Aphasiology,
Journal Year:
2023,
Volume and Issue:
38(7), P. 1195 - 1221
Published: Oct. 22, 2023
Introduction
Feedback
is
a
fundamental
aspect
of
aphasia
treatments.
However,
learning
from
feedback
cognitively
demanding
process.
At
the
most
basic
level,
individuals
must
detect
and
extract
outcome-related
information
(i.e.,
processing).
Neuroanatomical
neuropsychological
differences
associated
with
post-stroke
may
influence
processing
potentially
how
people
(PWA)
respond
to
feedback-based
To
better
understand
affects
learning,
current
study
leverages
event-related
potentials
(ERPs)
(1)
characterize
relationship
between
(2)
identify
cognitive
skills
that
are
processing,
(3)
behavioural
correlates
in
PWA.
Journal of Speech Language and Hearing Research,
Journal Year:
2023,
Volume and Issue:
unknown, P. 1 - 17
Published: Feb. 24, 2023
Background:
Aphasia
therapy
is
an
effective
approach
to
improve
language
function
in
chronic
aphasia.
However,
it
remains
unclear
what
prognostic
factors
facilitate
response
at
the
individual
level.
Here,
we
utilized
data
from
POLAR
(Predicting
Outcomes
of
Language
Rehabilitation
Aphasia)
trial
(a)
determine
therapy-induced
change
confrontation
naming
and
long-term
maintenance
gains
(b)
examine
extent
which
aphasia
severity,
age,
education,
time
postonset,
cognitive
reserve
predict
1
week,
month,
6
months
posttherapy.
Method:
A
total
107
participants
with
(≥
12
poststroke)
underwent
extensive
case
history,
cognitive–linguistic
testing,
a
neuroimaging
workup
prior
receiving
weeks
impairment-based
therapy.
Therapy-induced
performance
(measured
as
raw
on
175-item
Philadelphia
Naming
Test
[PNT])
was
assessed
week
after
follow-up
points
month
completion.
Change
over
evaluated
using
paired
t
tests,
linear
mixed-effects
models
were
constructed
association
between
outcomes.
Results:
improved
by
5.9
PNT
items
(Cohen's
d
=
0.56,
p
<
.001)
6.4
(
0.66,
7.5
0.65,
completion,
respectively.
severity
emerged
strongest
predictor
improvement
recovery
across
points;
mild
(ß
5.85–9.02)
moderate
9.65–11.54)
impairment
predicted
better
than
severe
1.31–3.37)
very
0.20–0.32)
Age
emergent
factor
for
−0.14)
−0.20)
therapy,
postonset
−0.05)
associated
retention
Conclusions:
These
results
suggest
that
predictable
based
several
easily
measurable
factors.
Broadly
speaking,
these
prognostication
procedures
can
be
indicate
personalization
realistic
goal
near
future.
Supplemental
Material:
https://doi.org/10.23641/asha.22141829
International Journal of Speech-Language Pathology,
Journal Year:
2024,
Volume and Issue:
unknown, P. 1 - 19
Published: Feb. 14, 2024
The
influential
relationship
between
executive
functioning
and
aphasia
rehabilitation
outcomes
has
been
addressed
in
a
number
of
studies,
but
few
have
studied
the
effect
adding
function
training
to
linguistic
therapies.
present
study
aimed
measure
effects
combining,
within
therapy
sessions,
anomia
on
naming
discourse
abilities
people
with
chronic
aphasia.
A
single-case
experimental
design
multiple
baselines
across
participants
was
used.
Four
persons
post-stroke
received
12
sessions
tailored
treatment
combining
semantic
feature
analysis
(SFA)
therapy.
Naming
accuracy
treated
items
examined
over
course
while
control
scores
untreated
measures
were
collected
pre-treatment,
immediately
post-treatment,
4
weeks
order
investigate
multidimensional
their
maintenance.
skills
improved
all
for
items,
maintained
time,
accompanied
by
abilities.
Visual
statistical
analyses
showed
significant
three
out
four
participants.
combination
SFA
may
improve
both
efficiency.
Further
studies
are
needed
substantiate
these
promising
preliminary
results.
Journal of Speech Language and Hearing Research,
Journal Year:
2024,
Volume and Issue:
67(5), P. 1558 - 1600
Published: April 17, 2024
The
present
meta-analysis
investigated
the
efficacy
of
anomia
treatment
in
bilingual
and
multilingual
persons
with
aphasia
(BPWAs)
by
assessing
magnitudes
six
outcomes.
Three
outcomes
pertained
to
"trained
language":
improvement
trained
words
(treatment
effect
[TE]),
within-language
generalization
semantically
related
untrained
(WLG-Related),
unrelated
(WLG-Unrelated).
were
for
"untrained
translations
(cross-language
[CLG-Tx]),
cross-language
(CLG-Related),
(CLG-Unrelated).
This
study
also
examined
participant-
treatment-related
predictors
these
Journal of Neurology,
Journal Year:
2024,
Volume and Issue:
271(11), P. 7169 - 7183
Published: May 20, 2024
Abstract
Background
Aphasia
is
a
devastating
consequence
after
stroke,
affecting
millions
of
patients
each
year.
Studies
have
shown
that
intensive
speech
and
language
therapy
(SLT)
effective
in
the
chronic
phase
aphasia.
Leveraging
large
single-center
cohort
persons
with
aphasia
(PWA)
including
also
subacute
phase,
we
assessed
treatment
effects
real-world
setting.
Methods
Data
were
collected
at
Aachen
ward
Germany
between
2003
2020.
Immediate
responses
across
different
domains
Test
(AAT)
using
single-case
psychometrics,
conducted
before
6–7
weeks
SLT
(10
h
per
week,
median
(IQR)
dosage
=
68
(61–76)).
We
adjusted
for
spontaneous
recovery
patients.
Differential
subgroups
chronicity
predictors
response
investigated.
Results
A
total
448
PWA
included
(29%
female,
age
54
(46–62)
years,
time
post-onset
11
(6–20)
months)
12%
early
subacute,
15%
late
74%
The
immediate
responder
rate
was
59%.
Significant
improvements
all
AAT
subtests
und
subscales
observed
hinting
broad
effectiveness
domains.
degree
therapy-induced
improvement
did
not
differ
groups.
Time
post-onset,
severity
beginning
response.
Discussion
Intensive
protocols
stroke
are
yielding
substantial
rates
routine
clinical
setting
wide
range
International Journal of Language & Communication Disorders,
Journal Year:
2024,
Volume and Issue:
59(6), P. 2239 - 2264
Published: June 21, 2024
Abstract
Background
Over
50%
of
individuals
with
aphasia
face
ongoing
word‐finding
issues.
Studies
have
found
phonologically
oriented
therapy
helpful
for
English
speakers,
but
this
has
not
yet
been
studied
in
French.
It
is
essential
to
assess
the
effectiveness
such
a
French,
considering
distinct
linguistic
typologies
between
both
languages,
which
may
impact
outcomes
interventions.
Aim
This
paper
evaluates
French
Phonological
Component
Analysis
(Fr‐PCA)
on
communication
skills
chronic
and
individual
factors
treatment
success.
Methods
&
Procedures
Eighteen
received
15
h
Fr‐PCA
over
5
weeks.
Naming
accuracy
treated
untreated
words
was
measured
before
after
therapy,
as
well
at
3‐
6‐month
follow‐ups.
Secondary
outcome
measures
included
standardized
tests
measuring
within‐level
generalization
(object
action
naming)
across‐level
(repetition,
verbal
fluency,
oral
comprehension,
reported
by
frequent
partner).
Outcomes
Results
led
improved
(17
participants
out
18)
(9
18),
gains
maintained
follow‐up
(7
10
6
untreated),
partner
(11
16).
Age,
apraxia
speech
severity
initial
anomia
impacted
gains.
Conclusions
Implications
Though
more
research
needed,
results
suggest
benefits
living
aphasia.
Identifying
influencing
could
enable
clinicians
improve
tailoring.
WHAT
THIS
PAPER
ADDS
What
already
known
subject
(PCA)
improves
naming
items
There
also
evidence
supporting
long‐lasting
following
PCA.
However,
PCA
never
language
presenting
different
typology
than
English,
we
know
little
can
influence
benefits.
adds
existing
knowledge
Through
group‐level
analyses
personalized
sets
tests,
study
shows
that
constitutes
an
effective
protocol
francophone
The
are
generalized
levels
other
naming,
effectiveness.
Individual
age,
outcomes.
potential
or
actual
clinical
implications
work?
now
strong
morphological‐phonological
interactions.
Furthermore,
when
working
severe
speech,
still
be
made,
might
longer
attain.
Clinical and Translational Neuroscience,
Journal Year:
2022,
Volume and Issue:
6(4), P. 24 - 24
Published: Oct. 17, 2022
The
impact
of
aphasia
on
the
everyday
life
Greek-speaking
people
with
(PWA)
is
often
underestimated
by
rehabilitation
clinicians.
This
study
explores
adaptation
and
psychometric
properties
Greek
(GR)
version
Aphasia
Impact
Questionnaire-21
(AIQ-21-GR)
to
address
this
issue.
aim
determine
reliability
validity
AIQ-21.
AIQ-21-GR
was
administered
69
stroke
survivors,
47
22
without
aphasia.
data
were
analyzed
validity.
Content
based
Consensus-based
Standards
for
selection
health
Measurement
Instruments
guidelines.
shows
high
levels
results
confirmed
scores
internal
consistency
(Cronbach’s
α
=
0.91)
indicated
good
known—groups
(Mann–Whitney
U
202,
p
<
001).
achieved
an
overall
median
score
4
[Q25
4,
Q75
5].
support
tool
investigating
quality
PWA.
can
be
used
setting
functional
goals
in
collaboration
PWA
as
a
patient
reported
outcome
measure
communication
training.
Brain Communications,
Journal Year:
2022,
Volume and Issue:
5(1)
Published: Dec. 21, 2022
The
ability
to
produce
words
through
singing
can
be
preserved
in
severe
aphasia,
but
the
benefits
of
group-based
rehabilitation
aphasia
are
largely
unknown.
Our
aim
was
determine
efficacy
a
multicomponent
intervention
on
communication
and
speech
production,
emotional-social
functioning
caregiver
well-being
aphasia.
Fifty-four
patients
with
acquired
brain
injury
chronic
their
family
caregivers
(n
=
43)
were
recruited.
Using
crossover
randomized
controlled
trial
design,
participants
two
groups
who
received
4-month
either
during
first
or
second
half
study
addition
standard
care.
comprised
weekly
training
(including
choir
group-level
melodic
intonation
therapy)
tablet-assisted
at
home.
At
baseline,
5-
9-month
stages,
assessed
tests
questionnaires
mood,
social
functioning,
quality
life
burden.
All
participated
baseline
measurement
50)
included
linear
mixed
model
analyses.
Compared
care,
improved
everyday
responsive
production
from
5-month
stage,
these
changes
sustained
also
longitudinally
(baseline
stage).
Additionally,
enhanced
patients'
participation
reduced
This
provides
novel
evidence
that
enhance
spoken
language
as
well
improve
psychosocial
wellbeing
caregivers.
https://www.clinicaltrials.gov,
Unique
identifier:
NCT03501797.
