The complex relationship between pre-stroke and post-stroke language abilities in multilingual individuals with aphasia

Lerman, Aviva; Goral, Mira; Obler, Loraine K.

doi:10.1080/02687038.2019.1673303

Cited by 16 publications

(8 citation statements)

References 66 publications

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“…In connected-language production, multilingual individuals with aphasia are likely to score higher on a variety of communicative measures if their output in either language is combined and considered correct, as compared to when only what they produced in the target language is scored as correct (Lerman, Goral, and Obler 2020). This is similar to what has been found with neurologically healthy multilingual speakers who have varying levels of proficiency in their two languages (e.g.…”

Section: Interpreting the Resultssupporting

confidence: 72%

“…Multilingual persons who are immersed in one of their languages and use another of their languages with limited frequency may experience language attrition in the lessused language, that is, a deterioration of their linguistic and communicative abilities (e.g. Lerman, Goral, and Obler 2020;Schmid 2013). Changes associated with language attrition are often subtle in people who were adults before changing their language environment and use.…”

Section: Obtaining Language Backgroundmentioning

confidence: 99%

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Multilingualism across the Lifespan

Røyneland¹,

Blackwood²

2021

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This innovative collection examines key questions on language diversity and multilingualism running through contemporary debates in psycholinguistics and sociolinguistics.Reinforcing interdisciplinary conversations on these themes, each chapter is co-authored by two different researchers, often those who have not written together before. The combined effect is a volume showcasing unique and dynamic perspectives on such topics as multilingualism across the lifespan, bilingual acquisition, family language policy, language and ageing, language shift, language and identity, and multilingualism and language impairment. The book builds on Elizabeth Lanza's pioneering work on multilingualism across the lifespan, bringing together cutting-edge research exploring multilingualism as an evolving phenomenon at landmarks in individuals', families', and communities' lives. Taken together, the book offers a rich portrait of the different facets of multilingualism as a lived reality for individuals, families, and communities.This ground-breaking volume will be of particular interest to students and scholars in multilingualism, applied linguistics, sociolinguistics, and psycholinguistics.

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Section: Interpreting the Resultssupporting

confidence: 72%

Section: Obtaining Language Backgroundmentioning

confidence: 99%

Multilingualism across the Lifespan

Røyneland¹,

Blackwood²

2021

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“…Asking people to rate their abilities will thus be a very time-consuming process or a crude approximation. Researchers studying multilingual speakers with aphasia continue to improve the field's understanding of the reliability of self-reported proficiency, the wording that best elicits the target information, and the inter-relation between language proficiency and language use [9].…”

Section: Language Proficiencymentioning

confidence: 99%

“…Several variables have been implicated in determining patterns of impairment and recovery in multilingual PWA. These include variables related to the type of multilingualism, such as age of language acquisition, relative pre-stroke proficiencies of each language, and frequency of language use and exposure, as well as variables related to the stroke, such as site and size of the brain lesion and the time elapsed since the aphasia onset [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Variables and Mechanisms Affecting Response to Language Treatment in Multilingual People with Aphasia

Goral

Lerman

2020

Behavioral Sciences

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Background: Despite substantial literature exploring language treatment effects in multilingual people with aphasia (PWA), inconsistent results reported across studies make it difficult to draw firm conclusions. Methods: We highlight and illustrate variables that have been implicated in affecting cross-language treatment effects in multilingual PWA. Main contribution: We argue that opposing effects of activation and inhibition across languages, influenced by pertinent variables, such as age of language acquisition, patterns of language use, and treatment-related factors, contribute to the complex picture that has emerged from current studies of treatment in multilingual PWA. We propose a new integrated model—Treatment Effects in Aphasia in Multilingual people (the TEAM model)—to capture this complexity.

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“…Contributions in this issue, stimulated by different multiethnic neurorehabilitation environments across the world, advance the foundations in aphasia services in multiethnic populations in three important directions by (1) increasing our understanding of the factors that explain post-stroke language abilities in bilingual individuals, (2) extending neurocognitive accounts of bilingualism to aphasia in bilingual speakers, and 3exploring culturally secure methodologies to be used in assessment and treatment contexts in culturally diverse adult neurorehabilitation services. In the first article in this Special Issue, to facilitate the often difficult process of interpreting post-stroke language profiles in bilingual persons with aphasia (Kuzmina et al, 2019), Lerman et al (2020) review multiple case studies to propose that interpretive accuracy in aphasic language analysis in bi-/multilingual speakers may be enhanced by integrating multiple factors, including pre-stroke language proficiency, language exposure and use, post-stroke language impairment, post-stroke language practices, and nature of the brain lesion. Next, in line with current influential neurocognitive accounts implicated in aphasic language performance in bilingual individuals (e.g.…”

mentioning

confidence: 99%

Aphasia management in growing multiethnic populations

2020

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Aphasia management in growing multiethnic populations Multiethnic aphasia caseloads in post-stroke services are estimated to grow extensively. The convergence of a larger prevalence of chronic neurogenic complications in a rapidly aging world population with the exponential growth of global ethno-racial diversity is estimated to considerably expand ethno-geriatric caseloads in neurorehabilitation services worldwide (Cummings-Vaughn, 2017; Kristiansen et al., 2016; Prince et al., 2015). A global demographic transition into larger multiethnic older groups, while having a tremendous impact on local social and healthcare services in many world regions, will particularly require increased research and workforce to meet the clinical demands of burgeoning multiethnic adult groups in post-stroke caseloads (Centeno, 2017; Centeno & Harris, in press; Dwolatzky et al., 2017; Yeo et al., 2017). As the number of people aged 60 years or over continuously grows from 901 million to 1.4 billion between 2015 and 2030 worldwide (United Nations, Department of Economic and Social Affairs, Population Division, 2017), a parallel steady growth in international migration has steadily expanded numerous local multiethnic scenarios, consisting of multiple ethno-racial groups including Indigenous populations, across the world. Global migration has progressively grown from 173 to 258 million individuals between 2000 and 2017 (United Nations, Department of Economic and Social Affairs, Population Division, 2016). Continuous worldwide increase in ethno-geriatric populations already constitutes a global healthcare priority, especially in high-migration regions (Centeno & Harris, in press; Kristiansen et al., 2016; Sheets & Gallagher, 2013; Yeo, 2009). With increased vulnerability to cardiovascular complications in an aging population, including stroke (Prince et al., 2015), stroke survivors are anticipated to number 73 million by 2030, consistent with global geriatric growth (Feigin et al., 2014). A large minority representation in adult stroke caseloads is expected. Minority elders in ethno-racially diverse environments have been reported to have a high incidence and prevalence of cardiovascular disease from the multifactorial interaction of social, economic, political, cultural, and institutional elements (Australian Institute of Health and Welfare, 2016; Mozaffarian et al., 2016). Many of these stroke survivors will have aphasia, a frequent poststroke disability that has been ranked to occur from 21% to 38% among stroke patients (Engelter et al., 2006). This innovative issue is an international effort to advance the evidential and clinical foundations needed to support aphasia services for the growing ethno-racially diverse adult populations. With expanded stroke ethno-geriatric groups, linguistic and sociocultural heterogeneity in neurorehabilitation programs, including aphasia services, will grow considerably (Centeno et al., 2017). Particularly, language diversity has crucial impact on aphasia management. Because there are about 7,111 langu...

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The complex relationship between pre-stroke and post-stroke language abilities in multilingual individuals with aphasia

Cited by 16 publications

References 66 publications

Multilingualism across the Lifespan

Multilingualism across the Lifespan

Variables and Mechanisms Affecting Response to Language Treatment in Multilingual People with Aphasia

Aphasia management in growing multiethnic populations

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