Comparing multi-modality and constraint-induced treatment for aphasia: a preliminary investigation of generalisation to discourse

Leveraging big data to understand the interaction of task and language during monologic spoken discourse in speakers with and without aphasia

“…Speechlanguage therapy has a tendency to focus at the level of isolated processes, like noun/verb retrieval. There has been a considerable issue with demonstrating generalizability of therapy success to discourse in populations such as aphasia [Boyle, 2011, Rose et al, 2015, in that very few behavioral interventions have actually been shown to generalize to discourse.…”

Effect of type of language therapy on expressive language skills in patients with post‐stroke aphasia

“…, Rose et al . ). Therefore, it is still an open question whether the maximization of the quantity and frequency of language therapy is the most relevant factor affecting therapy outcome, or if a therapy strongly focused on language and verbal communication with constraints on other ways of communication has added benefits beyond mere intensity of therapy.…”

“…Second, CIAT has been typically applied much more intensely (i.e., more treatment sessions per week, longer sessions) than is usually the case with traditional therapy approaches. Although it was shown that when groups were controlled for the amount of therapy, overall language improvements were significant for the CIAT treatment group only (Pulvermüller et al 2001, Meinzer et al 2005, Maher et al 2006, there are studies arguing that the intensity of therapy is in fact one of the main factors affecting treatment-induced recovery in patients suffering from aphasia (Basso and Caporali 2001, Bhogal et al 2003, Barthel et al 2008, Sickert et al 2014, Rose et al 2016. Therefore, it is still an open question whether the maximization of the quantity and frequency of language therapy is the most relevant factor affecting therapy outcome, or if a therapy strongly focused on language and verbal communication with constraints on other ways of communication has added benefits beyond mere intensity of therapy.…”

“…It has to be stated that Rose et al . (, ) used a crossover design, but they compared CIAT with another novel therapy approach, so‐called multimodality aphasia therapy, which in essence also relied on constrained use of language for expression. Moreover, they concentrated on patients with a longer duration of aphasia (more than 12 months), in contrast to our patients who all had aphasia lasting for fewer than 12 months.…”

Leveraging big data to understand the interaction of task and language during monologic spoken discourse in speakers with and without aphasia

“…mean length per utterance) that is not linearly related to the isolated process being trained (e.g. noun or verb retrieval) [Rose et al, 2015]. There is a considerable amount of work to do to understand how isolated processes being trained in therapy are best represented by variables extracted from discourse.…”