38 Foundation of Aphasia and Related Disorders

Examinee

Administer standardized tests of lexical retrieval

Aphasic lexical retrieval problems (anomia)

Diagnosis: Aphasia

Obtain discourse samples

(Average number of words per longest 3 utterances)

(05 words) (68 words) (9 or more words)

Nonuent Aphasias Borderline Fluent Fluent Aphasias
Aphasias
Brocas aphasia Anterior capsular- Wernickes aphasia
Transcortical motor putaminal aphasia Transcortical sensory
aphasia Posterior capsular- aphasia
Mixed nonuent putaminal aphasia Conduction aphasia
aphasia Thalamic aphasia Anomic aphasia
Global aphasia

Administer Standardized Tests of Auditory Comprehension

Auditory Comprehension Skills

Nonuent Aphasias Borderline Fluent Aphasias Fluent Aphasias

Very Poor- Relatively Poor Highly Relatively Poor Relatively

Poor Fair Good Variable Good Good

Global Mixed Brocas Post. Thalamic Ant. Wernickes Anomic

N/F TCS C/P C/P Conduction TCS
Administer Standardized Tests of Repetition

Repetition Skills
Borderline Fluent
Nonuent Aphasias Aphasias Fluent Aphasias
Poor Poor Poor Good Good Good Poor Poor Good Poor Good

Global Mix Brocas TCM Ant. Thalamic Post. Wernickes TCS Conduction Anomic
N/F C/P C/P

Key
N/F = nonuent aphasia Post. C/P = posterior capsular-putaminal
TCM = transcortical motor Ant. C/P = anterior capsular-putaminal
TCS = transcortical sensory

FIGURE 3.6. Overview of classication of aphasia syndromes.

From Manual of Aphasia and Aphasia Therapy, 3rd Ed., by N. Helm-Estabrooks, M. L. Albert, & M. Nicholas, 2014, Austin, TX: PRO-ED. Copyright 2014 by PRO-ED, Inc.