Measuring treatment outcome in severe Wernicke’s aphasia

Lerman, Aviva; Goral, Mira; Edmonds, Lisa A.; Obler, Loraine K.

doi:10.1080/02687038.2020.1787729

Cited by 8 publications

(9 citation statements)

References 28 publications

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“…As expected, each participant showed improvement in some language tasks, either for production of words, sentences and/or discourse (e.g., Edmonds, 2016;Edmonds et al, 2009;Edmonds, Obermeyer & Kernan, 2015), for comprehension of words (e.g., Lerman et al, 2020), or for both production and comprehension. The differential improvements observed across tasks may be associated with relative pre-treatment language profiles, as suggested by Edmonds and colleagues (2015) who hypothesised that such inter-task differences could be related to processes such as sentence construction ability, as well as self-monitoring, pronoun production and heavy vs. light verb usage.…”

Section: Within-language Generalisationsupporting

confidence: 72%

“…Regarding the comparison between production and comprehension, we hypothesised that VNeST would positively affect both types of language tasks (Ferretti et al, 2001; Lerman et al, 2020). While comprehension is essentially easier than production because it requires less precision; for example, a close semantic error is often enough to comprehend but would be considered an error for production, we observed more within-language generalisation in production tasks than in comprehension tasks for English.…”

Section: Discussionmentioning

confidence: 99%

“…VNeST has been observed to be effective in monolingual people with both fluent and non-fluent aphasia, resulting in within-language generalisation in different language tasks for participants with mild to moderate-severe aphasia both for lexical retrieval (including single words, sentences and discourse – Edmonds, 2016) and comprehension tasks (Lerman, Goral, Edmonds & Obler, 2020). For multilingual people with aphasia, within-language generalisation would be expected for both languages, with more widespread generalisation for a pre-morbidly more-proficient L1 than a pre-morbidly less-proficient L2, as explained above.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, based on previous research with VNeST, we expected that lexical retrieval would improve not only for verbs and their thematic role fillers (nouns) in sentences, but also for noun and verb single-word naming and for lexical retrieval in discourse (e.g., Edmonds, 2016; Edmonds et al, 2009). Potentially, improvement would also occur for lexical comprehension of nouns and verbs (Lerman et al, 2020), due to the connectivity between noun and verb knowledge as reflected in priming effects (e.g., Ferretti et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

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Strengthening the semantic verb network in multilingual people with aphasia: within- and cross-language treatment effects*

et al. 2022

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In multilingual people, semantic knowledge is predominantly shared across languages. Providing semantic-focused treatment to people with aphasia has been posited to strengthen connectivity within association cortices that subserve semantic knowledge. In multilingual people, such treatment should result in within- and cross-language generalisation to all languages, although not equally. We investigated treatment effects in two multilingual participants with aphasia who received verb-based semantic treatment in two pre-stroke highly proficient languages. We compared within- and cross-language generalisation patterns across languages, finding within- and cross-language generalisation after treatment in the less-impaired, pre-morbidly more-proficient first-acquired language (L1). This observation supports the theory that connectivity is greater between the lexicon of a pre-morbidly more-proficient L1 and the shared semantic system than the lexicon of a pre-morbidly less-proficient later-acquired language. Our findings of within- and cross-language generalisation patterns could also be explained by both the Competing Mechanisms Theory and the theory of lingering suppression.

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Section: Within-language Generalisationsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Strengthening the semantic verb network in multilingual people with aphasia: within- and cross-language treatment effects*

et al. 2022

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“… 10 Also affected is the person’s ability to recognise their speech errors and to self-correct when communication breaks down. 11 This can result in frustration for the PWA if they are not understood or if the listener assumes the patient is ‘confused’ which occurs frequently. 4 Formal cognitive assessments or screens such as the Mini-Mental State Examination (MMSE) and the Montreal Assessment of Cognition (MoCA) are typically language loaded which inhibits a complete assessment of cognition in PWA.…”

Section: Introductionmentioning

confidence: 99%

Using a multidisciplinary approach to reveal decision-making capacity within acute care for an individual with aphasia

Maxwell

O’Brien

O’Donnell

et al. 2021

SAGE Open Medical Case Reports

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Formal assessments of cognition that rely on language may conceal the non-linguistic cognitive function of people with aphasia. This may have detrimental consequences for how people with aphasia are supported to reveal communicative and decision-making competence. This case report demonstrates a multidisciplinary team approach to supporting the health and social care decision-making of people with aphasia. The case is a 67-year-old woman with Wernicke’s type aphasia. As the issue of long-term care arose, the speech and language therapist used a supported communication approach with the patient who expressed her wish to go home. A multidisciplinary team functional assessment of capacity was undertaken which involved functional assessments and observations of everyday tasks by allied health, nursing, catering and medical staff. In this way, the patient’s decision-making capacity was revealed and she was discharged home. A collaborative multidisciplinary team approach using supported communication and functional capacity assessments may be essential for scaffolding the decision-making capacity of people with aphasia.

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Motivation Theory and Practice in Aphasia Rehabilitation: A Scoping Review

Biel

Enclade

Richardson

et al. 2022

Am J Speech Lang Pathol

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Purpose: In the aphasia literature, motivation has been described as potentially influencing rehabilitation outcomes, and there are reports that researchers and clinicians have acted to promote it. However, studies directly investigating the range of beliefs and practices surrounding motivation do not exist currently. The purpose of this scoping review is to develop themes related to the beliefs and practices appearing in the recent aphasia literature. Method: Four databases (CINAHL, PsycINFO, PubMed, and Google Scholar) were searched using keywords aphasia and motivation (including derivatives such as motiv*) for articles published between 2009 and 2020. Searches returned 19,731 articles; after deleting duplicates and applying inclusionary criteria, 365 articles remained. In each article, text surrounding the term motivation was highlighted and thematic analysis was applied to these quotations. Results: Sixteen themes were developed through thematic analysis and placed into two groups. The first group contained five themes suggesting that researchers believed that motivation should be studied and recognized the value of motivation in person(s) with aphasia when participating in research or clinical activities. The second group contained 11 themes reporting diverse beliefs and practices in how motivation is incorporated in research and clinical activities. Conclusions: Results from this scoping review suggest that aphasia researchers, clinicians, and persons with aphasia hold beliefs about motivation that can influence clinical and research decisions. In general, beliefs and decisions related to motivation appeared to be guided by intuition rather than theories of motivation. These themes are discussed within the context of three psychological needs proposed by self-determination theory: competency, autonomy, and relatedness. Applying theories of motivation to future study in aphasia rehabilitation will guide work that can provide empirical support for these beliefs.

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Measuring treatment outcome in severe Wernicke’s aphasia

Cited by 8 publications

References 28 publications

Strengthening the semantic verb network in multilingual people with aphasia: within- and cross-language treatment effects*

Strengthening the semantic verb network in multilingual people with aphasia: within- and cross-language treatment effects*

Using a multidisciplinary approach to reveal decision-making capacity within acute care for an individual with aphasia

Motivation Theory and Practice in Aphasia Rehabilitation: A Scoping Review

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