Assessments and Protocols

Tools used for this purpose

The tests are based on the standard assessment of aphasiology. There are automatic series such as counting, reciting days of the week and months of the year.

The naming tests, the designation and the handling of objects are selected from current daily life’s objects (key-glass-watch-spectacles-glasses-phone-telephone-comb-scissors-razor-envelope-pencil)

Protocol

1. GREETINGS

Hello – Goodbye – See you tomorrow

Each greeting is repeated once with 1 second interval between each sound sequence

A 3 seconds space is left between each different greeting

Eg: «Hello» (1 second) «Hello» [3 seconds] «Goodbye» (1 second) «Goodbye» [3 seconds] etc … etc …

2. AUTOMATISMS

Counting – Days of the week – Month of the year

Each instruction is given once, with 3 sound sequences of the series.

A space of 1 second is left between each repetition and 3 seconds between each automatic series.

Eg: « We will count together from 1 to 11: 1 2 3 4 5 6 7 8 9 10 11 » (1 second) « 1 2 3 4 5 6 7 8 9 10 11 » (1 second) « 1 2 3 4 5 6 7 8 9 10 11 » [3 seconds] « Let’s say together the days of the week: Monday Tuesday Wednesday Thursday Friday Saturday Sunday » (1 second) « Monday Tuesday Wednesday Thursday Friday Saturday Sunday » (1 second) « Monday Tuesday Wednesday Thursday Friday Saturday Sunday» [3 seconds] «Let’s say together the months of the year » etc …

3. SONG

The song is sung 3 times with 1 second space between each sound sequence

4. DENOMINATION

10 objects are presented to the patient:

A key – A glass – A watch – Glasses – A telephone – A comb – Scissors – A razor – An envelope – A pencil

The instruction is repeated once, with 1 second space between each sound sequence.

The name of each object is repeated once, with 1second space between the introductory sentence and the verbalization of the object name and 1 second space between each naming. The change in each item is silenced for 3 seconds.

Eg : It’s the…/1 second/key (1 second) it’s the…/1second/key [3 seconds]  It’s the…/1second/glass (1 second) it’s the…/1 second/glass [3 seconds] etc…etc…

5. DESIGNATION

As for the naming, the instruction is repeated once with the same pattern of pause between the sound sequences. The objects are presented in groups of 2, 3 and 5. The designation instruction follows the order as indicated below:

Envelope-Key /  Razor-Glass-Pencil / Telephone-Watch-Scissors-Comb-Glasses

Be careful : the objects are placed in front of the patient, from left to right, in the following order: key-envelope / glass-pencil-razor / comb-watch-spectacles-phone-scissors

The recordings take into account this arrangement with 1 repetition of each instruction and, 1 second between the designation’s requests on the same object, then 3 seconds of silence for the presentation of the following group of objects.

Eg : Please show me where the envelope is (1 second) Please show me where the envelope is (1 second)  Please show me where the key is (1 second) Please show me where  the key is [3 seconds]  Please show me where the razor is (1 second) Please show me where the razor is (1 second) Please show me where the glass is (1 second) Please show me where the glass is (1 second) Please show me where the pencil is (1 second) Please show me where the pencil is [3 seconds] etc…etc…

6. HANDLING OBJECTS

Comb            Glasses            Pencil and envelope          Glass and scissors

The general instruction is repeated once with 1 second space between each sound sequence.

The instructions relating to the different object handling sequences are repeated once, also with 1 second space between each sound sequence and 3 seconds at the change of instruction.

Eg: « Please take this » (1 second) « Please take this » [3 seconds] « Please give me the glasses » (1 second) « Please give me the glasses » [3 seconds] etc … etc …

For the first instruction « Please take this », the examiner places a comb on his open hand, but does not initiate any gesture towards the patient.

For the second instruction, « Please give me the glasses », a pair of glasses is placed in front of the patient and the examiner reaches out to the patient, by non-verbally initiating an expectation.

For the third instruction, « Please put the pencil on the envelope », the two items sare place in front of the patient. The mos common mistakes are : the attempt to write on the envelope or putting the pencil in the envelope.

For the last instruction « Please turn the glass over and the take the scissors », the two items are placed in front of the patient. The most common mistakes are : the patient takes the two objects to give them back ; the patient puts the pair of scissors in the glass.

 

 

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