Language Changes Following Combined Aphasia and Apraxia of Speech Treatment

2018 ◽  
Vol 27 (1S) ◽  
pp. 323-335 ◽  
Author(s):  
Lisa D. Bunker ◽  
Sandra Wright ◽  
Julie L. Wambaugh
Keyword(s):  
Clinical Application ◽  
Narrative Discourse ◽  
Apraxia Of Speech ◽  
Lexical Diversity ◽  
Nonfluent Aphasia ◽  
Positive Treatment ◽  
Response Profiles ◽  
Speech Treatment ◽  
Post Hoc ◽  
Language Output

Purpose Combined Aphasia and Apraxia of Speech Treatment (CAAST) is a newly developed treatment shown to increase production of accurate content in narrative discourse for persons with aphasia and apraxia of speech. The purpose of this post hoc study was to further describe lexical and morphosyntactic changes associated with changes in content production. Method Existing probe data from 8 persons with aphasia who had completed CAAST were used to complete analyses of morphosyntactic production, lexical diversity, and novelty of content. Language analyses were completed using discourse samples obtained at numerous pretreatment and posttreatment intervals. Results All participants demonstrated gains in morphosyntactic language output for treated items, which extended to untreated sets for 7 participants. All 8 increased in production of novel content. Lexical diversity increases were evident for most participants. Although there were some similarities in language changes, there was substantial variability across response profiles. Conclusion CAAST, previously associated with positive treatment effects for production of accurate content, also appears to facilitate acquisition and generalization of morphosyntactic complexity, lexical diversity, and novelty of content for individuals with nonfluent aphasia. Further investigation is needed to determine causality and appropriate clinical application. Supplemental Material https://doi.org/10.23641/asha.5912530

Gestural Facilitation in Treatment of Apraxia of Speech

2010 ◽  
Vol 20 (3) ◽  
pp. 94-98
Author(s):  
Anastasia M. Raymer ◽  
Beth McHose ◽  
Kimberly Graham
Keyword(s):  
Systematic Review ◽  
Review Literature ◽  
Cognitive System ◽  
Apraxia Of Speech ◽  
Recent Systematic Review ◽  
Training Paradigm ◽  
Limb Apraxia ◽  
Speech Treatment ◽  
Verbal Production

Purpose: Luria (1970) proposed the use of intersystemic reorganization to use an intact system to facilitate improvements in a damaged cognitive system. In this article, we review literature examining the effects of gesture as a modality to promote reorganization to improve verbal production in apraxia of speech and anomia. Methods: A gestural facilitation training paradigm is described and results of a recent systematic review of apraxia of speech treatment are reviewed. The interplay between apraxia of speech and anomia are considered in response to gestural facilitation training. Results & Conclusions: Gestural facilitation effects are strongest in individuals with moderate apraxia of speech. Several factors appear to mitigate the effects of gestural facilitation for verbal production, including severe apraxia of speech and semantic anomia. Severe limb apraxia, which often accompanies severe apraxia of speech, appears to be amenable to gestural treatment, providing improvements in gesture use for communication when verbal production gains are not evident.

Combined aphasia and apraxia of speech treatment (CAAST): Systematic replications in the development of a novel treatment

2017 ◽  
Vol 20 (2) ◽  
pp. 247-261 ◽  
Author(s):  
Julie L. Wambaugh ◽  
Sandra Wright ◽  
Shannon C. Mauszycki ◽  
Christina Nessler ◽  
Dallin Bailey
Keyword(s):  
Apraxia Of Speech ◽  
Novel Treatment ◽  
Speech Treatment

Clinical experience of using the tooth positioner in the treatment of patients with malocclusion

2021 ◽  
Vol 21 (2) ◽  
pp. 139-144
Author(s):  
A. A. Simakova ◽  
L. N. Gorbatova ◽  
N. V. Dracheva ◽  
D. O. Muzgin
Keyword(s):  
Clinical Application ◽  
Clinical Experience ◽  
Active Treatment ◽  
Orthodontic Treatment ◽  
Treatment Results ◽  
Tooth Position ◽  
Stage Of Development ◽  
Early Signs ◽  
Younger Age ◽  
Positive Treatment

Relevance. The treatment of the early signs of pathology at a younger age is more favourable than its correction at the later stage of development. Aim – to analyze the literature and demonstrate the experience of clinical application of a silicone tooth positioner in the treatment of patients with malocclusion.Materials and methods. The study analyzed the records and clinical cases of 50 patients. The measurements on the study models were taken and patients’ photos were analyzed.Results. The study revealed positive treatment results which confirmed the effectiveness of the “Corrector” tooth positioner in treating the malocclusion in different planes as well as retaining the tooth position.Conclusions. Individually fit “Corrector” tooth positioner has confirmed its effectiveness and proved to be an appliance of choice for prevention, active treatment or retention stages of the orthodontic treatment.

Combined Aphasia and Apraxia of Speech Treatment (CAAST): Effects of a Novel Therapy

2014 ◽  
Vol 57 (6) ◽  
pp. 2191-2207 ◽  
Author(s):  
Julie L. Wambaugh ◽  
Sandra Wright ◽  
Christina Nessler ◽  
Shannon C. Mauszycki
Keyword(s):  
Speech Production ◽  
Speech Intelligibility ◽  
Sound Production ◽  
Apraxia Of Speech ◽  
Novel Therapy ◽  
Verbal Language ◽  
Treatment Techniques ◽  
Dependent Variables ◽  
Picture Stimuli ◽  
Speech Treatment

Purpose This investigation was designed to examine the effects of a newly developed treatment for aphasia and acquired apraxia of speech (AOS). Combined Aphasia and Apraxia of Speech Treatment (CAAST) targets language and speech production simultaneously, with treatment techniques derived from Response Elaboration Training (Kearns, 1985) and Sound Production Treatment (Wambaugh, Kalinyak-Fliszar, West, & Doyle, 1998). The purpose of this study was to determine whether CAAST was associated with positive changes in verbal language and speech production with speakers with aphasia and AOS. Method Four participants with chronic aphasia and AOS received CAAST applied sequentially to sets of pictures in the context of multiple baseline designs. CAAST entailed elaboration of participant-initiated utterances, with sound production training applied as needed to the elaborated productions. The dependent variables were (a) production of correct information units (CIUs; Nicholas & Brookshire, 1993) in response to experimental picture stimuli, (b) percentage of consonants correct in sentence repetition, and (c) speech intelligibility. Results and Conclusions CAAST was associated with increased CIU production in trained and untrained picture sets for all participants. Gains in sound production accuracy and speech intelligibility varied across participants; a modification of CAAST to provide additional speech production treatment may be desirable.

scholarly journals Language production and implicit statistical learning in typical development and children with acquired language disorders: an exploratory study

2020 ◽  
Author(s):  
Joelle Mok Xue Ting ◽  
Goh Siew Li ◽  
Doug Saddy ◽  
Rosemary Varley ◽  
Vitor Zimmerer
Keyword(s):  
Language Learning ◽  
Statistical Learning ◽  
Language Production ◽  
Language Disorders ◽  
Statistical Properties ◽  
Typically Developing ◽  
Function Words ◽  
Lexical Diversity ◽  
Statistical Regularities ◽  
Post Hoc

Statistical properties of language provide important cues for language learning and may be processed by domain-general cognitive systems. We explored the relationship between implicit statistical learning (the ability to detect statistical regularities in input) and language production. Twenty typically developing (TD) children and nine children with acquired language disorders (ALD) (aged 6 to 18 years) produced ‘Cookie Theft’ picture descriptions. Using a computerized analysis, we investigated statistical properties, such as usage frequency and collocation strength of words and word combinations. Participants also completed a non-linguistic serial reaction time (SRT) task, which tested non-verbal statistical learning. We determined age effects, and compared language production and SRT performance between both groups. Older TD children produced more connected language, more words, less frequent function words, more rare or novel combinations, and showed better statistical learning. Children with ALD produced less connected language, more weakly collocated combinations, displayed less lexical diversity and showed poorer statistical learning. Post-hoc analyses found correlations between statistical learning and statistical properties of spoken language. We discuss study limitations, but note that results are compatible with the view that language production draws on statistical learning and that impairment of statistical learning can be related to language disorders.

scholarly journals Using Informative Verbal Exchanges to Promote Verb Retrieval in Nonfluent Aphasia

2014 ◽  
Vol 23 (3) ◽  
pp. 407-420 ◽  
Author(s):  
Kristen K. Maul ◽  
Peggy S. Conner ◽  
Daniel Kempler ◽  
Christina Radvanski ◽  
Mira Goral
Keyword(s):  
Single Subject ◽  
Language Therapy ◽  
Nonfluent Aphasia ◽  
Direct Treatment ◽  
Positive Treatment ◽  
Description Task ◽  
Communicative Exchange ◽  
Design Protocol ◽  
Verbal Exchanges ◽  
Treatment Design

PurposeThe goal of this study was to determine whether positive treatment effects of a modified constraint-induced language therapy focused on verb production would generalize to unpracticed items and tasks.MethodFour individuals participated in a single-subject treatment design protocol. The treatment involved intensive practice producing verbs in sentences in an informative communicative exchange. Direct treatment outcome was examined by measuring the accuracy of producing practiced verbs in an action description task, a task similar to those used in treatment. Generalization was assessed by measuring production of unpracticed verbs and sentence grammaticality in the action description task and by measuring verb production and sentence grammaticality in 2 relatively unstructured (unpracticed) language tasks.ResultsTwo of the 4 participants showed a direct treatment effect, producing a greater number of practiced verbs in the action description task following treatment compared with before treatment. All participants improved sentence grammaticality following treatment, although grammaticality was not explicitly targeted in therapy. Generalization to unpracticed, less-structured tasks was variable across the participants.ConclusionPatterns of generalization may depend on participants' specific language deficits and production characteristics, on the language tasks used, and on the measures used to detect change and assess generalization.

Sign in / Sign up

Export Citation Format

Share Document