Combined restorative and compensatory treatment for primary progressive aphasia: a case report

Cadório, Inês; Figueiredo, Daniela; Martins, Paula; Cardoso, Rita M.; Santos, Joana; Lousada, Marisa

doi:10.1080/02687038.2019.1687842

Cited by 5 publications

(5 citation statements)

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“…Another innovative anomia treatment combines restorative and compensatory approaches to improve deficits and develop communication strategies to facilitate daily life activities of patients, as has been described by Cadório et al [108]. This study showed an improvement in oral naming of trained items in a patient with nf/ avPPA and an improvement in oral naming of untrained items in a patient with mixed PPA, with gains maintained at the 4-week follow-up and generalization of gains to quality of life.…”

Section: Multimodality Approach Treatmentsupporting

confidence: 54%

“…In this regard, only two studies have reported an improvement in the naming of trained items after multimodality stimulation treatment [24,107]. Likewise, only two of the four studies have shown generalization to the naming of untrained stimuli [106,108]. Interestingly, three studies used functional communication scales or quality-of-life questionnaires as the measure of benefit generalization and reported generalization on these secondary measures [107][108][109].…”

Section: Discussionmentioning

confidence: 99%

“…Regarding long-term enhancement, only two studies provided follow-up assessments [107,108], and both showed maintenance of gains.…”

Section: Discussionmentioning

confidence: 99%

“…Multimodality approaches have been less studied. Current evidence shows that this rehabilitation strategy has slight effects on naming, generalization and longterm measures, probably due to the variability of the treatments applied and/or the heterogeneity of the clinical profile of the samples [106][107][108][109].…”

Section: Discussionmentioning

confidence: 99%

“…Some studies investigating naming treatment in PPA have combined impairment-based approaches with functional approaches (communication skills training) to improve communicative independence in these patients. These multimodality approaches often include counselling and education on the use of strategies for patients' caregivers [106][107][108][109].…”

Section: Multimodality Approach Treatmentmentioning

confidence: 99%

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Language training for oral and written naming impairment in primary progressive aphasia: a review

Pagnoni

Gobbi

Premi

et al. 2021

Transl Neurodegener

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Background Primary progressive aphasia (PPA) is a neurodegenerative disorder characterized by a gradual, insidious and progressive loss of language abilities, with naming difficulties being an early and persistent impairment common to all three variants. In the absence of effective pharmacological treatments and given the progressive nature of the disorder, in the past few decades, many studies have investigated the effectiveness of language training to minimize the functional impact of word-finding difficulties in daily life. Main body We review language treatments most commonly used in clinical practice among patients with different variants of PPA, with a focus on the enhancement of spoken and written naming abilities. Generalization of gains to the ability to name untrained stimuli or to other language abilities and the maintenance of these results over time are also discussed. Forty-eight studies were included in this literature review, identifying four main types of language treatment: a) lexical retrieval treatment, b) phonological and/or orthographic treatment, c) semantic treatment, and d) a multimodality approach treatment. Overall, language training is able to induce immediate improvements of naming abilities in all variants of PPA. Moreover, despite the large variability among results, generalization and long-term effects can be recorded after the training. The reviewed studies also suggest that one factor that determines the choice of a particular approach is the compromised components of the lexical/semantic processing system. Conclusion The majority of studies have demonstrated improvements of naming abilities following language treatments. Given the progressive nature of PPA, it is essential to apply language treatment in the early stages of the disease.

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Section: Multimodality Approach Treatmentsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 99%

“…Regarding long-term enhancement, only two studies provided follow-up assessments [107,108], and both showed maintenance of gains.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Multimodality Approach Treatmentmentioning

confidence: 99%

See 3 more Smart Citations

Language training for oral and written naming impairment in primary progressive aphasia: a review

Pagnoni

Gobbi

Premi

et al. 2021

Transl Neurodegener

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Behavioral Treatment for Speech and Language in Primary Progressive Aphasia and Primary Progressive Apraxia of Speech: A Systematic Review

Wauters,

Croot,

Dial

et al. 2023

Neuropsychol Rev

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Primary progressive aphasia (PPA) and primary progressive apraxia of speech (PPAOS) are neurodegenerative syndromes characterized by progressive decline in language or speech. There is a growing number of studies investigating speech-language interventions for PPA/PPAOS. An updated systematic evaluation of the treatment evidence is warranted to inform best clinical practice and guide future treatment research. We systematically reviewed the evidence for behavioral treatment for speech and language in this population. Reviewed articles were published in peer-reviewed journals through 31 May 2021. We evaluated level of evidence, reporting quality, and risk of bias using a modified version of the American Speech-Language Hearing Association (ASHA) Levels of Evidence, an appraisal point system, additional reporting quality and internal/external validity items, and, as appropriate, the Single Case Experimental DesignScale or the Physiotherapy Evidence Database – PsycBITERating Scale for Randomized and Non-Randomized Controlled Trials. Results were synthesized using quantitative summaries and narrative review. A total of 103 studies reported treatment outcomes for 626 individuals with PPA; no studies used the diagnostic label PPAOS. Most studies evaluated interventions for word retrieval. The highest-quality evidence was provided by 45 experimental and quasi-experimental studies (16 controlled group studies, 29 single-subject designs). All (k = 45/45) reported improvement on a primary outcome measure; most reported generalization (k = 34/43), maintenance (k = 34/39), or social validity (k = 17/19) of treatment for at least one participant. The available evidence supports speech-language intervention for persons with PPA; however, treatment for PPAOS awaits systematic investigation. Implications and limitations of the evidence and the review are discussed.

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Do communication interventions affect the quality-of-life of people with dementia and their families? A systematic review

Hockley

Moll

Littlejohns

et al. 2023

Aging & Mental Health

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Combined restorative and compensatory treatment for primary progressive aphasia: a case report

Cited by 5 publications

References 50 publications

Language training for oral and written naming impairment in primary progressive aphasia: a review

Language training for oral and written naming impairment in primary progressive aphasia: a review

Behavioral Treatment for Speech and Language in Primary Progressive Aphasia and Primary Progressive Apraxia of Speech: A Systematic Review

Do communication interventions affect the quality-of-life of people with dementia and their families? A systematic review

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