The comprehensibility of pantomimes produced by people with aphasia

Nispen, Karin van; Mieke, W.M.E.; Sandt‐Koenderman, E. van de; Krahmer, Emiel

doi:10.1111/1460-6984.12328

Cited by 9 publications

(5 citation statements)

References 43 publications

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“…Comprehensibility was also lower in apraxia and the inability to use the right hand, underlining the potential benefit of pantomime for rehabilitation. 60 The results are not in accordance with previous studies but 2 factors could explain the controversy: PWA using the nondominant hand maybe produce pantomime less accurate therefore less comprehensible (ie, pretending to write with the left hand); also some pantomimes require both hands. For individuals with language difficulties, pantomime offers a useful means for communication.…”

Section: Apraxia-imitation-comprehensioncontrasting

confidence: 71%

Language as a Predictor of Motor Recovery: The Case for a More Global Approach to Stroke Rehabilitation

Anderlini

Wallis

Marinovic

2019

Neurorehabil Neural Repair

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Stroke is the third leading cause of death in the developed world and the primary cause of adult disability. The most common site of stroke is the middle cerebral artery (MCA), an artery that supplies a range of areas involved in both language and motor function. As a consequence, many stroke patients experience a combination of language and motor deficits. Indeed, those suffering from Broca's aphasia have an 80% chance of also suffering hemiplegia. Despite the prevalence of multifaceted disability in patients, the current trend in both clinical trials and clinical practice is toward compartmentalization of dysfunction. In this article, we review evidence that aphasia and hemiplegia do not just coexist, but that they interact. We review a number of clinical reports describing how therapies for one type of deficit can improve recovery in the other and vice versa. We go on to describe how language deficits should be seen as a warning to clinicians that the patient is likely to experience motor impairment and slower motor recovery, aiding clinicians to optimize their choice of therapy. We explore these findings and offer a tentative link between language and arm function through their shared need for sequential action, which we term fluency. We propose that area BA44 (part of Broca's area) acts as a hub for fluency in both movement and language, both in terms of production and comprehension.

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Section: Apraxia-imitation-comprehensioncontrasting

confidence: 71%

Language as a Predictor of Motor Recovery: The Case for a More Global Approach to Stroke Rehabilitation

Anderlini

Wallis

Marinovic

2019

Neurorehabil Neural Repair

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“…Results from previous studies focusing on gesture production for communication purposes in IWA mostly indicate no influence of hemiparesis on the formal diversity of gestures (Hogrefe et al, 2012), the number of gestures per word (Kong et al, 2015), the use of various gestural representation techniques in pantomime production (Van Nispen et al, 2016), and on the comprehensibility of gestures (Hogrefe et al, 2012(Hogrefe et al, , 2017Hogrefe et al, 2013). Solely Van Nispen et al (2018) found an influence of hemiparesis on the comprehensibility of pantomimes in IWA. Concerning limb apraxia study results were equivocal.…”

Section: Introductionmentioning

confidence: 85%

“…Concerning limb apraxia study results were equivocal. Van Nispen et al (2016) and Van Nispen et al (2018) investigated pantomime production on command in IWA and found an effect of limb apraxia on the use of different gestural representation techniques and the comprehensibility of pantomimes. Furthermore, some studies reported an effect of limb apraxia on spontaneous gesture production in communication contexts, that is, the skillfulness and success of gestural communication (e.g., Borod et al, 1989;Feyereisen et al, 1988), the formal diversity (Hogrefe et al, 2012), or on the comprehensibility of gestures (Hogrefe et al, 2012(Hogrefe et al, , 2017Hogrefe et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Do gestures have a hand in verb retrieval? Investigation of iconic and non-iconic gestures in aphasia

2021

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Background: According to the lexical retrieval hypothesis (LRH), the primary function of gestures is to facilitate word retrieval. Thus, individuals with aphasia (IWA) might benefit from gestures in case of word retrieval impairments. However, the facilitative effect of gestures on word finding is still unclear since most facilitation/ treatment studies combined gesture with linguistic cues. The LRH claims that the semantic content of a gesture is decisive for a facilitation effect on word retrieval. However, it remains unclear if and how IWA can perform adequate iconic gestures, especially in the presence of hemiparesis or limb apraxia. Thus, in the present study, we systematically studied the effect of iconic and non-iconic gesture production on oral verb naming in IWA and analysed the iconicity of gestures produced by IWA and healthy controls. Aims: In the present study, we aimed (1) to investigate the potential facilitation effect of iconic and non-iconic gestures on verb retrieval in IWA and (2) to examine the IWA's ability to produce adequate iconic gestures. Methods & Procedures: Six IWA with impairments in naming verbs arising from a phonological, a lexical-semantic, or a combined deficit participated in a multiple single-case study targeting oral verb production. In the first experiment, IWA were asked to name pictures and to simultaneously perform either a relevant iconic gesture, a non-iconic gesture, or no gesture at all. In the second experiment, the videorecorded gestures produced during verb naming in the iconic gesture condition were rated for iconicity and compared to the iconicity of iconic gestures produced by 12 language-unimpaired controls. Results: The accuracy in oral naming of verbs (Experiment 1) did not differ significantly between all conditions. Most IWA (n = 5) were able to produce iconic gestures, irrespective of hemiparesis or limb apraxia, since the iconicity ratings did not differ significantly from language-unimpaired controls (Experiment 2). Conclusions: In contrast to the general assumption of the LRH, no gesture facilitation effect was observed in the verb naming performance of IWA. Moreover, the majority of the IWA could perform iconic gestures in a similar way as language-unimpaired participants despite the presence of a hemiparesis or limb apraxia. Hence, the absence of a facilitation effect in the iconic gesture condition seems not to originate from an inability to produce adequate iconic gestures. Further research with more IWA is required in order to replicate our results.

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“…The two major functional roles attributed to pantomime during everyday social interactions are gestural depiction during interpersonal communication (Clark, 1996) and demonstration during supervised learning (Gärdenfors, 2017). However, pantomime has a diverse profile of social uses (Zywiczynski et al, 2018) that spans from the performing art of mime theater (Hall, 2009) through to the neuropsychological testing that is done to diagnose syndromes, such as apraxia (Heilman et al, 1982;Hoeren et al, 2014), aphasia (Rose et al, 2017;van Nispen et al, 2018), and autism (Rogers et al, 1996;Smith and Bryson, 2007;Gizzonio et al, 2015).…”

Section: What Pantomime Is and Is Notmentioning

confidence: 99%

How Pantomime Works: Implications for Theories of Language Origin

et al. 2019

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Pantomime refers to iconic gesturing that is done for communicative purposes in the absence of speech. Gestural theories of the origins of language claim that a stage of pantomime preceded speech as an initial form of referential communication. However, gestural theories conceive of pantomime as a unitary process, and do not distinguish among the various means by which it can be produced. We attempt here to develop a scheme for classifying pantomime based on a proposal of two new sub-categories of pantomime, resulting in a final scheme comprised of five categories of iconic gesturing. We employ the scheme to establish associations between the category of pantomime used and the type of action and/or object being depicted. Based on these associations, we argue that there are two basic modes of pantomiming and that these apply to distinct semantic categories of referents. These modes of pantomiming lead to two alternative models for a gestural origin of language, one based on people and one based on the environment.

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The comprehensibility of pantomimes produced by people with aphasia

Cited by 9 publications

References 43 publications

Language as a Predictor of Motor Recovery: The Case for a More Global Approach to Stroke Rehabilitation

Language as a Predictor of Motor Recovery: The Case for a More Global Approach to Stroke Rehabilitation

Do gestures have a hand in verb retrieval? Investigation of iconic and non-iconic gestures in aphasia

How Pantomime Works: Implications for Theories of Language Origin

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