Impairment‐ and activity/participation‐directed interventions in progressive language impairment: Clinical and theoretical issues

Croot, Karen; Nickels, Lyndsey; Laurence, Felicity; Manning, Margaret

doi:10.1080/02687030801943179

Cited by 98 publications

(91 citation statements)

References 76 publications

(132 reference statements)

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“…As a consequence, most of the therapy studies in PPA have focused on the processing and retrieval of single words (Croot, Nickels, Laurence, & Manning, 2009;Jokel et al, 2014). Although not a defining feature of nfvPPA, anomia is nevertheless a common symptom especially in the late stages of the disease (Gorno-Tempini et al, 2004, 2011Harciarek, Sitek, & Kertesz, 2014).…”

Section: Word-retrieval and Grammar Treatments In Nfvppamentioning

confidence: 99%

“Do you havemowing the lawn?” – improvements in word retrieval and grammar following constraint-induced language therapy in primary progressive aphasia

et al. 2016

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Background: Much recent progress has been made in developing speech-language therapy in primary progressive aphasia (PPA). Several treatment approaches that have shown significant effects with people with aphasia have been adapted and re-evaluated for PPA. Constraint-induced aphasia therapy (CIAT) is a well-evaluated method that has yielded significant language improvements in people with post-stroke aphasia but has not yet been evaluated with people with PPA. Nevertheless, the combination of CIAT features like massed practice and a motivating communicative setting seem likely to make it a suitable tool for improving the speech and language performance of individuals with PPA as well. Aims: This study investigates the effectiveness of a modified CIAT protocol on word retrieval, grammatical structure and connected speech in two individuals with non-fluent variant PPA (nfvPPA). Methods and procedures: Two participants with nfvPPA took part in a 9-day intensive CIAT-based group therapy with additional computerbased home training. Stimuli were 120 photos of people performing daily life activities, which could be described using a simple (e.g., "The man is mowing the lawn") or reduced (e.g., "mowing the lawn") sentence structure. During the treatment phase, the participants were required to request picture cards from other group members using spoken language only. The task difficulty was increased hierarchically (shaped) in accordance to each participant's performance level. Outcomes and results: Directly after therapy, both participants achieved significant improvements in their noun and verb naming accuracy and their grammatical structure for trained items. Training effects were maintained 2 months after therapy. Moreover, generalisation to different pictures of the same item was found for both participants and one participant also showed improved grammatical structure when describing untrained pictures. No significant generalisation to untrained connected speech samples was observed for either participant.

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Section: Word-retrieval and Grammar Treatments In Nfvppamentioning

confidence: 99%

“Do you havemowing the lawn?” – improvements in word retrieval and grammar following constraint-induced language therapy in primary progressive aphasia

et al. 2016

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“…Further, the ICF is reflected in clinical goal setting in inpatient cognitive rehabilitation 57 , and in SLP clinical practice with interventions categorized as either "impairment" focused (i.e., related to body function and structure), or "functional" and / or "activity" based (i.e., targeting activity / participation) 48,58,59 .…”

Section: Research Frameworkmentioning

confidence: 99%

“…Intervention tasks were categorised according to the ICF model 43 , and tasks were categorised based on the underlying target or focus of the intervention as having an "impairment" or "functional / activity" focus 48,58 . Hence "impairment based" treatment would be those interventions (e.g., follow directions, sentence picture matching) that directly target reading comprehension and whose effects would be expected to generalize to improved reading comprehension across different types of activities versus functional or activity-based interventions that target reading comprehension for restricted activities and would not be expected to generalize (e.g., social media/digital communication; community outings).…”

Section: Survey Developmentmentioning

confidence: 99%

Treating reading comprehension deficits in sub-acute brain injury rehabilitation: Identifying clinical practice and management

Watter

Copley

Finch

2016

Journal of Communication Disorders

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“…The extensive progress in PPA diagnosis has led to a growing number of patients in need of treatment alternatives. In the absence of clearly effective pharmacological options, 6 there has been increasing interest in other approaches, particularly behavioral interventions. Croot et al (2009) performed a broad literature review on clinical management in PPA whose main objective was to assist clinicians to make choices about speech pathology service provision.…”

Section: Introductionmentioning

confidence: 99%

“…In the absence of clearly effective pharmacological options, 6 there has been increasing interest in other approaches, particularly behavioral interventions. Croot et al (2009) performed a broad literature review on clinical management in PPA whose main objective was to assist clinicians to make choices about speech pathology service provision. The authors reviewed 25 studies and made important considerations about intervention features and their results as well as suggestions for future research in this area.…”

Section: Introductionmentioning

confidence: 99%

Effect of Lexical Retrieval Cascade Treatment on Naming and Discourse of Individuals with Logopenic Variant of Primary Progressive Aphasia (lvPPA)

Kim

2017

Clin Arch Commun Disord

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ABSTRACT. This study provided a systematic review on nonpharmacological interventions applied to patients diagnosed with Primary Progressive Aphasia (PPA) and its variants: Semantic (SPPA), Nonfluent (NFPPA) and Logopenic (LPPA) to establish evidence-based recommendations for the clinical practice of cognitive rehabilitation for these patients. Methods: A PubMed and LILACS literature search with no time restriction was conducted with the keywords PPA (and its variants) AND rehabilitation OR training OR intervention OR therapy OR treatment OR effectiveness. To develop its evidence-based recommendations, a research committee identified questions to be addressed and determined the level of evidence for each study according to published criteria (Cicerone et al., 2000). Overall evidence for treatments was summarized and recommendations were derived. Results: Our search retrieved articles published from 1995 to 2013: 21 for SPPA, 8 for NFPPA, 3 for LPPA and 8 for PPA with no specification. Thirty-five studies were rated as Class III, consisting of studies with results obtained from one or more single-cases and that used appropriate single-subject methods with adequate quantification and analysis of results. The level of evidence of three functional interventions could not be established. One study was rated as Class II and consisted of a nonrandomized case-control investigation. Conclusion: Positive results were reported in all reviewed studies. However, in order to be recommended, some investigation regarding the intervention efficacy was required.Results of the present review allows for recommendation of some nonpharmacological interventions for cognitive deficits following PPA as Practice Options. Suggestions for further studies on PPA interventions and future research are discussed. Key words: primary progressive aphasia, treatment, speech and language therapy, intervention, cognitive rehabilitation. Este estudo ofereceu uma revisão sistemática de intervenções não-farmacológicas aplicadas a pacientes com Afasia Progressiva Primária (APP) e suas variantes: Semântica (APPS), Não-fluente (APPNF) e Logopênica (APPL) com o objetivo de estabelecer recomendações baseadas em evidências para a prática clínica de reabilitação cognitiva para estes pacientes. Métodos: Conduziu-se busca por literatura, sem restrição de período, no PubMed e LILACS com as palavraschave PPA (e variantes) AND rehabilitation OR training OR intervention OR therapy OR treatment OR effectiveness. Para desenvolver recomendações baseadas em evidências um comitê de pesquisadores identificou as questões relevantes para investigação e determinou o nível de evidência para cada estudo de acordo com critérios publicados (Cicerone et al., 2000). A evidência total para os tratamentos foi sumarizada e recomendações redigidas.

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Impairment‐ and activity/participation‐directed interventions in progressive language impairment: Clinical and theoretical issues

Cited by 98 publications

References 76 publications

“Do you havemowing the lawn?” – improvements in word retrieval and grammar following constraint-induced language therapy in primary progressive aphasia

“Do you havemowing the lawn?” – improvements in word retrieval and grammar following constraint-induced language therapy in primary progressive aphasia

Treating reading comprehension deficits in sub-acute brain injury rehabilitation: Identifying clinical practice and management

Effect of Lexical Retrieval Cascade Treatment on Naming and Discourse of Individuals with Logopenic Variant of Primary Progressive Aphasia (lvPPA)

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