University:
Boston University
Course:
SAR HS 201 | Introduction to Nutrition
Academic year:

2021
Views:

348

Pages:

16
Author:

Hadassah Mccarthy

Does naming therapy make ordering in a restaurant easier? Impairment vs. Function in Aphasia International Classification of Functioning, Disability, and Health (ICF) Framework Health Condition (disorder or disease) Body Functions & Structure Activity Participation Environmental Personal Factors Factors Contextual Factors Aphasia: Framework for Outcome Measurement (A-FROM) Participation in life situations Communication and language environment Living with Aphasia Language and related impairments Personal identity, attitudes and feelings Aphasia: Framework for Outcome Measurement (A-FROM) Participation in life situations • “…clinicians quickly recognized that they might focus treatment within one snapshot domain [of A-FROM] such as aphasia severity (e.g., syntax therapy) and assess outcomes within this domain (e.g., sentence production) as is Living Personal identity, Communication done, and/or might traditionally assess outcomes in other with attitudes and and language domains such as quality intersect in the middle of Aphasiaof life (thefeelings environment the circles) or participation (e.g., conversing with friends).” (Kagan et al., 2008, p. 268) Language and related impairments How are cognitive-linguistic and functional communication abilities defined? Cognitive-linguistic abilities Word Retrieval Syntax Production Reading Single Words Visuospatial Skills How are cognitive-linguistic and functional communication abilities defined? Functional communication abilities Introducing a New Topic Requesting Information Reading a Menu Ordering in a Restaurant How are cognitive-linguistic and functional communication abilities related? 1. Significant relationship seen between measures of cognitivelinguistic skills and functional communication at a single time point Measures of cognitive-linguistic skills Measures of functional communication at Time X How are cognitive-linguistic and functional communication abilities related? 2. Persons with aphasia (PWA) can improve in both cognitivelinguistic and functional communication skills with therapy • Bakheit, Carrington, Griffiths, & Searle (2005) WAB CETI • Irwin, Wertz, & Avent (2002) PICA RFP • Aftonomos, Appelbaum, & Steele (1999) WAB CETI • Elman & Bernstein-Ellis (1999) WAB CADL How are cognitive-linguistic and functional communication abilities related? 3. Co-occurring changes can be related but may depend on time of administration and specific instruments utilized • Irwin, Wertz, & Avent (2002) PICA RFP WAB CADL • Ross & Wertz (1999) PICA CADL Current Study Study Aims: 1. Examine relationship between scores on measures of language impairment and functional communication at a single time point 2. Examine the relationship in treatment-induced change scores on the same instruments Experiment 1: Participants Age vs. Time Post-Onset of Aphasia Experiment 1 Participants: n = 72 Mean age: 60.9 yrs Mean time postonset: 4.7 yrs Time Post-Onset (in years) 35 30 25 20 15 10 5 0 0 20 40 60 Age (in years) 80 100 Experiment 1: Instruments and Scores Lowest Scores Highest Scores Experiment 1: Instruments and Scores Lowest Scores Highest Scores Experiment 1: Instruments and Scores Lowest Scores Highest Scores Experiment 1: Instruments and Scores Lowest Scores Highest Scores Experiment 1: Instruments and Scores Lowest Scores Highest Scores