For the first time, the ABA-2 has been updated for the 1994 revision of ICD-10, which is now expected to be implemented by the end of this year. The ABA-2 may be used to determine the diagnosis of FAS or ASD. It is not intended to be used as a diagnostic aid for determining the severity of apraxia. The decision of when to use the ABA-2 depends on the purpose for which the test is being used. The ABA-2 is not intended to be used as a diagnostic aid for determining whether a patient has aphasia or dementia. The ABA-2 is a language test and is not designed to be used as a diagnostic aid to determine whether a patient has an emotional or behavioral disorder. The ABA-2 will be used to determine the diagnosis of FAS or ASD. The ABA-2 is also considered to be a general test of language. It is not intended to be used to determine whether a patient has a social or emotional problem, has a problem with thinking, or has an attention or memory problem. There are six different ABA-2 subscores:
The four subtests were given as a single test. If the test was administered only as a battery, the average of the four scores is used. If the test was administered only as a measure of speech comprehension and production, then the scores on the two subtests that were administered are averaged. If the test was administered as a measure of speech comprehension and production, the scores on the two subtests that were administered are averaged. The resulting score from the new test is the best estimate of the patient's overall level of apraxia.
The test instructions now state clearly that the ABA-2 is intended for use with aphasic patients who have difficulties understanding or producing speech. The instructions do not apply to those who have normal speech. The test instructions were revised to make it clear that the ABA-2 cannot be used to make a diagnosis of apraxia.
The ABA-2 underwent two field trials. The first trial was a primary care test in a general neurology clinic population, and the second trial was a primary care test in a geriatric population. Results of these primary care trials were positive, and the ABA-2 will be made available to all physicians and hospitals. The ABA-2 will be the first test approved by the U.S. Food and Drug Administration that is approved for use as a diagnostic tool to establish a diagnosis of apraxia. The ABA-2 is being used to diagnose over 300 people with apraxia.
The ABA-2 has been standardized for use in a wide variety of clinical situations in which assessment of a person’s articulation is desired. The instrument is a comprehensive screening test which has proven to be a reliable and effective instrument for identifying infants and adults with language disorders.
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