Text level reading comprehension in aphasia: What do we know about therapy and what do we need to know?

Profiling text comprehension impairments in aphasia

“…The majority of research on adult acquired reading disorders focuses on assessment and remediation at the single word level (Cherney, 2004;Funnell, 2000;Kim & Russo, 2010), which is less applicable to those with text level difficulties (Kim & Russo, 2010). At the present time, there are few options for assessing text-level reading (Ellmo, Graser, Krchnavek, Hauck, & Calabrese, 1995;LaPointe & Horner, 1998) and available assessments "provide limited direction regarding treatment; they give limited insight into the nature of the underlying difficulty or what strategies are likely to be beneficial" (Webster et al, 2013(Webster et al, , p. 1374. A concise review of existing therapy approaches is given in Webster et al (2013), which also adds to the growing set of case studies on remediation of text comprehension impairments in aphasia (Cocks, Pritchard, Cornish, Johnson, & Cruice, 2013;Coelho, 2005;Lynch, Damico, Damico, Tetnowski, & Tetnowski, 2009;Meteyard, Bruce, Edmundson, & Ayre, 2010;Potts & Morris, 2010;Rogalski & Edmonds, 2008;Sinotte & Coelho, 2007).…”

“…At the present time, there are few options for assessing text-level reading (Ellmo, Graser, Krchnavek, Hauck, & Calabrese, 1995;LaPointe & Horner, 1998) and available assessments "provide limited direction regarding treatment; they give limited insight into the nature of the underlying difficulty or what strategies are likely to be beneficial" (Webster et al, 2013(Webster et al, , p. 1374. A concise review of existing therapy approaches is given in Webster et al (2013), which also adds to the growing set of case studies on remediation of text comprehension impairments in aphasia (Cocks, Pritchard, Cornish, Johnson, & Cruice, 2013;Coelho, 2005;Lynch, Damico, Damico, Tetnowski, & Tetnowski, 2009;Meteyard, Bruce, Edmundson, & Ayre, 2010;Potts & Morris, 2010;Rogalski & Edmonds, 2008;Sinotte & Coelho, 2007). Here we focus on assessment and on what tasks and approaches can be used to better understand the nature of text comprehension impairments in aphasia.…”

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

“…There is a small but growing trend for research into solely strategy-based interventions for discourse reading in pwABI (arising from cognitive-communication deficits and aphasia), with five publications identified in the past six years 47,88,[94][95][96] . All five studies used contentbased and cognitive / metacognitive reading strategies, with three also using visual strategies 88,94,95 .…”

“…All five studies used contentbased and cognitive / metacognitive reading strategies, with three also using visual strategies 88,94,95 . The strategies used across these five papers were also identified by the participants in our survey.…”

O uso de narrativas como método para a avaliação da compreensão na afasia

“…Embora a leitura integrada de um texto possa ser o último objetivo de um tratamento para a linguagem, poucos deles desenvolvem a leitura do indivíduo afásico até nível tão refinado. Em contrapartida, uma série de tratamentos trabalha com a leitura de palavras isoladas, havendo poucos dados sobre os ganhos desses tratamentos aplicados à leitura do dia a dia (WEBSTER et al, 2013).…”