Addressing Phonological Deficit in Primary Progressive Aphasia With Behavioral Intervention and Transcranial Direct Current Stimulation
Journal of Speech Language and Hearing Research,
Journal Year:
2025,
Volume and Issue:
unknown, P. 1 - 38
Published: April 14, 2025
Purpose:
Despite
recognition
of
the
underlying
phonological
impairment
observed
in
logopenic
and
nonfluent
variants
primary
progressive
aphasia
(PPA),
there
is
relatively
little
treatment
research
directed
toward
strengthening
skills.
In
this
study,
we
focused
on
remediating
deficits
PPA.
Specifically,
hypothesized
that
behavioral
intervention
intended
to
strengthen
manipulation
skills
sound–letter
correspondences—coupled
with
transcranial
direct
current
stimulation
(tDCS)—would
improve
language
abilities,
especially
written
modality.
Method:
Twelve
individuals
or
PPA
24
neurotypical
adults
completed
neuropsychological
assessment
documented
spoken
those
Phonological
were
consistently
impaired
relation
other
processes.
Following
a
double-blind,
crossover
design,
six
randomized
receive
active
tDCS
during
first
phase,
after
2-month
break,
they
received
second
phase
paired
sham
tDCS.
The
second.
Language
evaluated
before
each
2
months
intervention.
Results:
Both
groups
(tDCS-first
sham-first)
made
significant
improvement
transcoding
response
intervention,
but
who
showed
stronger
gains
ability.
This
group
also
positive
changes
narratives,
which
contained
more
grammatical
sentences
increased
meaningful
content
accurate
spelling.
Conclusions:
These
data
provide
compelling
evidence
supporting
an
approach
targets
found
improved
resulted
better
functional
communication
ability
(text-level
writing)
relevant
everyday
life.
Positive
outcomes
strongest
when
was
combined
from
beginning,
suggesting
combination
may
potentiate
extend
beyond
initial
period.
Supplemental
Material:
https://doi.org/10.23641/asha.28598195
Language: Английский
Advancing Neuropsychological Rehabilitation in Primary Progressive Aphasia Based on Principles of Cognitive Neuroscience: A Scoping Review and Systematic Analysis of the Data
Brain Sciences,
Journal Year:
2024,
Volume and Issue:
14(12), P. 1234 - 1234
Published: Dec. 8, 2024
Background/Objectives:
This
systematic
review
of
neuropsychological
rehabilitation
strategies
for
primary
progressive
aphasia
will
consider
recent
developments
in
cognitive
neuroscience,
especially
neuroimaging
techniques
such
as
EEG
and
fMRI,
to
outline
how
these
tools
might
be
integrated
into
clinical
practice
maximize
treatment
outcomes.
Methods:
A
search
peer-reviewed
literature
from
the
last
decade
was
performed
following
PRISMA
guidelines
across
multiple
databases.
total
63
studies
were
included,
guided
by
predefined
inclusion
exclusion
criteria,
with
a
focus
on
language
PPA,
interventions
neuroimaging,
mechanisms
neuroplasticity.
Results:
Integration
contributes
increase
efficacy
critical
information
about
neural
underlying
deficits
aphasias.
Traditional
strategies,
technology-assisted
interventions,
non-invasive
brain
stimulation
hold
considerable
promise
improvement.
Neuroimaging
also
found
necessary
subtype-specific
differentiation
toward
tailoring
therapeutic
intervention.
Evidence
shows
that
directed
sustained
using
neuroplasticity
can
have
long-term
effects
managing
symptoms
PPA.
Conclusions:
The
present
underlines
necessity
including
neuroscience
within
enhance
outcomes
In
addition,
modalities
fMRI
are
great
importance
understanding
neurobiology
disturbances
guiding
tailored
interventions.
Long-term
benefits
approaches
should
evaluated,
their
applicability
routine
practice.
Language: Английский