DOCSLIB.ORG

Part 3 Text-Level Reading Treatments

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Part 3 Text-Level Reading Treatments Part 3: Medstar National Rehabilitation Hospital Workshop, March 2019 Pélagie M. Beeson, Ph.D., CCC-SLP Department of Speech, Language, and Hearing Sciences Consider aphasia rehabilitation as a sequence of treatments that can build upon one another We have examined ◦ Lexical, Phonological, and Interactive training sequence to improve written language (with benefit to spoken language) ◦ Lexical retrieval treatment capitalizing on rehabilitated phonology and orthography. ◦ Now we will look at text-level treatments Treatment Sequence for Phonological Impairment Perisylvian Aphasia with Perisylvian Aphasia with Global Agraphia Phonological Agraphia Oral reading tx Stimulate production of morphosyntax Lexical-Semantic Tx (inclusion of functors and morphological Phonological Tx markers) Interactive Tx (words) Interactive Tx (sentences) Problem-solving approach to spelling in sentence context Sentence CART Improve accuracy and speed of sentence writing with copy and recall treatment (CART) at the sentence level Lexical Retrieval Tx Phonological alexia and agraphia phonological “ ” dusp dusp impairment is evident by difficulty Semantics with nonwords Phonologic whole words Orthographic Lexical Lexicon Lexicon Lexical sound-letter Sub-lexical Phonemes Graphemes Sub-lexical letter-sound Speech Motor Graphic Motor Programs Programs “dust?” druffs Phonological Phonological Alexia Agraphia Impaired phonology is often associated with impaired reading accuracy for text The family was having dinner out at the restaurant. Semantics Phonologic Orthographic Lexicon Lexicon Phonemes Graphemes “People had dinner out.” Reading errors at sentence level 56 year-old, right-handed male ◦ 100 S troke affecting left frontal, 90 parietal, and temporal lobes 80 70 60 12 years education Words 50 Nonwords 5 months post-stroke 40 30 ◦ WAB AQ: 64.4 PercentCorrect 20 10 Broca’s Aphasia 0 1.5 years post stroke Reading Writing ◦ WAB AQ 77.6 At 3 years post-stroke Phonological alexia + global agraphia Broca’s Borderline Fluent On an empty lot near the park many people were hard at work. “Lot on empty is … On the lot, on empty … On the empty lot … lot the .. On the empty lot near a park …the uh, many Gray Oral Reading Test-III people were … hired to work.” Level 3 Characterized by relatively good reading of single words in isolation, but marked impairment in reading words in text ◦ Particular difficulty with functors and morphological markers Seen in individuals with phonological alexia (and agraphia) ◦ Lexicality effect (real words better than nonwords) Difficulty sounding out unfamiliar words due to impaired sound-letter transcoding Friedman. R. (1996) On an empty lot near the park Slow, errorful text-level many people were hard at reading work. Particular difficulty with “Lot on empty is … On the lot, functors and morphological on empty … On the empty lot … lot the .. On the empty lot markers near a park …the uh, many Part of speech effect people were … hired to work.” ◦ nouns > adjectives > verbs > functors May paraphrase because they are perceiving the gist, but not reading every word Background Oral reading treatment has the potential to improve reading ability, as well as spoken language production ◦ Cherney (1986) showed improved overall spoken language performance with oral reading treatment ORLA = Oral Reading treatment for Language in Aphasia) Our approach is similar: Supported Oral Reading Treatment Aim to maximize correct reading of all words in sentences Oral reading treatment serves to stimulate accurate sentence- level productions Treatment should follow phonological/interactive treatment to strengthen phonological skills first Treatment session ◦ Clinician read sentence aloud while pointing to each word ◦ Read sentence with clinician using choral reading and pointing to each word ◦ Patient read sentence alone aloud, pointing to each word The Romans were the first to make keys of iron. ◦ Incorrect productions corrected ◦ Repeat until mastery achieved described in Orjada and Beeson (2005). Photo album with recording feature for each page One sentence per page with corresponding recording ◦ Play recording and read silently ◦ Read sentence aloud with recording until accurate ◦ Read sentence aloud without recording until correct Passages ◦ Selected book passages ◦ Shifted to use of personal scripts Orjada & Beeson (2005) High School Reunion Script used for Oral Reading “We expect around 100 to 150 people to come.” “I graduated with about 350 other people in my class.” Measuring improvement Read target paragraph aloud ◦ Reading accuracy # words correct/total # of words ◦ Reading rate in words/minute Criterion for mastery ◦ 90% reading accuracy New paragraph assigned described in Orjada and Beeson (2005). Gray Oral Reading Test-3 Levels 1-5 GORT-3 Results 100% 60 80% 50 40 60% Accuracy 30 40% Rate 20 Reading Rate 20% 10 Reading Accuracy Reading 0% 0 Pre-Testing Post-Testing Significant improvement in reading accuracy No significant change in reading rate Orjada and Beeson (2005) Recall that written spelling was markedly impaired 100 Real Words Nonwords 90 80 summer flig 70 60 Words debt hoach 50 40 Nonwords enough 30 snite PercentCorrect 20 bake glope 10 0 worm boak Reading Writing blood cheed At 3 years post-stroke Phonological alexia + global maybe smode agraphia Purpose ◦ to strengthen specific orthographic representations (and links to semantics and phonology) Goal ◦ Re-learn spellings of specific words within personal scripts Approach ◦ Homework-based Copy and Recall Treatment Copy and recall treatment (Beeson, 1999) ◦ Homework based treatment ◦ Targeted 5-word sets Copy each word 3-5 times Write words from memory Check spelling and make corrections Repeat until mastery achieved I used to “hot-rod” cars years ago. I was a drag racer. I won a lot of races on the streets, but not as many on the drag strip. Gary was the one who souped up my cars. I used to own a ‘23 Ford, a ‘39 Ford, and a ‘56 Ford. The ‘39 was my favorite, although I also like the ‘56. I also had a ‘65 Corvette, but I only drove it once before I had to put a new engine in it. Racing is hard on cars. My friends Billy, Bryant, and many others raced cars, too. Underlined words were also homework for spelling using Copy and Recall Treatment (CART) Response to Copy and Recall Treatment (CART) implemented concurrent with oral reading treatment. 5 words/set 50 words mastered 10 weeks of treatment Orjada and Beeson (2005) 100% 80% 60% 40% Accuracy 20% 0% Reading Writing Reading Writing Functors Functors Functors Functors Pre-Test Post-Test Significant improvement reading functors (p = .02) Significant improvement writing functors (p = .01) described in Orjada and Beeson (2005). WAB picture description Conversation Pre-Tx During Tx Post-Tx Post-Tx MLU in 3.62 6.32 7.40 9.47 words One-word 30.8% 4.6% 8.3% 0% utterances Oral reading treatment resulted in improved reading accuracy (but not reading rate) Written spelling accuracy improved for targeted words using Copy and Recall Treatment Generalization ◦ improved reading and spelling of functors ◦ increased length and complexity of spoken utterances WAB ◦ AQ increased from 77.6 to 81.3 ◦ Improvements most notable in spoken language production Full Treatment Sequence for BB (Broca’s aphasia with Phonological Alexia and Global Agraphia) Perisylvian Aphasia with Global Agraphia Lexical-Semantic Tx Phonological Tx Interactive Tx Oral Reading Tx retrain spelling for specific words (and stimulate spoken retrain sound-letter production of targeted words) correspondences and train problem-solving phonological strategies to self-correct Stimulate production of manipulation skills spelling errors morphosyntax (inclusion of functors and morphological markers) at sentence level Lexical Retrieval Tx train lexical retrieval strategies including semantic, orthographic, and phonological self-cuing Postscript: Oral reading treatment followed by lexical retrieval treatment Boston Naming Test 27/60 36/60 Treatment Sequence for Phonological Impairment Perisylvian Aphasia with Perisylvian Aphasia with Global Agraphia Phonological Agraphia Oral reading tx Stimulate production of morphosyntax Lexical-Semantic Tx (inclusion of functors and morphological Phonological Tx markers) Interactive Tx (words) Interactive Tx (sentences) Problem-solving approach to spelling in sentence context Sentence CART Improve accuracy and speed of sentence writing with copy and recall treatment (CART) at the sentence level Lexical Retrieval Tx Case Example ◦ 3 years post onset WAB Aphasia Quotient = 74.3 Single Word Reading/Writing Pre-Tx Conduction aphasia 100 Phonological alexia 90 80 Relatively intact single word reading L 70 60 reg Severely impaired nonword reading 50 irreg 40 Global Agraphia correct % 30 non Unable to spell real words or 20 10 nonwords 0 reading writing Previously received: Lexical spelling tx Phonological tx Interactive tx Implement: Oral reading treatment (supported oral reading treatment) In Greece, long ago people had locks and keys. But they had a hard time taking their keys with them when they left their homes. “In Greece, long ago [before], people had locks and keys. But they had a hard time [giving] taking their keys with them [and then and] when they left their buil, their homes.” Slow, errorful text-level “In Greece, long ago [before], reading people had locks and keys. But they had a hard time [giving] Particular difficulty with taking their keys with them [and functors and morphological then] when they left their markers homes.” Part of speech effect ◦ nouns > adjectives > verbs > functors May paraphrase because they are perceiving the gist, but not reading every word Therapy 2 x week for 6 weeks Daily homework: repeated oral reading of targeted text P1 Practice Text 60 55 50 45 Target: 50 wpm for 40 Text 1 35 Text 2 practice texts 30 Text 3 <5 errors/ 100 words 25 Text 4 20 Text 5 15 Reading Reading Rate: WPM 10 5 0 1 2 3 4 5 6 7 8 9 10 11 Pre Tx In Greece, long ago [before], people had locks and keys. But they had a hard time [giving] taking their keys with them [and then] when they left their homes. Post Tx In Greece, long ago, people had locks and keys.
Load more

Recommended publications
  • Perturbation of the Left Inferior Frontal Gyrus Triggers Adaptive Plasticity in the Right Homologous Area During Speech Production
    Perturbation of the left inferior frontal gyrus triggers adaptive plasticity in the right homologous area during speech production Gesa Hartwigsena,b,c,1, Dorothee Saurb, Cathy J. Priced, Stephan Ulmere,f, Annette Baumgaertnera,g, and Hartwig R. Siebnera,h aDepartment of Neurology, Christian-Albrechts-University Kiel, 24105 Kiel, Germany; bLanguage and Aphasia Laboratory, Department of Neurology, University of Leipzig, 04103 Leipzig, Germany; cDepartment of Psychology, Christian-Albrechts-University Kiel, 24118 Kiel, Germany; dWellcome Trust Centre for Neuroimaging, University College London, London WC1N 3BG, United Kingdom; eDepartment of Neuroradiology, Medical Radiological Institute, 8001 Zurich, Switzerland; fInstitute of Neuroradiology, University Hospital Schleswig-Holstein, 24105 Kiel, Germany; gDepartment of Speech and Language Pathology, Hochschule Fresenius Hamburg, 20148 Hamburg, Germany; and hDanish Research Center for Magnetic Resonance, Copenhagen University Hospital Hvidovre, 2650 Hvidovre, Denmark Edited by Michael S. Gazzaniga, University of California, Santa Barbara, CA, and approved August 28, 2013 (received for review May 29, 2013) The role of the right hemisphere in aphasia recovery after left hemi- that helps restore task function. We combined focal off-line sphere damage remains unclear. Increased activation of the right continuous theta burst stimulation (cTBS) before a task with dy- hemisphere has been observed after left hemisphere damage. This namic causal modeling (DCM) of MRI data. Virtual lesions were maysimplyreflect a release from transcallosal inhibition that does applied to the left posterior IFG (pIFG), an area previously as- not contribute to language functions. Alternatively, the right hemi- sociated with phonetic encoding during speech production (9), or sphere may actively contribute to language functions by supporting to the anterior IFG (aIFG) as the control area.
    [Show full text]
  • Recovery of Aos with Nonfluent Aphasia from Stroke
    23-2-2016 Introduction Apraxia of Speech Symposium, The recovery and dissolution, or continuing worsening, of speech in stroke induced Beetsterzwaag, February 2016 apraxia of speech (sAoS) and progressive AoS (pAoS) when considering the symptoms of AoS, appear to be reversals of each other. I will compare speech breakdown following stroke and progressive brain damage. The Recovery and Dissolution of Apraxia of Speech The current evidence suggests that sAoS is distinct from pAoS. This suggests different causes that have relevance for management of pAoS. I plan to sketch… Following Brain Damage . • the recovery of AoS following aphasia from stroke • And contrast it to what is known about the gradual dissolution of speech in progressive AoS. • These two opposing patterns - gradual recovery vs. gradual dissolution - arise Chris Code from separate forms of brain damage & are significantly different, although they Centre for Clinical Neuropsychological Research share some major features. Department of Psychology University of Exeter, UK • The neural representation of speech is not unitary, but a complex [email protected] arrangement of abilities processed in distinct neural networks in separate anatomical locations. The role of accompanying impaired cognitive functions, have a significant impact on the emergence of apraxic symptoms following stroke and emerging in progressive AoS. Mohr et al. (1978), following a large survey of cases, concluded that Broca’s aphasia did not result Apraxia of speech more rarely occurs on its own, but is most often accompanied by from a lesion limited to Broca’s area, but resulted from: nonfluent aphasia. In fact, ‘nonfluency’ is defined in terms of impairments of articulatory agility and prosody (Goodglass & Kaplan, Poeck et al (in Code, etc) • a large lesion involving the area of supply of the upper division of the left middle-cerebral artery which produces a global aphasia.
    [Show full text]
  • The Perspectives of Adults with Aphasia and Their Team Members Regarding the Importance of Nine Life Areas for Rehabilitation: a Pilot Investigation
    Topics in Stroke Rehabilitation ISSN: 1074-9357 (Print) 1945-5119 (Online) Journal homepage: http://www.tandfonline.com/loi/ytsr20 The perspectives of adults with aphasia and their team members regarding the importance of nine life areas for rehabilitation: a pilot investigation Lauren K. Pettit, Kerstin M. Tönsing & Shakila Dada To cite this article: Lauren K. Pettit, Kerstin M. Tönsing & Shakila Dada (2016): The perspectives of adults with aphasia and their team members regarding the importance of nine life areas for rehabilitation: a pilot investigation, Topics in Stroke Rehabilitation, DOI: 10.1080/10749357.2016.1207148 To link to this article: http://dx.doi.org/10.1080/10749357.2016.1207148 Published online: 08 Jul 2016. Submit your article to this journal Article views: 20 View related articles View Crossmark data Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=ytsr20 Download by: [86.21.135.48] Date: 24 July 2016, At: 03:23 The perspectives of adults with aphasia and their team members regarding the importance of nine life areas for rehabilitation: a pilot investigation Lauren K. Pettit, Kerstin M. Tönsing , Shakila Dada Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa Objectives: Client-centred rehabilitation implies that persons with aphasia and their significant others are actively involved in all decisions regarding rehabilitation, including the setting of rehabilitation priorities and goals. This study aimed to describe and compare the perspectives of adults with aphasia, their significant others and their speech-language pathologists (SLPs) regarding the importance of nine life areas for the rehabilitation of adults with aphasia.
    [Show full text]
  • Oxford Handbooks Online
    Anomia and Anomic Aphasia Oxford Handbooks Online Anomia and Anomic Aphasia: Implications for Lexical Processing Stacy M. Harnish The Oxford Handbook of Aphasia and Language Disorders (Forthcoming) Edited by Anastasia M. Raymer and Leslie Gonzalez-Rothi Subject: Psychology, Cognitive Neuroscience Online Publication Date: Jan DOI: 10.1093/oxfordhb/9780199772391.013.7 2015 Abstract and Keywords Anomia is a term that describes the inability to retrieve a desired word, and is the most common deficit present across different aphasia syndromes. Anomic aphasia is a specific aphasia syndrome characterized by a primary deficit of word retrieval with relatively spared performance in other language domains, such as auditory comprehension and sentence production. Damage to a number of cognitive and motor systems can produce errors in word retrieval tasks, only subsets of which are language deficits. In the cognitive and neuropsychological underpinnings section, we discuss the major processing steps that occur in lexical retrieval and outline how deficits at each of the stages may produce anomia. The neuroanatomical correlates section will include a review of lesion and neuroimaging studies of language processing to examine anomia and anomia recovery in the acute and chronic stages. The assessment section will highlight how discrepancies in performance between tasks contrasting output modes and input modalities may provide insight into the locus of impairment in anomia. Finally, the treatment section will outline some of the rehabilitation techniques for forms of anomia, and take a closer look at the evidence base for different aspects of treatment. Keywords: Anomia, Anomic aphasia, Word retrieval, Lexical processing Syndrome Description and Unique Characteristics The term anomia refers to the inability to retrieve a desired word, typically in the course of conversational sentence production.
    [Show full text]
  • Aphasiology a Tutorial on Aphasia Test
    This article was downloaded by: [Higher School of Economics] On: 04 September 2014, At: 04:00 Publisher: Routledge Informa Ltd Registered in England and Wales Registered Number: 1072954 Registered office: Mortimer House, 37-41 Mortimer Street, London W1T 3JH, UK Aphasiology Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/paph20 A tutorial on aphasia test development in any language: Key substantive and psychometric considerations Maria V. Ivanova a & Brooke Hallowell b a Neurolinguistics Laboratory, Faculty of Philology , National Research University Higher School of Economics , Moscow 101000 , Russia b Communication Sciences and Disorders , Ohio University , Athens 45701 , OH , USA Published online: 25 Jun 2013. To cite this article: Maria V. Ivanova & Brooke Hallowell (2013) A tutorial on aphasia test development in any language: Key substantive and psychometric considerations, Aphasiology, 27:8, 891-920, DOI: 10.1080/02687038.2013.805728 To link to this article: http://dx.doi.org/10.1080/02687038.2013.805728 PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes every effort to ensure the accuracy of all the information (the “Content”) contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and views of the authors, and are not the views of or endorsed by Taylor & Francis. The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content.
    [Show full text]
  • Augmentative and Alternative Communication Treatment
    Unless otherwise noted, the publisher, which is the American Speech-Language- Hearing Association (ASHA), holds the copyright on all materials published in Perspectives on Augmentative and Alternative Communication, both as a compilation and as individual articles. Please see Rights and Permissions for terms and conditions of use of Perspectives content: http://journals.asha.org/perspectives/terms.dtl Augmentative and Alternative Communication Treatment for Persons With Primary Progressive Aphasia Melanie Fried-Oken Oregon Health and Science University Portland, OR Abstract Persons with primary progressive aphasia (PPA) are appearing more frequently in our AAC clinics. The syndrome is identified by the insidious onset and gradual loss of word finding, object naming, or word-comprehension skills with otherwise intact cognitive skills over a 2-year period in adults. Management of persons with this language-based neurodegenerative disease challenges our understanding of language competence and performance in adults. Clients present us with questions about when and how to provide intervention techniques and how to change the treatment as they slowly lose language skills. An AAC framework for intervention during the neurodegenerative language process seen in Nonfluent Progressive Aphasia is proposed. Tools and strategies are presented that have been reported in clinical cases for individual clients. At the 2008, DAAC conference in Long Beach, California, Dr. LaPointe used the metaphor that language rehabilitation is the “raft” for the aphasic individual who experiences a “wreck.” I propose that augmentative and alternative communication (AAC) is the paddle for the raft. AAC provides a series of tools and techniques that the individual with aphasia can use to get that raft into a safe and secure harbor, anchored next to communication partners.
    [Show full text]
  • Semantic Dementia
    cortex xxx (2012) 1e10 Available online at www.sciencedirect.com Journal homepage: www.elsevier.com/locate/cortex Research report Bringing words back to mind e Improving word production in semantic dementia Sharon A. Savage a,b, Kirrie J. Ballard c, Olivier Piguet a,b and John R. Hodges a,b,* a Neuroscience Research Australia, Sydney, Australia b Faculty of Medicine, School of Medical Sciences, University of New South Wales, Sydney, Australia c Faculty of Health Sciences, Speech Pathology, University of Sydney, Australia article info abstract Article history: Patients with semantic dementia (SD) have significant impairments in naming and Received 28 February 2012 comprehension, but demonstrate relatively intact attention, everyday memory, and Reviewed 21 June 2012 visuospatial skills. Given these preserved skills, attempts have been made to help re-build Revised 25 June 2012 vocabulary in SD patients, with promising results. Such reports, however, are generally Accepted 19 September 2012 based upon only one or two cases and have employed variable retraining methods. It is Action editor Mike Kopelman thus unclear which elements of practice are crucial to success. Over two studies, we Published online xxx assessed four patients undergoing a word training program, who ranged in severity from mild to severe impairments to semantic knowledge. All four participants showed Keywords: significant improvements in their ability to name trained items, with no changes in Semantic dementia untrained items over the same time period. Improvements were evident within 3 weeks of Cognitive training practice, and could be established from a simple, repetitive practice of word-picture Naming pairing, carried out at the participant’s home.
    [Show full text]
  • • Classifications of Aphasia Expressive Vs. Receptive Fluent Vs
    12/7/2018 APHASIA Aphasia is an acquired communication disorder that impairs a person’s ability to process LANGUAGE, but DOES NOT AFFECT intelligence. Aphasia impairs the ability to speak and understand others. -National Aphasia Association LANGUAGE Language is a system of communication that uses symbolism. K L U $ + M – Phonemes: perceptually distinct unit of sounds Words: sounds combined & given meaning Sentences: combination of syntax (rules) and semantics (meaning). • CLASSIFICATIONS OF APHASIA EXPRESSIVE VS. RECEPTIVE FLUENT VS. NON- FLUENT 1 12/7/2018 -NATIONAL APHASIA ASSOCIATION -COURTESY OF MY-MS.ORG MCA DISTRIBUTION -SLIDESHARE.NET 2 12/7/2018 BROCA’S APHASIA * short utterances * limited vocabulary * halting, effortful speech *mild comprehension deficits Lesion * Inferior frontal gyrus Choose Sentence Speech Coordinate Speak Idea Words Structure Sounds Articulate Pragmatics Muscles Fluently (Semantics) (Syntax) (Phonology) SAMPLE OF BROCA’S THERAPY FROM TACTUS THERAPY 3 12/7/2018 WERNICKE’S APHASIA • Comprehension is poor (auditory & reading) • Fluent, intact prosody • Logorrhea, press of speech • Neologisms, Paraphasias • Lack of awareness Lesion Temporo-Parietal, Posterior section of the superior temporal gyrus near the auditory cortex Auditory Preparation Attach Input Perception Recognition Phonological For Meaning Analysis Output WERNICKE’S APHASIA FROM TACTUS THERAPY 4 12/7/2018 GLOBAL APHASIA * severe language deficit * responds to personally relevant language * responds to non-verbal cues * some automatic speech Lesion
    [Show full text]
  • Aphasia and the Expert Medical Witness
    Aphasia and the Expert Medical Witness RICHARD T. RADA, M.D., BRUCE E. PORCH, PH.D., AND ROBERT KELLNER, M.D., PH.D.- Introduction The incidence of cerebral vascular accident in the U.S. is 200 per 100,000 population of all ages,l or approximately 400,()()0 new strokes per year. Many of these patients develop acute or chronic aphasia. When the mental capacity or legal competence of the aphasic patient is ljuestioned, it is frequently the psychiatrist whose expert testimony is requested. In 1900, Dr. Charles MiIIs, writing in the textbook entitled A System of Legal Medicine,2 noted that the medical-legal aspects of aphasia had received little attention by compari­ son with the immense literature on the general topic. A review of the recent medical and legal literature indicates that the situation remains unchanged today. The purpose of this paper is to present a brief review of the historical development of aphasia, of aphasia as a legal matter, and of new developments in the field of aphasiology, and a case illustration of combined expert testimony between a speech pathologist and a psy­ chiatrist in a case involving child custody. Definition of Aphasia Dorland's medical dictionary defines aphasia as "a defect or loss of power of expression by speech, writing, or signs, or of comprehending spoken or written language, due to injury or disease of the brain centers."3 Injuries to the brain frequently produce deficits which in some way affect the mental capabilities of the patient. Damage to the left hemisphere is frequently associated with the reduction or loss of communicative ability, and the patient is described as having aphasia.
    [Show full text]
  • Pure Agraphia: a Discrete Form of Aphasia
    J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.42.3.266 on 1 March 1979. Downloaded from Journal ofNeurology, Neurosurgery, andPsychiatry, 1979, 42, 266-269 Pure agraphia: a discrete form of aphasia G. ROSATI AND P. DE BASTIANI From the Neurological Clinic of the University of Ferrara, Ferrara, Italy SUM MARY A 62 year old, right handed man developed a pure agraphia as the result of a left temporal lobe stroke. Isolated writing disturbances persisted for seven months until he had a second cerebrovascular accident resulting in total aphasia and right hemiplegia. A CAT scan obtained four months after the first episode showed a localised dilatation of the posterior portion of the left Sylvian cistern and patchy areas of low absorption in the left temporal lobe. The report supports suggestions that localised damage to the language area can produce a pure agraphia as the sole detectable disorder of language organisation. Pure agraphia-that is, the selective impairment limited to written codification resulting from of written communication-has rarely been des- ischaemic damage to a discrete part of the lan- cribed in the literature. Before 1960, a number of guage area. authors (Wernicke, 1903; Henschen, 1922; Sinico, Protected by copyright. 1926; Morselli, 1930; Mahoudeau, 1950; Mahou- Case report deau et al., 1951) reported cases of what they called pure agraphia which was caused by a lesion A 62 year old, right handed farmer, ex-telegraphist, of the lower end of the second frontal convolution with a grade school certificate, was admitted to the (F2). More recently, the assumption of a specific Cardiovascular Division of Ferrara City Hospital centre for writing in this part of the frontal lobe in February 1977 for a recent myocardial infarc- has been rejected (Leischner, 1969; Chedru and tion.
    [Show full text]
  • Breakdowns in Informativeness of Naturalistic Speech Production in Primary Progressive Aphasia
    brain sciences Article Breakdowns in Informativeness of Naturalistic Speech Production in Primary Progressive Aphasia Jeanne Gallée 1,* , Claire Cordella 2, Evelina Fedorenko 1,3, Daisy Hochberg 2, Alexandra Touroutoglou 2, Megan Quimby 2 and Bradford C. Dickerson 2,* 1 Program in Speech and Hearing Bioscience and Technology, Harvard University, Cambridge, MA 02138, USA; [email protected] 2 Frontotemporal Disorders Unit, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02129, USA; [email protected] (C.C.); [email protected] (D.H.); [email protected] (A.T.); [email protected] (M.Q.) 3 Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA 02139, USA * Correspondence: [email protected] (J.G.); [email protected] (B.C.D.) Abstract: “Functional communication” refers to an individual’s ability to communicate effectively in his or her everyday environment, and thus is a paramount skill to monitor and target therapeutically in people with aphasia. However, traditional controlled-paradigm assessments commonly used in both research and clinical settings often fail to adequately capture this ability. In the current study, facets of functional communication were measured from picture-elicited speech samples from 70 individuals with mild primary progressive aphasia (PPA), including the three variants, and 31 age- matched controls. Building upon methods recently used by Berube et al. (2019), we measured the informativeness of speech by quantifying the content of each patient’s description that was relevant to Citation: Gallée, J.; Cordella, C.; a picture relative to the total amount of speech they produced. Importantly, form-based errors, such as Fedorenko, E.; Hochberg, D.; mispronunciations of words, unusual word choices, or grammatical mistakes are not penalized in this Touroutoglou, A.; Quimby, M.; approach.
    [Show full text]
  • Aphasiology Establishing the Effects of Treatment for Aphasia Using Single
    This article was downloaded by: [Northwestern University] On: 06 January 2015, At: 09:09 Publisher: Routledge Informa Ltd Registered in England and Wales Registered Number: 1072954 Registered office: Mortimer House, 37-41 Mortimer Street, London W1T 3JH, UK Aphasiology Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/paph20 Establishing the effects of treatment for aphasia using single-subject- controlled experimental designs Cynthia K. Thompsonbca a Aphasia and Neurolinguistics Research Laboratory, Center for the Neurobiology of Language Recovery, Evanston, IL, USA b Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL, USA c Department of Neurology, Northwestern University, Chicago, IL, USA Published online: 24 Dec 2014. Click for updates To cite this article: Cynthia K. Thompson (2014): Establishing the effects of treatment for aphasia using single-subject-controlled experimental designs, Aphasiology, DOI: 10.1080/02687038.2014.987043 To link to this article: http://dx.doi.org/10.1080/02687038.2014.987043 PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes every effort to ensure the accuracy of all the information (the “Content”) contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and views of the authors, and are not the views of or endorsed by Taylor & Francis. The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content.
    [Show full text]