boston diagnostic aphasia examination

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    Boston Diagnostic Aphasia Examination

    Purpose: Designed as a comprehensive measure ofaphasia.

    Population: Adults.

    Time: (180) minutes.

    Description: Determines disorders of language functionand neurologically recognized aphasic syndromes. Containsa short form for rapid access to diagnostic classification and

    quantitative assessment.

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    Materials Included:

    - Stimulus Cards

    - Record Booklets

    - Video (Demonstrating test procedures and

    scoring)

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    :

    Evaluates various modalities

    - Perceptual Modalities

    - Auditory and visual.- Comprehension, analysis, problem-solving

    - Response Modalities

    - Writing, articulation, and manipulation

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    1. Conversationaland expository

    speech2. Auditory

    Comprehension

    3. Oral Expression

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    Conversational and

    expository speech

    .

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    1.Free conversation

    Start w/ familiar topic ,3 minutes of

    conversation, using open-ended questions

    (What type of

    work did you

    do before your

    illness?)

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    2.Picture

    Description

    Cookie theftpicture is

    presented (Tell me

    everything you see

    going on in this

    picture)Point to

    neglected features inpicture and ask for

    expansion.

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    3.Story retell

    Lay out first set of pictures;

    examiner read text pointing

    to relevant pictures.

    Examiner asks client to retellstory.

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    Scores :

    - Assess client on

    Aphasia Severity

    Rating Scale from 0-5

    see record booklet pg 8)

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    Auditory

    Comprehension

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    1.Word Discrimination:3 Stimulus card containing pictures

    Clinician: Show me in what picturethe person is _______________

    two points for correct

    identification.

    2.Commands: Giveclient a series of commands

    increasing in complexity.

    3.Complex Ideational

    Material Test: Closed-endedquestions Starting with simple

    facts ("Will a stone sink in

    water?")

    .Body-Part Identification4

    The patient is asked to point on his

    own body to the part named by

    the examiner, with the command,

    "Show me your (slight pause) __ .

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    Oral Expression

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    Screening of special categories:

    Letters,numbers and colors; use stimulus cards ,

    Scoring: 1 point for each correct response.

    Naming in categories:Actions, animals

    and tools; (What is this/it/he doing),

    Scoring: 1 point for each correct response .

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    3.Oral Reading:

    - Basic Oral Word Reading: Client given list ofwords to read one at a time.

    - Oral Reading of Sentence Comprehension:Client reads sentences.

    - Reading Comprehension Sentences and

    Paragraphs: Given a phrase, the client must finishthe sentence given choices; sentence complexity

    increases. Scoring:1 point for each correct

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    :. Writing

    - Mechanics of Writing: Perform nine numbered

    writing tasks; such as signature, printed name etc.

    - Basic Encoding Skills: Clinician dictates words andclient writes them.

    - Oral Spelling: Clinician is instructed to spell six

    words aloud.

    - Written Picture Naming: Shown picture cards of

    actions or objects and asked to spell words.

    Scoring: 1 point for each correctly spelled word

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    ABSTRACTNineteen stable left-hemisphere stroke patients with aphasia were

    evaluated by the Boston Diagnostic Aphasia Examination (BDAE) and the

    Token Test (TT), and by cranial computed tomography (CT). The types ofaphasia included Broca (three patients), Wernicke (four patients),

    conduction (four patients), transcortical motor (four patients), and global

    (four patients). The lesions, as localized by CT scan, were superimposed

    onto five composite lesion localization maps for these five aphasia

    syndromes. There was good correlation between BDAE aphasia type and

    lesion localization. On CT scans, the locations of cortical language areas lie

    in a specific relationship to parts of the ventricular system.

    Article

    Lesion localization in aphasia with cranial computed tomography and the

    Boston Diagnostic Aphasia Examand, Ph.D.MARGARET A. NAESER

    , M.DROBERT W. HAYWARD

    http://www.neurology.org/search?author1=MARGARET+A.+NAESER&sortspec=date&submit=Submithttp://www.neurology.org/search?author1=ROBERT+W.+HAYWARD&sortspec=date&submit=Submithttp://www.neurology.org/search?author1=ROBERT+W.+HAYWARD&sortspec=date&submit=Submithttp://www.neurology.org/search?author1=MARGARET+A.+NAESER&sortspec=date&submit=Submit
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    1.http://www.neurology.org/conte

    nt/28/6/545.short

    2.https://sites.google.com/site/amel

    iataylorsadultresourcesite/diagnosti

    c-language-assessments/the-boston-

    diagnostic-aphasia-examination

    3. Book : The Assessment of Aphasiaand Related Disorders .

    By :HAROLD GOODGLASS, Ph.D.with the collaboration of

    EDITH KAPLAN, Ph.D.

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