical experience treating individuals with a variety of communication disorders. She is also a licensed psychologist with post-doctoral training in clinical neuropsychology.

Reviews

Garry Pezzano, MS/CCC-SLP, Senior Vice President of Clinical Practice Genesis Rehab Services, none, (11/7/13): "Acquired Language Disorder: A Case-based Approach could not be more relevant considering the current and future states of healthcare in our country. Healthcare reform calls us to practice based on evidence, produce clinically significant changes as a result of the care we deliver and reserves payment for the right therapy, in the right dose, by the right professional in the right setting. A case-based approach provides clinicians with that evidence." ================================================================== Laura Wrangles and Kate Mackay, Adult SLTs, Hertfordshire Community NHS Trust, Royal College of Speech & Language Therapists, (2014): "This book endeavours to cater for all. It reviews neuroanatomy and neurophysiology, assessment methods and treatment approaches for aphasia, right hemisphere disorders, TBI, dementia and encephalopathy. The final chapter considers how the assessment and treatment of acquired language disorders will develop, including discussion about bio/pharmacological treatments and AAC. ------------------------------------------------------------------ The authors make an avid e ort to bridge the gap between theory and practice. The examples given include a description of the client, a functional analysis, pointers for critical thinking, treatment considerations and discussion about appropriate therapeutic methods. What we liked about the examples is that they have not overlooked factors, such as cognition and family/carer implications. ..."

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