2B_Marotta_Verbal and non verbal communication-Topic 2

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The project is being implemented with the support of UNICEF Ukraine and with financial support from the Government of Norway.

Implemented by: Partner:

Assessment and intervention in acquired speech, language and communication impairments

Area Clinica di Neuroscienze

Neuroriabilitazione Santa Marinella

Luigi Marotta

luigi.marotta@opbg.net

PROGRAM

Topic 1 (30 minutes)

Verbal and non-verbal communication. Language and communication deficits after other injuries.

Topic 2 (30 minutes)

Evaluation procedures and assestment tools. Receptive abilities.

Topic 3 (30 minutes)

Evaluation procedures and assestment tools. Expressive abilities.

Topic 4 (30 minutes)

Guidelines and care needs. Augmentative Alternative Communication strategies.

Assessment and intervention in acquired speech, language and communication impairments

Area Clinica di Neuroscienze

Neuroriabilitazione Santa Marinella

Luigi Marotta

luigi.marotta@opbg.net

PROGRAM

Topic 1 (30 minutes)

Verbal and non-verbal communication. Language and communication deficits after other injuries.

Topic 2 (30 minutes)

Evaluation procedures and assestment tools. Receptive abilities.

Topic 3 (30 minutes)

Evaluation procedures and assestment tools. Expressive abilities.

Topic 4 (30 minutes)

Guidelines and care needs. Augmentative Alternative Communication strategies.

PROGRAM

Topic 1 (30 minutes)

Verbal and non-verbal communication. Language and communication deficits after other injuries.

Topic 2 (30 minutes)

Evaluation procedures and assestment tools. Receptive abilities.

Topic 3 (30 minutes)

Evaluation procedures and assestment tools. Expressive abilities.

Topic 4 (30 minutes)

Guidelines and care needs. Augmentative Alternative Communication strategies.

The purpose of this section is to propose a procedure for assessing language and communication skills.

The neuropsychological language model we will use (Paradis, 1994), is widely adopted in clinical practice and research, particularly in Europe, but not exclusively.

There are, many international assessment tools use this model, which helps to identify common goals and methods in assessment.

Furthermore, Paradis' model has a direct relationship with the memory model used by Squire (1982) and the one used by Hulmann (2005) to describe language disorders.

INTRODUCTION

Paradis’ language model distinguishes between two types of language knowledge: implicit, which is unconsciously acquired explicit, which is consciously learned. This model has significant implications for language learning, particularly for sequential bilinguals.

INTRODUCTION

(Squire memory model, 1984)

INTRODUCTION

(Hullman memory model, 2005)

Knowledge of the meaning of words, their constituent sounds and semantic representation.

LEXICON GRAMMAR

Understanding of idiomatic phrases, knowledge of verbs and irregular words.

PROCEDURAL MEMORY DECLARATIVE MEMORY

Explicit, rapid memory.

Representation and retrieval of facts (semantic knowledge) and events (episodic knowledge).

PROCEDURAL MEMORY DECLARATIVE MEMORY

LEXICON GRAMMAR

LEXICON GRAMMAR

Acquisition and use of grammatical rules

DECLARATIVE MEMORY

PROCEDURAL MEMORY

Construction, combination and implementation of syntactic or phonological rules.

LEXICON GRAMMAR

Implicit memory system: unconscious learning due to multiple exposure to a stimulus.

DECLARATIVE MEMORY

PROCEDURAL MEMORY

THE BVL LANGUAGE ASSESSMENT BATTERY 4_12

(Marini, Marotta, Bulgheroni, Fabbro; 2015)

THE BVL LANGUAGE ASSESSMENT BATTERY 4_12

(Marini, Marotta, Bulgheroni, Fabbro; 2015)

This battery assesses phonological, lexical, semantic, pragmatic and narrative skills in production, comprehension and oral repetition tasks in children aged 4 to 12 years. It is useful for identifying language and communication disorders in children aged 4 to 12 years.

THE BVL LANGUAGE ASSESSMENT BATTERY 4_12

(Marini, Marotta, Bulgheroni, Fabbro; 2015)

It makes it possible to evaluate the level of linguistic competence achieved in Italian by children of different mother tongues.

Croatian

English

German

Italian

Russian

Age 4-12 typical development

mother tongue

Balanced by:

gender schooling

social-economic level

The BVL_4-12 is divided into three

sections

The first section assesses oral production skills through six tests that explore different aspects of language production: lexical selection and access morphological and morphosyntactic knowledge verbal production

The tests that make up this section are:

• Naming and Articulation (for children aged 4-6.11) • Naming (for children aged 7-11.11) • Semantic Fluency • Phonological Fluency • Sentence Completion • Multilevel Assessment of Narrative Speech

The BVL_4-12 is divided into

three sections

The second section assesses listening comprehension skills: metaphonological skills

lexical and grammatical comprehension pragmatic skills related to oral language interactions

The tests that make up this section are:

Phonological Discrimination

• Preschool Lexical Comprehension (4 to 5.11 years)

• School Age Lexical Comprehension (6 to 11.11 years)

The tests that make up this section

are: • Grammatical Comprehension • Grammatical Judgement

• Understanding Idiomatic Expressions

• Understanding Linguistic Prosody

• Understanding Emotional Prosody

The BVL_4-12 is divided into

three sections

The third section assesses oral repetition skills:

syllables

non-words

words

sentences

The tests that make up this section are:

Word Repetition

Non-Word Repetition • Preschool Sentence Repetition (4 to 5.11 years) • School Age Sentence Repetition (6 to 11.11 years)

INITIAL ASSESMENT PROTOCOL

The complete battery consists of 18 tests, but not all of them need to be administered.

We use an initial protocol, to which additional in-depth tests are added if necessary.

The following slides illustrate the methodology.

INITIAL ASSESMENT PROTOCOL

1. uditive discrimination (couple of word)

2. lexical comprehension (single words)

3. grammatical comprehension (sentences)

4. lexical production (single words)

5. grammatical production (repetition of words, non-words and sentences)

6. spontaneous narration (from pictures)

INITIAL ASSESMENT PROTOCOL

1. uditive discrimination (couple of word)

2. lexical comprehension (single words)

3. grammatical comprehension (sentences)

4. lexical production (single words)

5. grammatical production (repetition of words, non-words and sentences)

6. spontaneous narration (from pictures)

INITIAL ASSESMENT PROTOCOL

1. uditive discrimination (couple of word)

2. lexical comprehension (single words)

3. grammatical comprehension (sentences)

4. lexical production (single words)

5. grammatical production (repetition of words, non-words and sentences)

6. spontaneous narration (from pictures)

INITIAL ASSESMENT PROTOCOL

1. uditive discrimination (couple of word)

2. lexical comprehension (single words)

3. grammatical comprehension (sentences)

4. lexical production (single words)

5. grammatical production (repetition of words, non-words and sentences)

6. spontaneous narration (from pictures)

INITIAL ASSESMENT PROTOCOL

1. uditive discrimination (couple of word)

2. lexical comprehension (single words)

3. grammatical comprehension (sentences)

4. lexical production (single words)

5. grammatical production (repetition of words, non-words and sentences)

6. spontaneous narration (from pictures)

INITIAL ASSESMENT PROTOCOL

1. uditive discrimination (couple of word)

2. lexical comprehension (single words)

3. grammatical comprehension (sentences)

4. lexical production (single words)

5. grammatical production (repetition of words, non-words and sentences)

6. spontaneous narration (from pictures)

INITIAL ASSESMENT PROTOCOL

1. uditive discrimination (couple of word)

2. lexical comprehension (single words)

3. grammatical comprehension (sentences)

4. lexical production (single words)

5. grammatical production (repetition of words, non-words and sentences)

6. spontaneous narration (from pictures)

COMPREHENSION TASKS

1. uditive discrimination (couple of word)

2. lexical comprehension (single words)

3. grammatical comprehension (sentences)

COMPREHENSION TASKS

1. uditive discrimination (couple of word)

2. lexical comprehension (single words)

3. grammatical comprehension (sentences)

UDITIVE DISCRIMINATION

What it assesses:

auditory perception

Task: They are same or different?

Estimated time: 5 minutes

Stimuli:

30 minimum pairs of words

Rule Stop: stop after 5 consecutive errors

Rules:

• the child has 10 seconds to answer

• after 5 consecutive wrong answers the test is terminated

• 1 point for each answer

• the percentage of correct recognitions is calculated by subtracting the false recognitions

EXAMPLE OF ITALIAN NORMATIVE DATA

CLINICAL INTERPRETATION OF FINDINGS

Possible deficits

Auditory Perception

Auditory Attention

Deepening ?

CLINICAL INTERPRETATION OF FINDINGS

Deepening Naming and articulation

Repetition of words and non-words

Multilevel assessment narrative elocution

(% of phonological errors)

COMPREHENSION TASKS

1. uditive discrimination (couple of word)

2. lexical comprehension (single words)

3. grammatical comprehension (sentences)

LEXICAL COMPREHENSION

What should be assessed?

Lexical comprehension

Task:

Identify the correct verbal label

Chose between four pictures (distractor: phonological, semantic, unrelated).

Stimuli: 18 for preschoolers; 42 for the schoolers.

Rules:

• the child has 10 seconds to answer

• after 5 consecutive wrong answers the test is terminated

• 1 point for each correct answer

Target: dog

target: ball

CLINICAL INTERPRETATION OF FINDINGS

Possible deficits

Lexical inventory: breadth/access/perception

Deepening?

CLINICAL INTERPRETATION OF FINDINGS

Deepening Phonological discrimination / type of errors

Test:

Naming; Repetition of non-words, words, sentences;

Semantic and phonological fluency;

Multilevel assessment of narrative speech

(% semantic paraphrases, % information units)

EXAMPLE OF ITALIAN NORMATIVE DATA

EXAMPLE OF ITALIAN NORMATIVE DATA

COMPREHENSION TASKS

1. uditive discrimination (couple of word)

2. lexical comprehension (single words)

3. grammatical comprehension (sentences)

GRAMMATICAL COMPREHENSION

What it assess: understanding of syntactic structures

Task: Indicate which of the images describe the proposed sentence.

Distractors: Inflectional morphology

Gender and number

Syntactic organisation

Indicates: the girl holds the book

The girl holds the book

Rules:

• the child has 10 seconds to answer

• after 5 consecutive wrong answers the test is terminated

• 1 point for each correct answer

EXAMPLE OF ITALIAN NORMATIVE DATA

CLINICAL INTERPRETATION OF FINDINGS

Possible deficits

morphosyntactic comprehension, vocabulary, phonological memory, uditive perception

Deepening?

CLINICAL INTERPRETATION OF FINDINGS

Deepening Phonological discrimination / type of errors

Test:

Naming; Repetition of non-words, words, sentences;

Semantic and phonological fluency;

Multilevel assessment of narrative speech

(% semantic paraphrases, % information units)

Recommended bibliography

Marini, A., Marotta, L., Bulgheroni, S., & Fabbro, F. (2015). Batteria per la Valutazione del linguaggio in Bambini dai 4 ai 12 anni (BVL_4-12).

Squire, L. R., & Dede, A. J. (2015). Conscious and unconscious memory systems. Cold Spring Harbor perspectives in biology, 7(3), a021667.

Sansavini, A., Favilla, M. E., Guasti, M. T., Marini, A., Millepiedi, S., Di Martino, M. V., ... & Lorusso, M. L. (2021). Developmental language disorder: Early predictors, age for the diagnosis, and diagnostic tools. A scoping review. Brain sciences, 11(5), 654.

Ullman, M. T. (2004). Contributions of memory circuits to language: The declarative/procedural model. Cognition, 92(1-2), 231-270.

Vite che aiutano la Vita

Il presente documento Ë stato elaborato in n.xx slide da Ospedale Pediatrico Bambino Ges˘ il xxxxxx.

I contenuti sono strettamente riservati; Ë vietata la riproduzione e la divulgazione, anche solo parziale, senza il benestare scritto di Ospedale Pediatrico Bambino Ges˘.

Grazie!

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