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Samenvatting Neurogene taalstoornissen
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Alles uit het vak 'neurogene taalstoornissen'.
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NEUROGENETAALSTOORNISSEN
Made by: Louise Vansteenkiste
2020-2021
,1 NIET-AANGEBOREN HERSENLETSEL (NAH) ................................................................................. 5
1.1 DEFINITIE .................................................................................................................................. 5
1.2 INCIDENTIE EN PREVALENTIE .......................................................................................................... 5
1.3 OORZAKEN NAH ........................................................................................................................ 6
1.3.1 NIET-TRAUMATISCHE HERSENLETSELS ................................................................................................. 6
1.3.1.1 CVA .......................................................................................................................................... 6
1.3.1.2 Tumoren .................................................................................................................................. 9
1.3.1.3 Infecties ................................................................................................................................. 10
1.3.1.4 Degeneratieve stoornissen .................................................................................................... 10
1.3.1.5 Intoxicatie .............................................................................................................................. 10
1.3.2 TRAUMATISCHE HERSENLETSELS ....................................................................................................... 10
1.4 GEVOLGEN VAN NAH ................................................................................................................ 11
1.4.1 IMPLICATIES VOOR DE HULPVERLENING ............................................................................................. 12
1.5 NEUROGENEN COMMUNICATIESTOORNISSEN .................................................................................. 12
2 AFASIE ..................................................................................................................................... 13
2.1 DEFINITIE ................................................................................................................................ 13
2.2 INCIDENTIE EN PREVALENTIE ........................................................................................................ 13
2.3 OORZAKEN AFASIE .................................................................................................................... 13
2.4 GEVOLGEN .............................................................................................................................. 13
2.5 TERMINOLOGIE ........................................................................................................................ 14
2.6 ELLIS & YOUNG ........................................................................................................................ 16
2.6.1 SEMANTISCH SYSTEEM ................................................................................................................... 17
2.6.2 AUDITIEF TAALBEGRIP .................................................................................................................... 18
2.6.3 LEESINHOUDELIJK TAALBEGRIP ......................................................................................................... 19
2.6.4 PRODUCTIE VAN EEN GESPROKEN WOORD ......................................................................................... 19
2.6.5 PRODUCTIE VAN EEN GESCHREVEN WOORD........................................................................................ 20
2.6.6 DISSOCIATIE ................................................................................................................................. 21
2.7 TOEPASSING ELLIS & YOUNG ....................................................................................................... 22
2.8 AFASIESYNDROMEN .................................................................................................................. 24
2.8.1 INLEIDING .................................................................................................................................... 25
2.8.1.1 Acht klassieke afasietypes volgens “classificatie van de school van Boston” ........................ 25
2.8.2 AFASIE VAN BROCA ....................................................................................................................... 26
2.8.3 AFASIE VAN WERNICKE .................................................................................................................. 27
2.8.4 CONDUCTIE (OF GELEIDINGS-) AFASIE ............................................................................................... 28
2.8.5 GLOBALE AFASIE ........................................................................................................................... 28
2.8.6 TRANSCORTICALE AFASIEËN ............................................................................................................. 29
2.8.7 ANOMISCHE AFASIE ....................................................................................................................... 30
2.9 DIAGNOSTIEK........................................................................................................................... 31
2.9.1 ANAMNESE .................................................................................................................................. 31
2.9.2 SCREENINGS ................................................................................................................................. 32
2.9.2.1 ScreeLing................................................................................................................................ 32
2.9.2.2 Token Test ............................................................................................................................. 32
2.10 UITGEBREIDE DIAGNOSTIEK ....................................................................................................... 33
2.10.1 DE KLASSIEKE BENADERING ........................................................................................................... 33
2.10.1.1 Akense Afasie Test (AAT) ..................................................................................................... 33
2.10.1.2 Comprehensive Aphasia Test (CAT-NL) ............................................................................... 34
2.10.2 COGNITIEF-NEUROPSYCHOLOGISCHE BENADERING ............................................................................ 36
2.10.2.1 Psycholinguistic Assessments of Language Processing in Aphasia (PALPA) ........................ 37
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,2.10.2.2 Werkwoord- En ZinnenTest (WEZT) .................................................................................... 37
2.10.2.3 Semantische AssociatieTest (SAT) ....................................................................................... 37
2.10.3 FUNCTIONEEL-COMMUNICATIEVE BENADERING + LEVENSKWALITEIT..................................................... 37
2.10.3.1 Amsterdam-Nijmegen Test voor Alledaagse Taalvaardigheid (ANTAT)............................... 37
2.10.3.2 Scenario Test ....................................................................................................................... 37
2.10.3.3 Behoefte Inventarisatie en Probleem Analyse van Communicatieve Activiteiten (BIPAC) . 38
2.10.3.4 Birkhovense Evaluatieschaal behandeldoelen Afasie (BEBA) .............................................. 38
2.10.3.5 Life Satisfaction Questionnaire (LSQ) en Stroke and Aphasia quality of life scale (SAQOL-
39NL) 38
2.11 HET LOGOPEDISCHE VOORSCHRIFT .............................................................................................. 39
2.12 BEHANDELING ........................................................................................................................ 39
2.12.1 INLEIDING .................................................................................................................................. 39
2.12.2 STOORNISGERICHTE THERAPIE ....................................................................................................... 41
2.12.2.1 Fonologische stoornissen .................................................................................................... 42
2.12.2.2 Lexicaal-semantische stoornissen ....................................................................................... 45
2.12.2.3 Morfo-syntactische stoornissen .......................................................................................... 46
2.12.2.4 Cueing .................................................................................................................................. 46
2.12.3 BEHANDELMATERIAAL .................................................................................................................. 49
2.12.3.1 Color Cards .......................................................................................................................... 49
2.12.3.2 Anomix ................................................................................................................................. 49
2.12.3.3 AfasietherapiePLUS ............................................................................................................. 49
2.12.3.4 Audtief taalbegripsprogeramma (ATP) ................................................................................ 50
2.12.3.5 Werkboek voor afasie .......................................................................................................... 50
2.12.3.6 Nederlandse afasietherapie................................................................................................. 50
2.12.3.7 Logotherapia ........................................................................................................................ 50
2.12.3.8 Taaloefeningen voor afasiepatiënten .................................................................................. 50
2.12.3.9 Semantic Links ..................................................................................................................... 50
2.12.3.10 BOX .................................................................................................................................... 51
2.12.3.11 FIKS .................................................................................................................................... 51
2.12.3.12 Werkwoordproductie op woord- en zinsniveau ................................................................ 51
2.12.3.13 Visuele Cue Programma .................................................................................................... 52
2.12.3.14 Melodic intonation therapy (MIT) ..................................................................................... 52
2.12.3.15 Reduced syntax therapy (REST) ......................................................................................... 52
2.12.3.16 Constraint Induced Aphasia Therapy ................................................................................. 52
2.12.3.17 AfasieDigitaal ..................................................................................................................... 52
2.12.3.18 Afasietherapie (van Logoclicks) ......................................................................................... 53
2.12.4 ACTIVITEITEN- EN PARTICIPATIEGERICHTE THERAPIE ........................................................................... 53
2.12.4.1 Funcitionele therapie........................................................................................................... 53
2.12.4.2 Ondersteunde communicatie .............................................................................................. 54
2.12.5 AANDACHT VOOR EXTERNE FACTOREN ............................................................................................ 55
2.12.5.1 Informeren en voorlichting geven. ...................................................................................... 56
2.12.6 BEST PRACTICE ............................................................................................................................ 57
3 COGNITIEVE COMMUNICATIESTOORNISSEN............................................................................ 62
3.1 HERSENTRAUMATA ................................................................................................................... 62
3.1.1 INCIDENTIE EN PREVALENTIE ............................................................................................................ 62
3.1.2 EEN SPECIFIEKE POPULATIE.............................................................................................................. 62
3.1.3 ERNST ......................................................................................................................................... 63
3.1.4 VERSCHILLENDE BEWUSTZIJNSNIVEAUS ............................................................................................. 63
3.1.5 GEVOLGEN ................................................................................................................................... 65
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, 3.1.5.1 Fysiek ..................................................................................................................................... 65
3.1.5.2 Emotie, gedrag en persoonlijkheid. ....................................................................................... 65
3.1.6 ONDERZOEK ................................................................................................................................. 67
3.1.7 BEHANDELING .............................................................................................................................. 69
3.1.7.1 Valkuilen ................................................................................................................................ 70
3.2 RECHTERHEMISFEERLETSEL .......................................................................................................... 71
3.2.1 INLEIDING EN NIET-TALIGE SYMPTOMEN ............................................................................................ 71
3.2.2 TALIGE SYMPTOMEN ...................................................................................................................... 73
3.2.3 DIAGNOSTIEK ............................................................................................................................... 75
3.2.4 THERAPIE ..................................................................................................................................... 75
3.3 DEMENTIE (ONDER CONSTRUCTIE) ................................................................................................ 77
3.3.1 INLEIDING .................................................................................................................................... 77
3.3.2 MILD COGNITIVE IMPAIRMENT (MCI) ............................................................................................... 78
3.3.3 DEMENTIE ................................................................................................................................... 79
3.3.4 DE ZIEKTE VAN ALZHEIMER ............................................................................................................. 80
3.3.5 VASCULAIRE DEMENTIE .................................................................................................................. 80
3.3.6 FRONTOTEMPORALE DEMENTIE (FTD) .............................................................................................. 81
3.3.7 ROL VAN LOGOPEDIST .................................................................................................................... 81
3.3.8 BEHANDELING .............................................................................................................................. 82
3.3.8.1 Directe benadering ................................................................................................................ 82
3.3.8.2 Indirecte benadering ............................................................................................................. 82
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