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Samenvatting neurogene taalstoornissen

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Complete samenvatting (met afbeeldingen, inhoudstafel, schema's,...) over NAH, afasie en dementie. NAH: definitie, oorzaken, gevolgen, neurogene communicatiestoornissen. Afasie: definitie, oorzaken, gevolgen, Ellis&Young, soorten syndromen en vormen, diagnosiek en voorbeelden behandel- en testmater...

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  • May 1, 2022
  • 57
  • 2021/2022
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Samenvatting Neurogene Taalstoornissen
NAH ......................................................................................................................................................................... 4
DEFINITIE ........................................................................................................................................................................ 4
INCIDENTIE EN PREVALENTIE............................................................................................................................................... 4
OORZAKEN ...................................................................................................................................................................... 4
1 Niet-traumatische hersenletsels ......................................................................................................................... 5
CVA......................................................................................................................................................................................... 5
Tumoren ................................................................................................................................................................................ 6
Infecties ................................................................................................................................................................................. 7
Degeneratieve stoornissen ................................................................................................................................................... 7
Intoxicatie .............................................................................................................................................................................. 7
2 Traumatische hersenletsels ................................................................................................................................. 7
GEVOLGEN ...................................................................................................................................................................... 8
NEUROGENE COMMUNICATIESTOORNISSEN ......................................................................................................................... 9
AFASIE ..................................................................................................................................................................... 9
DEFINITIE ........................................................................................................................................................................ 9
INCIDENTIE EN PREVALENTIE............................................................................................................................................... 9
OORZAKEN VAN AFASIE ..................................................................................................................................................... 9
GEVOLGEN VAN AFASIE ..................................................................................................................................................... 9
TERMINOLOGIE ..............................................................................................................................................................10
TAALVERWERKINGSMODEL ELLIS & YOUNG ........................................................................................................................11
Semantisch systeem .............................................................................................................................................12
Auditief begrip ......................................................................................................................................................12
Auditief analysesysteem (AAS) ........................................................................................................................................... 12
Auditief input lexicon (AIL) ................................................................................................................................................. 12
Leesinhoudelijk begrip ..........................................................................................................................................13
Visueel analysesysteem (VAS) ............................................................................................................................................ 13
Visueel input lexicon (VIL)................................................................................................................................................... 13
Productie van een gesproken woord ...................................................................................................................13
Spraak output lexicon (SOL) ............................................................................................................................................... 13
Foneem systeem (FS) .......................................................................................................................................................... 13
Productie van een geschreven woord ..................................................................................................................14
Grafeem output lexicon (GOL) ........................................................................................................................................... 14
Grafeem systeem (GS) ........................................................................................................................................................ 14
Het principe van dissociatie .................................................................................................................................14
VOORBEELDOEFENING ELLIS EN YOUNG .............................................................................................................................15
AFASIESYNDROMEN ........................................................................................................................................................18
Overzicht ...............................................................................................................................................................18
Broca afasie ..........................................................................................................................................................19
Uitingsvormen ..................................................................................................................................................................... 19
Extra ..................................................................................................................................................................................... 19
Wernicke afasie ....................................................................................................................................................19
Uitingsvormen ..................................................................................................................................................................... 19
Extra ..................................................................................................................................................................................... 20
Conductie afasie ...................................................................................................................................................20
Uitingsvormen ..................................................................................................................................................................... 20
Globale afasie .......................................................................................................................................................20
Uitingsvormen ..................................................................................................................................................................... 20
Extra ..................................................................................................................................................................................... 21
Transcorticale afasievormen ................................................................................................................................21
Transcorticale motorische afasie ....................................................................................................................................... 21
Transcorticale sensorische afasie ....................................................................................................................................... 21


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, Transcorticale gemengde afasie......................................................................................................................................... 21
Anomische afasie .................................................................................................................................................22
Uitingsvormen ..................................................................................................................................................................... 22
Soorten vormen van anomie .............................................................................................................................................. 22
Hulpmiddel ............................................................................................................................................................23
DIAGNOSTIEK.................................................................................................................................................................23
Anamnese .............................................................................................................................................................23
Doel ...................................................................................................................................................................................... 23
Medische voorgeschiedenis ............................................................................................................................................... 24
Logopedische voorgeschiedenis ........................................................................................................................................ 24
Persoonlijke gegevens ........................................................................................................................................................ 24
Hoe kiezen voor de juiste test? ............................................................................................................................25
Logopedisch materiaal .........................................................................................................................................26
Screenings .............................................................................................................................................................26
ScreeLing ............................................................................................................................................................................. 26
Token Test ........................................................................................................................................................................... 27
UITGEBREIDE DIAGNOSTIEK ..............................................................................................................................................28
Klassieke benadering ............................................................................................................................................28
AAT (Akense Afasie Test) .................................................................................................................................................... 28
CAT-NL ................................................................................................................................................................................. 29
Specifieke tests, aanvullingen en alternatieven ................................................................................................................ 30
Cognitief-neuropsychologische benadering ........................................................................................................31
PALPA (Psycholinguistic Assessments of Language Processing in Aphasia)..................................................................... 31
WEZT (Werkwoord- en Zinnentest) ................................................................................................................................... 31
SAT (Semantische Associatie Test) ..................................................................................................................................... 31
Functioneel-communicatieve benadering + QoL .................................................................................................31
ANTAT (Amsterdam-Nijmegen Test voor Alledaagse Taalvaardigheid) ........................................................................... 32
Scenario Test ....................................................................................................................................................................... 32
BIPAC (Behoefte Inventarisatie en Probleem Analyse van Communicatieve Activiteiten)............................................. 32
BEBA (Birkhovense Evaluatieschaal behandeldoelen Afasie) ........................................................................................... 32
TOEPASSING DIAGNOSTIEK ...............................................................................................................................................32
Behandelmateriaal ...............................................................................................................................................33
Color cards........................................................................................................................................................................... 33
Anomix ................................................................................................................................................................................. 34
AfasietherapiePLUS ............................................................................................................................................................. 34
Auditief Taalbegripsprogramma (ATP)............................................................................................................................... 34
Werkboek voor Afasie......................................................................................................................................................... 34
Nederlandse Afasietherapie ............................................................................................................................................... 34
Logotherapia ....................................................................................................................................................................... 34
Taaloefeningen voor Afasiepatiënten ................................................................................................................................ 34
Semantix Links ..................................................................................................................................................................... 34
BOX ...................................................................................................................................................................................... 35
FIKS....................................................................................................................................................................................... 35
Werkwoordproductie op woord- en zinsniveau ............................................................................................................... 35
Visuele Cue Programma ..................................................................................................................................................... 35
Melodic Intonation Therapy (MIT) ..................................................................................................................................... 36
Reduced Syntax Therapy (REST) ......................................................................................................................................... 36
Contraint Induces Aphasia Therapy (CIAT) ........................................................................................................................ 36
Afasiedigitaal ....................................................................................................................................................................... 36
Afasietherapie ..................................................................................................................................................................... 36
COGNITIEVE COMMUNICATIESTOORNISSEN ........................................................................................................................37
Hersentrauma (traumatic brain injury= TBI) .......................................................................................................37
Incidentie en prevalentie .................................................................................................................................................... 37
Een specifieke populatie ..................................................................................................................................................... 37
Ernst ..................................................................................................................................................................................... 37
Verschillende bewustzijnsniveaus ...................................................................................................................................... 38
Gevolgen .............................................................................................................................................................................. 39

2

, Onderzoek ........................................................................................................................................................................... 40
Behandeling ......................................................................................................................................................................... 41
TBI express........................................................................................................................................................................... 41
Casus .................................................................................................................................................................................... 42
Collaboratie ......................................................................................................................................................................... 43
Elaboratie ............................................................................................................................................................................ 43
Rechterhemisfeerletsels .......................................................................................................................................44
Inleiding ............................................................................................................................................................................... 44
Niet-talige symptomen ....................................................................................................................................................... 44
Talige symptomen ............................................................................................................................................................... 46
Diagnostiek .......................................................................................................................................................................... 47
Therapie ............................................................................................................................................................................... 48
Dementie ...............................................................................................................................................................50
Definitie ............................................................................................................................................................................... 50
Delier.................................................................................................................................................................................... 50
Beperkte VS uitgebreide neurocognitieve stoornissen..................................................................................................... 51
Corticale en subcorticale dementie ................................................................................................................................... 52
Rol van de logopedist.......................................................................................................................................................... 55
Behandeling ......................................................................................................................................................................... 57




3

, NAH
Definitie
= niet-aangeboren hersenletsel (acquired brain injury), parapluterm voor alle na de geboorte
verworden hersenbeschadigingen van gelijk welke oorzaak

Incidentie en prevalentie
Incidentie: het aantal nieuwe ‘gevallen’ (per 1000 of 100.000) op een bepaald tijdstip in een
geografisch gebied

Prevalentie: het aantal aanwezige ‘gevallen’ (per 1000 of 100.000) op een bepaald tijdstip in een
geografisch gebied

Vb: Anno 2020 bedraagt de prevalentie van NAH …/100.000 in Europa.

Niet: exacte incidentie-en prevalentiecijfers gegeven worden omdat er geen uniforme definitie en
afbakening is van het begrip (><parapluterm)

Wel: stellen dat incidentie en prevalentie van NAH laatste 50 jaar sterk is toegenomen (door
vergrijzing): de levensverwachtingen nemen toe = de kans op neurogene stoornissen nemen ook toe

Oorzaken
2 grote categorieën:

1. Niet-traumatische hersenletsels
= kunnen ontstaan door een cerebrovasculair incident (CVA), tumoren, infecties, intoxicaties
of kunnen een degeneratieve basis hebben
2. Traumatische hersenletsels
= kunnen ontstaan ten gevolge van letsels aan de schedel of aan de hersenen




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