失语表WAB(国外英文资料).docVIP

失语表WAB Evaluation form of the aphasia of the peoples hospital of jiangsu province (WAB) Name: male/female age: age Date of onset: date of the year: address: Occupation: cultural degree (education years) : A parent b mother culture degree, the hand: high middle and low left right CT/MRI (site, nature, size) : Diagnosis: Language diagnosis (severity) : left/right Paralyzed side: left/right Brunnstrom rating: ADL for upper arm Sensory impairment: shallow/deep left/right/lower leg tendon reflex: left/right/lower/lower/lower/lower/lower/lower/lower/lower/lower/lower/lower/lower/lower/lower/lower/lower/lower/lower/lower/lower/lower/lower Pathologic reflection: left/right + / - swallowing disorder: there is a/no mouth loss: tongue, chin, mouth, and tongue Four high: pressure/sugar/fat/heavy heart attack/wine: year Inspection date: (date) (month) (year) inspectors: evaluation of available: minutes A. completion Ο complete or correct? Partially complete or partially correct X is incomplete or incorrect B. language features A good LC/b for ZLC/c poor BLC/d hard FL. (a noise ZSCY/b phoneme YSCY/c, CYCY/d new, XY/e, ZLY/sisheng SSCY); A loss SYF/b disorder. A relaxation CH/b convulsive JL/c ataxia GJST. The volume of the Va is small. VI short phrases DYD; VII write a mirror text, JXWZ/b. VIII ZHHT transformation topic; IX CXXX continued phenomenon; X a imitates the language MFYYX/b completion. XI a suggests that TS (XCTS/voice YYTS)/b is difficult to find. The XIIa stereotype is KBYY/b dumb Y The amount of information in spontaneous speech (10 points), fluency, grammar and error (10 points) Ⅱ problem complete Characteristics of the note How are you today? Have you been here before? (3) whats your name? (4) where do you live? (5) what do you do? (6) why are you here? (7) please tell me, what do you see in this picture? Try saying it to me in sentences conclusion Information score: Fluency, grammar, and mis-language scores: Listen and check A. answer the right question (60 points