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1、Language function rehabilitationp651.Speech and language assessment（1）Summary(A). The definition of speech and language .Language and speech are two related but different concepts.Language is one of the important features of human from other animal. What is language?voice is the medium of language.
2、Language consists of two parts, vocabulary and grammar. Language is a symbol system to express human thoughts.What is the form of language?Including oral and written language and posture language (such as gestures and facial expressions and sign language)What is speech?Speech refers to spoken langua
3、ge(B). Classification（1）Aphasia（2）Dysarthria（3）Apraxia(C). Aim of assessment.Whether the patients have the language barrier and the degree of disorder(D). Methods of assessmentMainly through conversation with the patient, let patients read, write, or use general scales to assess.（2 2）Assessment of a
4、phasia(A). The definition of aphasiaP65-66Aphasia is caused by damage to the central nervous system. This leads to the reduction or loss of the ability to express and understand spoken and written language.It is acquired diseases. This is different from infant congenital language disorders.（B）Etiolo
5、gy P66Cerebrovascular disease is the most common cause. (C). Classification of aphasiaBenson P66-67Aphasia syndrome around the lateral fissureBroca A (BA)Wernicke A (WA) Conduction A (CA) ) Watershed aphasia syndrome Transcortical motor A (TCMA）Transcortical sensory A (TCSA）Mixed transcortical A (MT
6、CA) Amnestic A (AA) Total A (TA) Subcortical aphasia syndrome Hypothalamus AHypothalamus A Basal ganglia A Basal ganglia A(D). Content of assessment（1）talk（2）repetation（3）speech comprehension (4) name (5) read (6) write(E). The methods of assessmentAphasia Battery of China （ ABC）P68（3）Assessment of
7、dysarthria（A）The definition of dysarthria P69Dysarthria is caused by vocal organs nerve muscle lesions.They can choose the right words and arrange phrases with the syntax.But they are unable to control stress, volume and tone.（B）Etiology P69Cerebrovascular disease is the most common cause. Others in
8、clude brain inflammation, or tumor etc.(C). Classificationp69(D). Method of assessmentFrenchay dysarthria assessment P702.language disturbance rehabilitationp129(1) Summary(A). DefinitionP129Language therapy refers to language training to patients through a variety of means or teach patients using t
9、he alternative measures such as communication board , Communication handbook and Sign language (B) Indication and contraindication Most patients with language disorder can have language therapy.Exclude patients with disturbance of consciousness, emotion and behavior disorders, mental disorders(C). T
10、he principle of language rehabilitation(1)early start(2)Comprehensive evaluation of the function of language(3)From easy to difficult, step by step(4)Strengthen the correct response, inhibit the error response(5) Patients with active participation(6)A variety of stimuli, a variety of treatment metho
11、ds(7) first improve spoken language understanding and expression ability(8) the appropriate language environment(D). Rehabilitation environment The speech therapy room should be good in sound insulation and sound absorption and should be concise quiet.(E). Rehabilitation form1.One to One training: t
12、hat a therapist for a patient training methods.2 Self-study: patients have had one to one training for a period of time . Therapists can arrange some practice to patients. so that the patients can practice independently. The content is designed by the therapist. The therapist regularly check for mod
13、ifications.3.Group therapy: It is a useful addition to single treatment. Communication can stimulate the patient desires and provide a suitable environment. It is chaired by speech therapists, 6-10 patients in similar condition participate the group. It is usually held once a week. Each last1-2h.(F)
14、 Rehabilitation time and frequencyThe best arrangement of language therapy is in the morning, each last about 30min, 1 times a day, for several months, 1 years or more.(2)The method of aphasia rehabilitationTreatment for patients with listening, speaking, reading and writing aiming at their problem
15、The method of aphasia RehabilitationP130-131Practical training in communication skillsPromoting aphasics communication effectiveness (PACE)Non-verbal communication methods using and trainingSign language , Paint , Communication boards or manual (3) The method of dysarthriaRehabilitation goalsSevere
16、:Is the effective way to establish communication by means of exchange or compensation.Moderate: Establish the best speech intelligibilityMild: Has the best effect and natural.Non-verbal communication methods using and trainingSign language , Paint , Communication boards or manual Thanks for listening!
