Promoting recovery in chronic aphasia with an interactive technology

Aftonomos, Lefkos B.; Steele, Richard; Wertz, Robert T.

doi:10.1016/s0003-9993(97)90197-0

Cited by 66 publications

(28 citation statements)

References 15 publications

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“…Linguagraphica as it is now is a highly evolved version of an early computer program to compose sentences, C-VIC (Computer Based Visual Communication; Steele et al, 1989). The system is described as an extensive toolbox of specially designed, multimodal materials for use with and by people with aphasia (Aftonomos, Steele, & Wertz, 1997). In a study of 60 chronic patients, Aftonomos, Applebau, & Steele (1999) used Linguagraphica to provide intensive treatment.…”

Section: Computer Technology and The Disorder-oriented Treatment Apprmentioning

confidence: 99%

Aphasia rehabilitation and the role of computer technology: Can we keep up with modern times?

Sandt–Koenderman

2011

International Journal of Speech-Language Pathology

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Section: Computer Technology and The Disorder-oriented Treatment Apprmentioning

confidence: 99%

Aphasia rehabilitation and the role of computer technology: Can we keep up with modern times?

Sandt–Koenderman

2011

International Journal of Speech-Language Pathology

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“…There have been several investigations of use of computers in speech and language therapy/pathology (SLP) with adults with aphasia (Adrian, Gonzalez, & Buiza, 2003;Aftonomos, Steele, & Wertz, 1997;Fink, Brecher, Schwartz, & Robey, 2002;Katz & Wertz, 1992, 1997Linebarger, Schwartz, & Kohn, 2001;Loverso, Prescott, & Selinger, 1992, Mortley, Wade, Davies, & Enderby, 2003 and with language impaired children O'Connor & Schery, 1986;Schery & O'Connor, 1992;Tallal et al, 1996). The programs vary in how far they were intended to be used independently of an SLP and in whether or not they are effective when compared to tabletop interventions with populations of language impaired children (Cohen et al, 2005;Gillam, Crofford, Gale, & Hoffman, 2001;Hook, Macaruso & Jones, 2001;Troia & Whitney, 2003).…”

Section: Using Computers In Speech and Language Therapymentioning

confidence: 99%

A comparison between computer and tabletop delivery of phonology therapy

Wren

Roulstone

2008

International Journal of Speech-Language Pathology

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This paper reports on the development and evaluation of a software program aimed at assisting children with phonological impairment. An experimental approach was used whereby children's speech output was assessed pre-and post-therapy. Children were randomly assigned to a computer, a tabletop or a no therapy group. Those children receiving the computer therapy were exposed to an experimental software program that mirrored the tabletop activities using interactive computer games. The results showed no significant difference between any of the three groups with regard to change in speech output. These results may relate to the amount and frequency of therapy given and also to the heterogeneous nature of children included in the study. There was considerable variation in individual performance across all three groups and the data were therefore analysed to look for patterns that might predict performance. Stimulability and gender were identified as possible predictors. Female children and those who were able to produce a greater number of consonant speech sounds in isolation were more likely to make progress in their speech output. Future research might use a similar methodology to compare the therapy conditions but with a more homogenous group in terms of stimulability and using a greater intensity of intervention.

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“…18,20,21 They are distinguished by the presence of several key components, including the following: (1) an extensive and detailed patient care algorithm, which helps treating clinicians specify therapeutic clinical pathways; (2) an online database that captures, holds, and reports patient demographic, diagnostic, assessment, treatment, and response-to-treatment data; (3) a proprietary treatment technology called the Lingraphica System, providing access to, among other things, an extensive toolbox of specially designed, interactive multimodal materials for use with and by patients; and (4) a formal training program for the speech-language pathologists who must competently draw on and integrate use of the preceding 3 components. Figure 1 shows representative appearances and behaviors of selected icons from the treatment technology and illustrates icon use in one type of therapy exercise, namely, "icon plus spelling.…”

Section: Treatment Programsmentioning

confidence: 99%

“…Of those, 105 were assessed before treatment with the WAB (others, particularly during the earlier period of this program, received instead the Boston Diagnostic Aphasia Examination, 27 whose results were reported in an earlier article). 18 Of these latter, 64 received posttreatment assessment with the WAB, with 52 receiving the relatively complete posttreatment assessment that allows for the calculation of the Aphasia Quotient (AQ) of the WAB. The current PA sample comprises the first 30 of this latter group chronologically.…”

Section: Subjectsmentioning

confidence: 99%

Improving Outcomes for Persons With Aphasia in Advanced Community-Based Treatment Programs

Aftonomos¹,

Appelbaum²,

Steele³

1999

Stroke

Self Cite

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Background and Purpose-Studies have yet to document that community-based aphasia treatment programs routinely produce results comparable or superior to published research protocols. We explore this issue here in an outcome study of individuals with aphasia enrolled in 2 community-based, comparably managed and equipped therapy programs, which use a specially designed computer-based tool that is employed therapeutically in adherence to an extensive, detailed, and formally trained patient care algorithm. Methods-Patients (nϭ60) were assessed before and after treatment with standardized instruments at both the impairment and the disability levels. Pretreatment and posttreatment means were calculated and compared, with statistical significance of differences established with the use of 1-tailed matched t tests. One-way ANOVAs were used to analyze the comparability of patient performance changes among various subgroups, eg, patients in acute versus chronic stages of aphasia, patients by aphasia diagnostic type at start of care, patients by severity level at start of care, and patients by treatment location. Results-Analysis shows that patients spanned a wide range of aphasia diagnostic types, impairment severity levels at start of care, and times after onset. Patients' mean performance scores improved significantly in response to treatment in all measures assessed at both the impairment level and the functional communication level. Mean overall improvements ranged from 6.6% to 19.8%, with statistical significance ranging from Pϭ0.0006 to PϽ0.0001. ANOVAs revealed no significant differences between improvements in patients in the acute versus chronic stages of aphasia, between those at different impairment severity levels at start of care, between those treated at different locations, or, at the functional level, between those with different diagnostic types of aphasia at start of care. Conclusions--Measures of both language impairment and functional communication can be broadly, positively, and significantly influenced by therapy services that are delivered to persons with aphasia in these community-based programs. The significant improvements are shown to be available to individuals with chronic as well as acute aphasia and independent of diagnostic type of aphasia, impairment severity at start of care, or geographic program location.

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Promoting recovery in chronic aphasia with an interactive technology

Cited by 66 publications

References 15 publications

Aphasia rehabilitation and the role of computer technology: Can we keep up with modern times?

Aphasia rehabilitation and the role of computer technology: Can we keep up with modern times?

A comparison between computer and tabletop delivery of phonology therapy

Improving Outcomes for Persons With Aphasia in Advanced Community-Based Treatment Programs

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