A Cognitive Neuropsychological Approach to Assessment and Intervention in Aphasia

Whitworth, Anne; Webster, Janet; Howard, David

doi:10.4324/9781315852447

Cited by 116 publications

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“…The ‘standard’ theoretical and clinical (as opposed to the social) model sees aphasia primarily as a set of interrelated linguistic impairments often affecting multiple levels of linguistic description such as phonology, semantics, morphology, syntax, in spoken and written modalities (e.g., Whitworth et al . ). Although this model has been useful, a conceptualization of aphasia based on linguistic description alone helps understand only part of the impairments.…”

Section: Close Link Between Aphasia and Stm/wmmentioning

confidence: 97%

“…The buffer has been studied many times, and, indeed, separate buffers have been invoked to operate in a range of language tasks: articulatory buffer, graphemic buffer, lexical buffer (Whitworth et al . ). One view of apraxia of speech, for instance, is that the halting speech observed may result from a reduction in articulatory buffer capacity so that people with the condition are only able to programme a smaller chunk of speech, as little as a single syllable (Rogers and Storkel ).…”

Section: Close Link Between Aphasia and Stm/wmmentioning

confidence: 97%

“…In the version of the cognitive neuropsychological characterization of aphasia, there is a graphemic output buffer (Whitworth et al . ), responsible for maintaining graphemic representations before they are realized in manual‐motoric patterns. The distinctive feature of buffer impairments, not only regarding the graphemic, but also the phonological output buffer, is length effects, whereby longer words (written and spoken respectively) would be more prone to errors than shorter words (Whitworth et al .…”

Section: Close Link Between Aphasia and Stm/wmmentioning

confidence: 99%

See 2 more Smart Citations

Assessment and treatment of short-term and working memory impairments in stroke aphasia: a practical tutorial

Salis

Kelly

Code

2015

INT J LANG COMMUN DISORD

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The links between short-term/working memory functioning and language in aphasia are generally acknowledged. These strongly indicate the need to incorporate assessment of short-term/working memory functioning for people with aphasia. While the supportive evidence for treatment is growing and appears to highlight the benefits of including short-term/working memory in aphasia treatment, the quality of the evidence in its current state is poor. However, because of the clinical needs of people with aphasia and the prevalence of short-term/working memory impairments, incorporating related treatments through practice-based evidence is advocated.

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Section: Close Link Between Aphasia and Stm/wmmentioning

confidence: 97%

Section: Close Link Between Aphasia and Stm/wmmentioning

confidence: 97%

Section: Close Link Between Aphasia and Stm/wmmentioning

confidence: 99%

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Assessment and treatment of short-term and working memory impairments in stroke aphasia: a practical tutorial

Salis

Kelly

Code

2015

INT J LANG COMMUN DISORD

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“…ABIs such as stroke, Parkinson's disease and dementia often result in communication impairments, although the symptomology differs between ABI syndromes (Whitworth et al . 2014, Duffy 2013). Communication changes post‐stroke can include impairments in written and spoken language production and comprehension (i.e., aphasia) or deficits in the motor programming and execution of speech movements (i.e., dysarthria or apraxia of speech).…”

Section: Introductionmentioning

confidence: 99%

The effects of choral singing on communication impairments in acquired brain injury: A systematic review

Monroe

Halaki

Kumfor

et al. 2020

Intl J Lang & Comm Disor

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Background: Acquired brain injury (ABI), such as Parkinson's disease, dementia or stroke, can result in communication difficulties that lead to an impoverished ability to connect meaningfully with others. Choral singing is a complex task that uses multiple brain regions which are also responsible for language and communication skills. The potential therapeutic effects of group singing on communication-related outcomes across ABI aetiologies have not been systematically reviewed. Aims: To examine whether participation in group singing over multiple sessions improves speech, voice, language and/or communication skills in individuals with ABI-related communication disorders. Methods & Procedures: A database search was undertaken according to the PRISMA guidelines. Search terms included: stroke OR Parkinson * OR dementia OR 'acquired brain injury' AND choir OR choral OR singing OR sing OR 'choral sing * ' OR group adj3 singing OR community adj3 singing AND speech OR language OR communication.Main Contribution: A total of 11 studies were included. Nine were quantitative, including one randomized and one non-randomized control trial, and two were mixed method. Nine studies were scored as level IV (uncontrolled) on the American Academy of Neurology (AAN) Classification of Evidence Matrix and two as level III (e.g., lack of blinded assessors). Eight examined speech and voice skills in Parkinson's disease, two functional communication skills in post-stroke aphasia and one communication between individuals with dementia and a significant other. One level III control trials provided evidence for a therapeutic effect of group singing on communication in individuals with Parkinson's disease. Conclusions & Implications: Currently, there is only one study providing support for using group singing to improve speech and voice skills in people with Parkinson's disease, and no studies of adequate quality indicating positive effects on language and functional communication abilities in ABI. Further research using more rigorous experimental designs is required to determine whether group singing can influence communication skills in ABI. What this paper addsWhat is already known on the subject r Music activates widespread, bilateral cortical and subcortical brain regions. Group singing is increasingly understood to have positive benefits on quality of life and health-related well-being in both healthy and clinical populations. Given the crossover in neural networks between singing, speech and language, singing activities are also thought to have positive effect of communication impairments secondary to ABI. 304Penelope Monroe et al.However, to date, the research evidence supporting the application of group singing for communication impairments in ABI has not been summarized.What this paper adds to existing knowledge r A total of 11 studies have looked at communication outcomes after group singing in ABI. For most of these, the quality of evidence was low (AAN level IV). It also highlights that there is a bias in the literature towards...

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“…It is defined as difficulty retrieving a specific word at the right time and can occur in structured tasks (e.g., picture naming) as well as in conversation (Goodglass 2001). Anomia most often leads to non-responses, delays in accessing the target word, production of circumlocutions (e.g., apple → a red fruit), and production of semantic (e.g., apple → pear) or phonological paraphasias (e.g., apple → papple; Whitworth et al 2013). According to cognitive models of spoken production (Caramazza 1997, Levelt et al 1999, words are retrieved through activating specialized and interconnected components (i.e., lexical semantic, phonological output lexicon (POL), phonological buffer).…”

Section: Introductionmentioning

confidence: 99%

Efficacy of a self‐administered treatment using a smart tablet to improve functional vocabulary in post‐stroke aphasia: a case‐series study

Lavoie

Bier

Macoir

2018

Intl J Lang & Comm Disor

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Background Aphasia is an acquired language disorder that occurs secondary to brain injury, such as stroke. It causes communication difficulties that have a significant impact on quality of life and social relationships. Although the efficacy of speech–language therapy has been clearly demonstrated in this population, long‐term services are currently limited due to logistical and financial constraints. In this context, the potential contribution of technology, such as smart tablets, is worth exploring, especially to improve vocabulary that is relevant in daily life. Aims The main aim was to investigate the efficacy of a self‐administered treatment using a smart tablet to improve naming of functional words in post‐stroke anomia. Methods & Procedures Four adults with post‐stroke aphasia took part in the study. An ABA design with multiple baselines was used to compare naming performances for four equivalent lists: (1) trained with functional words chosen with the participant; (2) trained with words randomly chosen from a picture database; (3) exposed but not trained; and (4) not exposed (control). Outcomes & Results For all participants, the treatment self‐administered at home (four times/week for 4 weeks) resulted in a significant improvement for both sets of trained words that was maintained 2 months after the end of treatment. Moreover, in two participants, evidence of generalization to conversation was found. Conclusions & Implications This study confirms the efficacy of using smart tablets to improve naming in post‐stroke aphasia. Although more studies are needed, the use of new technologies is unquestionably a promising approach to improve communication skills in people with aphasia, especially by targeting vocabulary that is relevant to them in their daily lives.

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A Cognitive Neuropsychological Approach to Assessment and Intervention in Aphasia

Cited by 116 publications

References 0 publications

Assessment and treatment of short-term and working memory impairments in stroke aphasia: a practical tutorial

Assessment and treatment of short-term and working memory impairments in stroke aphasia: a practical tutorial

The effects of choral singing on communication impairments in acquired brain injury: A systematic review

Efficacy of a self‐administered treatment using a smart tablet to improve functional vocabulary in post‐stroke aphasia: a case‐series study

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