scholarly journals Why Nonverbal Cognition Matters in Aphasia Treatment

ASHA Leader ◽  
2019 ◽  
Vol 24 (6) ◽  
pp. 38-40
Author(s):  
Marjorie Nicholas
Keyword(s):  
Aphasia Treatment ◽  
Nonverbal Cognition

Linguistic Competence in Aphasia

2008 ◽  
Vol 17 (3) ◽  
pp. 87-92
Author(s):  
Leonard L. LaPointe
Keyword(s):  
Language Use ◽  
Linguistic Competence ◽  
Careful Study ◽  
Feral Children ◽  
Performance Factors ◽  
Performance Loss ◽  
Linguistic Rules ◽  
Communication Goals ◽  
Aphasia Treatment ◽  
And Performance

Abstract Loss of implicit linguistic competence assumes a loss of linguistic rules, necessary linguistic computations, or representations. In aphasia, the inherent neurological damage is frequently assumed by some to be a loss of implicit linguistic competence that has damaged or wiped out neural centers or pathways that are necessary for maintenance of the language rules and representations needed to communicate. Not everyone agrees with this view of language use in aphasia. The measurement of implicit language competence, although apparently necessary and satisfying for theoretic linguistics, is complexly interwoven with performance factors. Transience, stimulability, and variability in aphasia language use provide evidence for an access deficit model that supports performance loss. Advances in understanding linguistic competence and performance may be informed by careful study of bilingual language acquisition and loss, the language of savants, the language of feral children, and advances in neuroimaging. Social models of aphasia treatment, coupled with an access deficit view of aphasia, can salve our restless minds and allow pursuit of maximum interactive communication goals even without a comfortable explanation of implicit linguistic competence in aphasia.

Aphasia Treatment at the Crossroads: A Biological Perspective

ASHA Leader ◽  
2004 ◽  
Vol 9 (8) ◽  
pp. 6-18
Author(s):  
Lauren F. Wineburgh ◽  
Steven L. Small
Keyword(s):  
Biological Perspective ◽  
Aphasia Treatment

Marginal assessment of the cost and benefits of aphasia treatment: Evidence from community-based telerehabilitation treatment for aphasia

2021 ◽  
pp. 1357633X2098277
Author(s):  
Molly Jacobs ◽  
Patrick M Briley ◽  
Heather Harris Wright ◽  
Charles Ellis
Keyword(s):  
Cost Effectiveness ◽  
Economies Of Scale ◽  
Reference Group ◽  
Unit Cost ◽  
Community Based ◽  
Face To Face ◽  
Conduction Aphasia ◽  
Aphasia Treatment ◽  
The Cost ◽  
The Relationship

Introduction Few studies have reported information related to the cost-effectiveness of traditional face-to-face treatments for aphasia. The emergence and demand for telepractice approaches to aphasia treatment has resulted in an urgent need to understand the costs and cost-benefits of this approach. Methods Eighteen stroke survivors with aphasia completed community-based aphasia telerehabilitation treatment, utilizing the Language-Oriented Treatment (LOT) delivered via Webex videoconferencing program. Marginal benefits to treatment were calculated as the change in Western Aphasia Battery-Revised (WAB-R) score pre- and post-treatment and marginal cost of treatment was calculated as the relationship between change in WAB-R aphasia quotient (AQ) and the average cost per treatment. Controlling for demographic variables, Bayesian estimation evaluated the primary contributors to WAB-R change and assessed cost-effectiveness of treatment by aphasia type. Results Thirteen out of 18 participants experienced significant improvement in WAB-R AQ following telerehabilitation delivered therapy. Compared to anomic aphasia (reference group), those with conduction aphasia had relatively similar levels of improvement whereas those with Broca’s aphasia had smaller improvement. Those with global aphasia had the largest improvement. Each one-point of improvement cost between US$89 and US$864 for those who improved (mean = US$200) depending on aphasia type/severity. Discussion Individuals with severe aphasia may have the greatest gains per unit cost from treatment. Both improvement magnitude and the cost per unit of improvement were driven by aphasia type, severity and race. Economies of scale to aphasia treatment–cost may be minimized by treating a variety of types of aphasia at various levels of severity.

Abstract TP149: Aphasia Recovery After Ischemic Stroke

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Angelina Gronberg ◽  
Ingrid Henriksson ◽  
Arne Lindgren
Keyword(s):  
Ischemic Stroke ◽  
Treatment Plan ◽  
Drop Out ◽  
Stroke Patients ◽  
Speech And Language Pathologists ◽  
Aphasia Treatment ◽  
Aphasia Recovery ◽  
Stroke Register

Background: Establishing aphasia prevalence and outcome after ischemic stroke can facilitate strategies for treatment of aphasia. Few studies of aphasia recovery after ischemic stroke have included consecutive, unselected patients. Our aim was to identify acute and chronic prevalence of aphasia in an unselected consecutive cohort of patients with ischemic stroke. Methods: 218 patients with first-ever acute ischemic stroke were included prospectively and consecutively in the Lund Stroke Register Study. Patients with 1) dementia or psychiatric disorders; 2) non-native Swedish language; or 3) decreased consciousness were not included. Language assessment was made at baseline (within 6 days, median 3 days) after stroke onset by trained research nurses using the NIHSS sub-item 9, “Best Language” to screen for aphasia. Patients with aphasia (score of 1-3 on NIHSS item 9) were re-assessed with NIHSS item 9 by speech and language pathologists at 1 month, 3 months and 12 months after stroke. Results: Of 218 first-ever ischemic stroke patients 52 patients (24%) had aphasia according to NIHSS item 9 (median age 75 years; n=25 female). The distribution of the scores 1-3 at baseline were n=32, n=11, and n=9, respectively. At the 1 year follow-up, 31 patients (67%; n=5 deceased, n=1 drop out) had recovered from aphasia (n=28 with initial NIHSS item 9 score of 1, n=2 with initial NIHSS item 9 score of 2), even though all patients with initial global aphasia (NIHSS item 9 score of 3) had remaining aphasia (NIHSS item 9 score ≥ 1). Figure 1shows aphasia recovery (n=52) according to NIHSS item 9. Conclusions: A majority of patients with mild aphasia recover substantially from aphasia within 1 year after stroke. Patients with initial global aphasia all suffer from remaining aphasia 1 year after stroke. This suggests that this population might especially benefit from an early onset comprehensive, long-term aphasia treatment plan.

The role of executive control in post-stroke aphasia treatment

2019 ◽  
Vol 30 (10) ◽  
pp. 1853-1892 ◽  
Author(s):  
Tijana Simic ◽  
Tali Bitan ◽  
Gary Turner ◽  
Craig Chambers ◽  
Devora Goldberg ◽  
...  
Keyword(s):  
Executive Control ◽  
Post Stroke ◽  
Aphasia Treatment

scholarly journals The development of the size–weight illusion in children coincides with the development of nonverbal cognition rather than motor skills

2019 ◽  
Vol 184 ◽  
pp. 48-64 ◽  
Author(s):  
Philippe A. Chouinard ◽  
Kezia G. Matheson ◽  
Kayla A. Royals ◽  
Oriane Landry ◽  
Gavin Buckingham ◽  
...  
Keyword(s):  
Motor Skills ◽  
Weight Illusion ◽  
Nonverbal Cognition

scholarly journals Description of an Intensive Residential Aphasia Treatment Program: Rationale, Clinical Processes, and Outcomes

2014 ◽  
Vol 23 (2) ◽  
Author(s):  
Ronda L. Winans-Mitrik ◽  
William D. Hula ◽  
Michael W. Dickey ◽  
James G. Schumacher ◽  
Brooke Swoyer ◽  
...  
Keyword(s):  
Day Treatment ◽  
Complex Interventions ◽  
Community Dwelling ◽  
Parameter Estimates ◽  
Latent Growth ◽  
Standardized Measures ◽  
Group Activities ◽  
Aphasia Therapy ◽  
Aphasia Treatment

Purpose The purpose of this article is to describe the rationale, clinical processes, and outcomes of an intensive comprehensive aphasia program (ICAP). Method Seventy-three community-dwelling adults with aphasia completed a residentially based ICAP. Participants received 5 hr of daily 1:1 evidence-based cognitive-linguistically oriented aphasia therapy, supplemented with weekly socially oriented and therapeutic group activities over a 23-day treatment course. Standardized measures of aphasia severity and communicative functioning were obtained at baseline, program entry, program exit, and follow-up. Results were analyzed using a Bayesian latent growth curve model with 2 factors representing (a) the initial level and (b) change over time, respectively, for each outcome measure. Results Model parameter estimates showed reliable improvement on all outcome measures between the initial and final assessments. Improvement during the treatment interval was greater than change observed across the baseline interval, and gains were maintained at follow-up on all measures. Conclusions The rationale, clinical processes, and outcomes of a residentially based ICAP have been described. ICAPs differ with respect to treatments delivered, dosing parameters, and outcomes measured. Specifying the defining components of complex interventions, establishing their feasibility, and describing their outcomes are necessary to guide the development of controlled clinical trials.

Treating Attention To Improve Auditory Comprehension Deficits Associated With Aphasia

2011 ◽  
Vol 21 (2) ◽  
pp. 64-71 ◽  
Author(s):  
Nancy Helm-Estabrooks
Keyword(s):  
Strong Relationship ◽  
Spoken Language ◽  
Cognitive Status ◽  
Careful Examination ◽  
Auditory Comprehension ◽  
Cognitive Approach ◽  
Disturbed Areas ◽  
Aphasia Treatment ◽  
Underlying Mechanisms ◽  
Linguistic Approaches

Auditory comprehension is rarely unaffected by aphasia, although the extent of these deficits ranges greatly. Regardless of the severity of the deficit, however, problems understanding spoken language have a notable impact on individuals' lives. Speech-language pathologists, therefore, are obligated to employ effective approaches to remediating these problems. This paper addresses ways to treat auditory comprehension starting with a careful examination that identifies preserved and disturbed areas of function and that leads clinicians to think about underlying mechanisms that might be responsible for success and failures. Several lines of evidence support the idea that attentional problems may account for at least some of what appear to be problems with comprehension of spoken language in people with aphasia (PWA). Despite the growing body of evidence that a strong relationship exists between attention and auditory comprehension performance, the prevailing approach to treating auditory comprehension deficits continues to be the linguistic stimulation approach. This paper, therefore, reviews linguistic approaches to remediating auditory comprehension before discussing studies of attention training as a “cognitive” approach to improving these skills. Also discussed is the compelling evidence that the overall cognitive status of PWA significantly influences their response to any form of aphasia treatment.

Comparing the outcomes of intensive and non-intensive context-based aphasia treatment

Aphasiology ◽  
2005 ◽  
Vol 19 (10-11) ◽  
pp. 965-974 ◽  
Author(s):  
Jacqueline Hinckley ◽  
Thomas Carr
Keyword(s):  
Aphasia Treatment
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