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Samenvatting Spraakapraxie, tweede jaar HoGent
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volledige samenvatting van het deel spraakapraxie
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SPRAAKAPRAXIELouise Vansteenkiste
HOGENT
,1 APRAXIE .................................................................................................................................... 3
1.1 DEFINITIE APRAXIE ...................................................................................................................... 3
1.2 NEUROGENE BASIS ...................................................................................................................... 3
1.3 KENMERKEN VAN APRAXIE IN HET ALGEMEEN .................................................................................... 4
1.3.1 INHOUDELIJK .................................................................................................................................. 4
1.3.2 SPATIEEL ........................................................................................................................................ 4
1.3.3 SEQUENTIEEL .................................................................................................................................. 4
1.3.4 TEMPOREEL.................................................................................................................................... 5
1.3.5 INITIATIEPROBLEMEN ....................................................................................................................... 5
1.3.6 BPO (BODY PART AS OBJECT) ........................................................................................................... 5
1.4 VERSCHILLENDE SOORTEN BEWEGINGEN .......................................................................................... 5
1.4.1 TRANSITIEVE / INTRANSITIEVE BEWEGINGEN ........................................................................................ 5
1.4.2 ENKELVOUDIGE / SERIËLE BEWEGINGEN .............................................................................................. 5
1.4.3 BUCCOFACIALE BEWEGINGEN / BEWEGINGEN MET LEDEMATEN ............................................................... 5
1.5 VORMEN VAN APRAXIE ................................................................................................................ 6
1.5.1 IDEOMOTORISCH APRAXIE ................................................................................................................. 6
1.5.2 IDEOTORISCHE OF IDEATIONELE APRAXIE.............................................................................................. 6
1.5.3 CONSTRUCTIEVE APRAXIE.................................................................................................................. 6
1.5.4 ORALE OF BUCCOFACIALE APRAXIE ..................................................................................................... 6
1.5.5 SPRAAKAPRAXIE .............................................................................................................................. 6
1.6 TOEPASSINGEN........................................................................................................................... 7
2 ONDERZOEK APRAXIE ................................................................................................................ 8
2.1 ALGEMEEN ................................................................................................................................ 8
2.2 FOUTENANALYSE ........................................................................................................................ 8
2.3 RECEPTIEVE EVALUATIE ................................................................................................................ 9
3 SPRAAKAPRAXIE...................................................................................................................... 10
3.1 DEFINITIE SPRAAKAPRAXIE .......................................................................................................... 10
3.2 NEUROGENE BASIS .................................................................................................................... 10
3.3 KENMERKEN VAN SPRAAKAPRAXIE ................................................................................................ 10
3.3.1 IN DE LITERATUUR WORDEN VERSCHILLENDE KENMERKEN VERMELD: ...................................................... 11
3.3.1.1 Startproblemen en grooping ................................................................................................. 11
3.3.1.2 Articulatie .............................................................................................................................. 11
3.3.1.3 Prosodie ................................................................................................................................. 12
3.3.1.4 Mutisme................................................................................................................................. 12
3.3.2 VERKLAREN VAN SYMPTOMEN ......................................................................................................... 12
3.4 DIFFERENTIAALDIAGNOSE ........................................................................................................... 13
3.4.1 HOE EEN DIFFERENTIAALDIAGNOSE STELLEN ....................................................................................... 13
3.4.1.1 Neurolinguïstisch model van Ellis en Young .......................................................................... 13
3.4.1.2 Klinische profielen van Wertz ................................................................................................ 14
3.4.1.3 Verschil in symptomen SA – dysartrie ................................................................................... 15
3.4.1.4 Verschil in symptomen SA - afasie ......................................................................................... 15
3.4.2 MODEL VAN MCNEIL ..................................................................................................................... 16
3.5 DOELEN .................................................................................................................................. 17
4 ONDERZOEK ............................................................................................................................ 18
1
, 4.1 BESTAANDE ONDERZOEKEN ......................................................................................................... 18
4.2 ONDERDELEN VAN HET LOGOPEDISCH ONDERZOEK VOOR SPRAAKAPRAXIE ............................................. 18
4.3 ENKELE ONDERZOEKEN ............................................................................................................... 19
4.3.1 APRAXIE BATTERY FOR ADULTS (ABA) .............................................................................................. 19
4.3.2 DYSARTRIE EN VERBALE APRAXIE ONDERZOEK (DYVA) ........................................................................ 20
4.3.3 DIAGNOSTISCH INSTRUMENT APRAWXIE VAN DE SPRAAK (DIAS) ........................................................... 20
4.3.4 SOCIALE IMPACT SPRAAKAPRAXIE (SISA) .......................................................................................... 21
5 BEHANDELING SPRAAKAPRAXIE .............................................................................................. 22
5.1 ALGEMENE PRINCIPES ................................................................................................................ 22
5.2 THERAPIE OP STOORNISNIVEAU: TWEE BENADERINGEN ..................................................................... 22
5.2.1 ARTICULATIETHERAPIE.................................................................................................................... 23
5.2.1.1 Hulpmiddelen: ....................................................................................................................... 24
5.2.1.2 Integrale stimulatiemethode van Rosenbek:......................................................................... 25
5.2.1.3 TIAS = Therapeutisch Instrument Apraxie vd Spraak ............................................................. 26
5.2.2 BENADERING VANUIT RITME, MELODIE EN AUTOMATISCHE SPRAAK ........................................................ 26
5.2.2.1 Verbeteren van ARTICULATIE d.m.v. ritme, melodie en automatische spraak ..................... 26
5.2.2.2 Verbeteren van PROSODIE d.m.v. ritme, melodie en automatische spraak ......................... 26
5.3 THERAPIE OP ACTICITEIT EN PARTICIPATIENIVEAU ............................................................................. 27
5.3.1 ACTIVITEITENNIVEAU ..................................................................................................................... 27
5.3.2 PARTICIPATIENIVEAU...................................................................................................................... 27
5.4 AANDACHT VOOR EXTERNE EN INTERNE FACTOREN ........................................................................... 28
5.4.1 INTERNE FACTOREN ....................................................................................................................... 28
5.4.2 EXTERNE FACTOREN ....................................................................................................................... 28
6 ORALE APRAXIE ....................................................................................................................... 29
6.1 DEFINITIE ................................................................................................................................ 29
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