Short term memory in aphasia: effects of modality and relationship with Western Aphasia Battery-R performance
This study investigated three questions about short term memory (STM) performance in post-stroke aphasia. The first question was whether visual STM is impaired in persons with aphasia (PWA) given that a common neural network subserves encoding-recall of both verbal and visual STM. The second question was whether the response modality (verbal vs pointing) impacts STM span measures. The third focus was the relationship between STM and language performance, specifically on a commonly used standardized test battery, the Western Aphasia Battery-Revised (WAB-R). Data from 45 persons whose aphasia resulted from a single left hemisphere stroke were examined at the group and individual level. PWA scored lower than neurotypical controls on verbal but not visual STM tasks. Verbal STM impairments were found in about one-half of PWA. Dissociations among the three verbal STM tasks are found in one-third of PWA. There was a strong association between language performance on the WAB-R, including overall severity and individual test performance, and verbal STM (except for yes/no questions). These findings support an interplay between STM and language such that STM maintains relevant linguistic representations long enough for successful comprehension and production of language.