Alexia Assessment: Sentence-Level Assessments

Author: Brett McCardel, MS, CCC-SLP

While some people with alexia will be relatively successful reading single words, they may encounter difficulty reading at the sentence-level. ๐Ÿ“– โฃ
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When assessing reading at the sentence-level, it will be helpful to look at factors beyond just decoding/reading single words in order to determine where the breakdown in reading lies. ๐Ÿ” โฃ
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Cognitive-linguistic factors to consider when assessing reading at the sentence-level include:โฃ
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๐—ฆ๐˜†๐—ป๐˜๐—ฎ๐˜…: difficulty understanding word order and thematic roles (e.g., WHO is doing WHAT) within a sentence can lead to misunderstanding the intended message of a written sentence โฃ
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๐— ๐—ผ๐—ฟ๐—ฝ๐—ต๐—ผ๐—น๐—ผ๐—ด๐˜†: word structures must change in order to fit the grammatical rules of English, and vulnerabilities in morphological skills can make it difficult to understand factors such as tense and pluralityโฃ
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๐—”๐˜๐˜๐—ฒ๐—ป๐˜๐—ถ๐—ผ๐—ป ๐—ฎ๐—ป๐—ฑ/๐—ผ๐—ฟ ๐—ช๐—ผ๐—ฟ๐—ธ๐—ถ๐—ป๐—ด ๐— ๐—ฒ๐—บ๐—ผ๐—ฟ๐˜†: difficulty reading may also be due to difficulty attending to an entire sentence and following through to its completion; in addition, working memory vulnerabilities may make it difficult for a person to keep track of all the thematic roles and details within a sentenceโฃ
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If you suspect vulnerabilities in any of these domains, there are a variety of assessments you can consider using to help better determine reading difficulties:โฃ
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๐—ฆ๐˜†๐—ป๐˜๐—ฎ๐˜…:โฃ
-Comprehensive Aphasia Test: Written Sentence Comprehensionโฃ
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-Kempler Sentence Comprehension Testโฃ (featured in picture)
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-Psycholinguistic Assessment of Language #27: Written Sentence Comprehensionโฃ
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-Northwestern Assessment of Verbs and Sentences: Sentence Comprehension Testโฃ
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๐— ๐—ผ๐—ฟ๐—ฝ๐—ต๐—ผ๐—น๐—ผ๐—ด๐˜†:โฃ
-Northwestern Assessment of Verb Inflectionโฃ
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๐—”๐˜๐˜๐—ฒ๐—ป๐˜๐—ถ๐—ผ๐—ป:โฃ
-Test of Everyday Attentionโฃ
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๐—ช๐—ผ๐—ฟ๐—ธ๐—ถ๐—ป๐—ด ๐— ๐—ฒ๐—บ๐—ผ๐—ฟ๐˜†:โฃ
-N-back taskโฃ
-Reverse Digit Span Taskโฃ
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By better understanding our clientโ€™s specific reading profile, we can make treatment all the more effective and meaningful!โฃ
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#aphasia #aphasiatherapy #neurorehabilitation #medslp #alexia #assessment

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