汉语标准失语症检查表(中康法)(国外英文资料).docVIP

汉语标准失语症检查表(中康法)(国外英文资料) Xinzhou peoples hospital rehabilitation medicine discipline Chinese standard aphasia check list Name:???????????? (men and women)??????????????????????????????? ?? Birthplace: Onset date:??????? Year?????? Month?????? The day??????????????????????????????????????? Age:????? At the age of Disease diagnosis:???????????????????????????????????????????????? Cultural degree: CT/MRI results:?????????????????????????????????????? ?? ? Career: Language diagnosis:????? ? The hand: Paralysis:????????? Left?????? Right?????? Double??? ? Check time:??? When?? points Inspection date:???? Year?????? Month?????? The day??????????????????????????????????????? The checker: According to the results of the inspection, the symptoms of speech should be summarized and the following items should be noted: Speech loss 3. Discovery action 4. False language Rhythm 7. Grammar block 8. Words 9. Mirror words 10. Correct yourself Persistent memory 12. Desire 13. Fatigue 14. Attention The general condition of speech symptom To understand the general condition of the patient by asking the patient the following questions: 1 name:? ? 7 degree: Address:? ? 8 the hobby Birth date (year) 9 main complaint 4 age? ? Before and after the onset of disease Five family members? ? 11 ill condition 6 professional history? ? 12 dialect A,? ? Listen to the Noun understanding Explanation: please indicate which picture is coming? No response time and no response time after 15 seconds. 6 points: correct in 3 seconds. 5 points: correct in 15 seconds. 3 minute: prompt answer correct 1 point: the answer is not correct after the prompt. Stop A: three minutes, two consecutive questions. ? Stop B: full inspection The problem? ? score 1 watermelon? ? 2 fish? ? 3 the bike? ? 4 the moon? ? Five chairs? ? 6 the light? ? 7 the fire? ? Eight clock? ? 9 toothbrush? ? 10 buildings? ? ? 2 verbs understanding The instructions are the same as the ratings. The problem? ? score 1 fly? ? 2 sleep? ? 3 drink water