Multiple Sclerosis - A Practical Guide to Rehabilitation - 36

AIMS

A PRACTICAL GUIDE TO IDIOPATHIC PULMONARY FIBROSIS

Table 13. Cognitive-Communication Testing
Functional Assessment of Verbal Reasoning
and Executive Strategies (FAVRES)135
- Time to administer: 1 hour
- 4 subtests with functional planning and
organizing activities
- Follow-up verbal reasoning questions for each task
- Norms for accuracy and rationale, and time to
complete each subtest; can administer
individual subtests
- Tasks relate to everyday planning and work tasks
- School version available for younger clients
- May be fatiguing for some to complete
Mt. Wilga High Level Language Test (MWHLLT)136
- Time to administer: 45 minutes-1 hour
- Most recent (2016) version is not normed
- Assesses higher-level verbal formulation and
reasoning problems
- More complex than confrontation naming
and verbal fluency assessments
- Available online free of charge

Cognitive Linguistic Quick Test138
- Time to administer: less than 30 minutes
- Normed assessment of cognitive linguistic
abilities
- Comprehensive, 10 subtests, encompasses
all cognitive domains
- Appropriate for individuals with moderate
cognitive changes
Cognitive Communication Checklist for
Acquired Brain Injury134
- Checklist of cognitive communication
behaviors
- Can be easily provided as a take-home to
complete
- May be provided to individuals by family
physicians, neurology, physiatry, or nursing
to flag cognitive communication concerns

Scales of Cognitive and Communication Ability for Neurorehabilitation (SCCAN)137
- Time to administer: 45 minutes
- Normed assessment of cognitive-linguistic abilities
- Generally more focused on linguistic tasks than CLQT
- Appropriate for those with mild-moderate cognitive changes
formulation, the Mount Wilga High Level
Language Test (MWHLLT), while not
standardized in the current (revised) version, can
provide a screen for various aspects of higher-level
language136 Descriptions of these assessments are
provided in Table 13.
In patients with MS, changes in cognition may
begin early. Often, cognitive communication
disorders will affect participation and
performance at work and in social settings.
Working closely with patients to develop and
troubleshoot strategies for their specific concerns
can help minimize the impact and may prolong
employment. Common concerns and strategies
for dealing with them are listed below, however,
individualized strategies will provide the best

36

success. Such strategies may overlap with those
recommended for other cognition-based
difficulties. Coordination of care between OT,
SLP, and neuropsychology can reduce potentially
conflicting strategies and allow the patient to
focus on a few effective approaches and avoid
getting overwhelmed.
* Common concern: Reduced recall of
conversations
* Possible management strategies
- Keep one notebook to record details of
important conversations; notebook as
"source of truth;" Reference notebook for
details of previous conversation prior to
raising topic again

Speech, Swallowing Issues, and Oral Health



Multiple Sclerosis - A Practical Guide to Rehabilitation

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Contents
Multiple Sclerosis - A Practical Guide to Rehabilitation - Contents
Multiple Sclerosis - A Practical Guide to Rehabilitation - Cover2
Multiple Sclerosis - A Practical Guide to Rehabilitation - 1
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Multiple Sclerosis - A Practical Guide to Rehabilitation - Cover3
Multiple Sclerosis - A Practical Guide to Rehabilitation - Cover4
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