Behavioral Treatment for Speech and Language in Primary Progressive Aphasia and Primary Progressive Apraxia of Speech: A Systematic Review

Neuropsychology Review, Год журнала: 2023, Номер 34(3), С. 882 - 923

Опубликована: Окт. 4, 2023

Abstract Primary progressive aphasia (PPA) and primary apraxia of speech (PPAOS) are neurodegenerative syndromes characterized by decline in language or speech. There is a growing number studies investigating speech-language interventions for PPA/PPAOS. An updated systematic evaluation the treatment evidence warranted to inform best clinical practice guide future research. We systematically reviewed behavioral this population. Reviewed articles were published peer-reviewed journals through 31 May 2021. evaluated level evidence, reporting quality, risk bias using modified version American Speech-Language Hearing Association (ASHA) Levels Evidence, an appraisal point system, additional quality internal/external validity items, and, as appropriate, Single Case Experimental Design Scale Physiotherapy Evidence Database – PsycBITE Rating Randomized Non-Randomized Controlled Trials . Results synthesized quantitative summaries narrative review. A total 103 reported outcomes 626 individuals with PPA; no used diagnostic label PPAOS. Most word retrieval. The highest-quality was provided 45 experimental quasi-experimental (16 controlled group studies, 29 single-subject designs). All ( k = 45/45) improvement on outcome measure; most generalization 34/43), maintenance 34/39), social 17/19) at least one participant. available supports intervention persons however, PPAOS awaits investigation. Implications limitations review discussed.

Язык: Английский

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Exploring post-rehabilitation plasticity with intra-cerebral recordings on anomic profiles

Frontiers in Language Sciences, Год журнала: 2025, Номер 3

Опубликована: Янв. 6, 2025

Background Patients with drug-resistant epilepsy involving the language network often exhibit anomic profiles in daily life due to difficulties lexical selection processes. Very little evidence is available regarding effects of rehabilitation this population. Objective(s) We aim induce brain plasticity combined improvements behavioral performance using therapy patients epilepsy. Methods implemented a focused on phonological and semantic features infrequent words over three treatment sessions, each targeting specific category. Intracranial signals were recorded 10 during baseline post-therapy picture-naming sessions. Response times percentages correct responses naming tests collected. Time-frequency analyses conducted intracranial signals, comparisons made between conditions for patient. Results Half demonstrated improved skills following treatment. observed significantly different recruitment frontotemporal areas left hemisphere (including Broca's area) that skills. Specifically, we found high-gamma activity posterior inferior frontal gyrus 500 ms after stimulus onset vs. non-improved This effect was not right hemisphere. Conclusions These findings suggest enhanced associated modifications IFG activations latencies closely tied process.

Язык: Английский

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Rehabilitation Treatment Specification System: Content and Criterion Validity Across Evidence-Based Voice Therapies for Muscle Tension Dysphonia

American Journal of Speech-Language Pathology, Год журнала: 2024, Номер 33(4), С. 1774 - 1791

Опубликована: Апрель 10, 2024

Systematically improving voice therapy outcomes is challenging as the clinician actions (i.e., active ingredients) responsible for improved patient functioning targets) are relatively unknown. The theory-driven Rehabilitation Treatment Specification System (RTSS) and standard, voice-specific terminology based on RTSS (RTSS-Voice) may help address this problem. This qualitative study evaluated if RTSS-Voice can describe four evidence-based therapies muscle tension dysphonia without missing critical aspects (content validity) identify commonalities differences across them (criterion validity).

Язык: Английский

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Errorless, Errorful, and Retrieval Practice for Naming Treatment in Aphasia: A Scoping Review of Learning Mechanisms and Treatment Ingredients

Journal of Speech Language and Hearing Research, Год журнала: 2023, Номер 66(2), С. 668 - 687

Опубликована: Фев. 2, 2023

Increasingly, mechanisms of learning are being considered during aphasia rehabilitation. Well-characterized can inform "how" interventions should be administered to maximize the acquisition and retention treatment gains. This systematic scoping review mapped hypothesized action (MoAs) ingredients in three learning-based approaches targeting naming aphasia: errorless (ELess), errorful (EFul), retrieval practice (RP). The rehabilitation specification system was leveraged describe available literature identify knowledge gaps within a unified framework.

Язык: Английский

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Sorting the “mixed bag” of semantic tasks in aphasia therapy: a scoping review

Aphasiology, Год журнала: 2024, Номер unknown, С. 1 - 38

Опубликована: Сен. 25, 2024

Язык: Английский

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Structural Priming for Sentence Production in Aphasia: What Does Oral Repetition Do?

Journal of Speech Language and Hearing Research, Год журнала: 2025, Номер 68(3), С. 1161 - 1174

Опубликована: Фев. 18, 2025

Structural priming-speakers' unconscious tendency to reuse previously encountered sentence structures (primes) in future production-facilitates access and learning of grammatical representations persons with aphasia (PWAs). However, it remains unclear which components structural priming tasks are essential consistent lasting effects, a discovery critical for cost-effective clinical translation research. We examined the effects orally repeating versus listening primes on immediate production PWAs controls. In collaborative task, participants took turns experimenter, describing transitive dative event pictures. One group controls listened experimenter's descriptions before they described their own picture, whereas other repeated interlocutor's prime sentences target picture descriptions. Experiment 1, description was elicited immediately after (0-lag, priming). 2, two filler trials (2-lag) intervened between target, examining longer term priming. At both priming, significant were observed groups, as indicated by increased productions passives following passive active double-object than prepositional object sentences. did not reliably consistently enhance magnitude across lags groups. Additionally, PWAs' repetition abilities result higher degrees effects. These findings suggest that opportunities processing syntactic shared prior (prime) current (target) utterances is rather ingredient positive PWAs, while an optional can be removed or modified. https://doi.org/10.23641/asha.28291949.

Язык: Английский

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Implicit structural priming as a treatment component for aphasia: Specifying essential learning conditions

Cognitive Neuropsychology, Год журнала: 2025, Номер unknown, С. 1 - 25

Опубликована: Апрель 3, 2025

This study applies implicit structural priming as a novel treatment for sentence production in persons with aphasia (PWA), investigating the learning mechanism(s) that drive robust and enduring recovery. Sixteen PWA 16 controls completed baseline, three training sessions, 1-day 1-week post-testing. Each participant received both alternating single structure prime conditions to test error-based versus repeated activation-based learning. Both groups showed significantly improved maintenance of trained untrained target sentences conditions. While greater gains following training, resulted improvements PWA. These results suggest is an effective aphasia. Additionally, extent different reflected mechanisms underlying access impaired structure, increased base-level activation syntactic supports grammatical encoding more effectively than processing competing structures.

Язык: Английский

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Assessing Functional Communication in Persons With Aphasia: A Scoping Review of Formal and Informal Measures

International Journal of Language & Communication Disorders, Год журнала: 2025, Номер 60(3)

Опубликована: Май 1, 2025

ABSTRACT Background The communicative effectiveness of persons with aphasia (PWA) has been assessed through a range functional communication measures. However, variability in interpretations what is covered by the term “functional communication” may have resulted challenges to implementation appropriate and consistent patient‐centred evaluations, different measures focusing on subsets components communication. Aims This paper aims examine current literature informal formal evaluation PWA identify gaps currently available assessment tools. Methods scoping review included studies published between 1965 2024 that PWA, excluding focused non‐aphasic populations or impairment‐based assessments without real‐world application. Systematic searches were conducted PubMed, Embase, CINAHL, Scopus, PsycINFO using predefined search terms. Of 541 identified, 67 met inclusion criteria after title/abstract full‐text screening. Measures categorized as (standardized) (non‐standardized) evaluated based contextuality, multimodality, interactiveness. Informal also emphasized life participation, quality life, augmentative alternative (AAC) strategies, conversational discourse, informativeness complexity language use, transactions. Main Contribution In review, 32 identified across categories evaluation. (28) patient‐reported, clinician‐reported, observer‐reported, performance‐based outcome Formal (4) systematically normed instruments provided under controlled conditions, yielding diagnosis level specified capability. reviewed measures, limited quantity all for comprehensive aphasia, namely, being contextual, multimodal, interactive. Conclusions Existing reveal findings emphasize need standardized, context‐sensitive tools better reflect dynamic, needs PWA. WHAT THIS PAPER ADDS What already known subject Functional recognized cornerstone assessing abilities (PWA). vary their design implementation, reflecting diverse approaches taken clinical research settings. this adds existing knowledge study emphasizes importance integrating interactiveness into assessments. It highlights valuable contributions tools, which offer adaptability focus identifies opportunities enhance address needs. are potential implications work? Developing holistic will provide clinicians researchers more effective resources evaluate support These advancements promote consistency practice, enable meaningful comparisons studies, ultimately improve participation outcomes

Язык: Английский

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Anomia prehabilitation in temporal lobe epilepsy surgery: A pilot study

Epilepsia, Год журнала: 2025, Номер unknown

Опубликована: Май 10, 2025

Abstract Objective An emerging approach in surgery is to propose prehabilitation programs strengthen the patient's functional abilities before surgical interventions, thus helping them cope better with its consequences. In drug‐resistant language‐dominant temporal lobe epilepsy (LdTLE), treatment carries a risk of increasing cognitive deficits, notably word‐finding difficulties (anomia) and verbal memory that negatively impact personal, social, occupational activities. this study, we invited 15 LdTLE patients enroll speech language program adapted specifics their difficulties, organized daily during preoperative period. Methods Naming performance (for trained untrained words) was studied twice prehabilitation, 1 week 6 months after surgery. Results were analyzed using generalized linear mixed effects model. We found significant effect on items Postoperatively, showed slight nonsignificant increase compared baseline, whereas decline same comparison. Significance conclude words protected from postsurgical than words. Our research can contribute patient support decision‐making; ultimately, might be considered as part individualized care. These encouraging results lay groundwork for more detailed or powerful examinations protective skills.

Язык: Английский

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Generalization in Aphasia Treatment: A Tutorial for Speech-Language Pathologists

American Journal of Speech-Language Pathology, Год журнала: 2023, Номер 33(1), С. 57 - 73

Опубликована: Дек. 5, 2023

Generalization has been defined and instantiated in a variety of ways over the last half-century, this lack consistency created challenges for speech-language pathologists to plan for, implement, measure generalization aphasia treatment protocols. This tutorial provides an overview with focus on how it relates intervention, including synthesis existing principles examples these can be embedded approaches clinical research settings.

Язык: Английский

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