The Influence of Phonomotor Treatment on Word Retrieval Abilities in 26 Individuals With Chronic Aphasia: An Open Trial

Kendall, Diane L.; Oelke, Megan; Brookshire, C. Elizabeth; Nadeau, Stephen E.

doi:10.1044/2015_jslhr-l-14-0131

Cited by 60 publications

(56 citation statements)

References 40 publications

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“…Treatment studies have demonstrated that generalisation across behaviours increases when there is a hierarchical relationship between trained and untrained targets (eg, within category generalisation from abstract words to concrete words, 51 when more complex words or sentences are selected for treatment of word finding or syntax, respectively 6 52 and when trained words or sentences engage common linguistic rules or principles. s38, s39 Furthermore, generalisation across tasks occurs when the tasks share psycholinguistic mechanisms (eg, training novel phoneme sequences to strengthen the phonological system can generalise to improvements in word retrieval 53 and reading.) 54 Improvements in discourse, which are important for generalisation across contexts, have been found in approaches that treat longer utterances, such as CILT 55 and verb network strengthening treatment.…”

Section: Principles For Inducing Beneficial Neuroplasticity Through Amentioning

confidence: 99%

Neuroplasticity and aphasia treatments: new approaches for an old problem

Crosson

Rodriguez

Copland

et al. 2019

J Neurol Neurosurg Psychiatry

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Given the profound impact of language impairment after stroke (aphasia), neuroplasticity research is garnering considerable attention as means for eventually improving aphasia treatments and how they are delivered. Functional and structural neuroimaging studies indicate that aphasia treatments can recruit both residual and new neural mechanisms to improve language function and that neuroimaging modalities may hold promise in predicting treatment outcome. In relatively small clinical trials, both non-invasive brain stimulation and behavioural manipulations targeting activation or suppression of specific cortices can improve aphasia treatment outcomes. Recent language interventions that employ principles consistent with inducing neuroplasticity also are showing improved performance for both trained and novel items and contexts. While knowledge is rapidly accumulating, larger trials emphasising how to select optimal paradigms for individualised aphasia treatment are needed. Finally, a model of how to incorporate the growing knowledge into clinical practice could help to focus future research.

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Section: Principles For Inducing Beneficial Neuroplasticity Through Amentioning

confidence: 99%

Neuroplasticity and aphasia treatments: new approaches for an old problem

Crosson

Rodriguez

Copland

et al. 2019

J Neurol Neurosurg Psychiatry

View full text Add to dashboard Cite

show abstract

“…We note that there are other accounts of lexical knowledge based on connectionist spreading-activation frameworks in which parallel activation occurs throughout lexical processing (e.g., Kendall, Oelke, Brookshire, & Nadeau, 2015), and thus there may not be a staged component to these accounts. A full evaluation of these proposals and how they relate to the present data or the other lexical access data addressed by the frameworks discussed above is outside of the scope of this article.…”

Section: Interactivity In Spoken Productionmentioning

confidence: 99%

Identification and Remediation of Phonological and Motor Errors in Acquired Sound Production Impairment

Buchwald

Gagnon

Miozzo

2017

J Speech Lang Hear Res

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,d Purpose: This study aimed to test whether an approach to distinguishing errors arising in phonological processing from those arising in motor planning also predicts the extent to which repetition-based training can lead to improved production of difficult sound sequences. Method: Four individuals with acquired speech production impairment who produced consonant cluster errors involving deletion were examined using a repetition task. We compared the acoustic details of productions with deletion errors in target consonant clusters to singleton consonants. Changes in accuracy over the course of the study were also compared.Results: Two individuals produced deletion errors consistent with a phonological locus of the errors, and 2 individuals produced errors consistent with a motoric locus of the errors. The 2 individuals who made phonologically driven errors showed no change in performance on a repetition training task, whereas the 2 individuals with motoric errors improved in their production of both trained and untrained items. Conclusions:The results extend previous findings about a metric for identifying the source of sound production errors in individuals with both apraxia of speech and aphasia. In particular, this work may provide a tool for identifying predominant error types in individuals with complex deficits.

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“…Specifically, damage to left perisylvian cortical areas typically weakens representation and processing of phonemes and phoneme sequences. 5,6 This type of injury often results in aphasia. Individuals with aphasia and phonological impairment are known to have difficulty with sound sequencing and produce phonemic paraphasias (e.g., saying speen for spoon).…”

Section: Contribution Of Phonology To Language Processingmentioning

confidence: 99%

“…Phonomotor treatment is one such word retrieval treatment that specifically targets phonological processing and phonological regularities (or phoneme sequence knowledge). 6,12,37 PHONOMOTOR TREATMENT Phonomotor treatment is a multimodal treatment for phonology that was inspired by the Lindamood Phoneme Sequencing Program for Reading, Spelling, and Speech and adapted for individuals with aphasia. 38 The theoretical motivation behind phonomotor treatment, a connectionist, parallel distributed processing (PDP) model of phonology, 11 has been discussed in-depth elsewhere and will only be briefly reiterated here.…”

Section: Traditional Phonological Treatment Approachesmentioning

confidence: 99%

“…38 The theoretical motivation behind phonomotor treatment, a connectionist, parallel distributed processing (PDP) model of phonology, 11 has been discussed in-depth elsewhere and will only be briefly reiterated here. 6,12 This PDP model proposes that phonological representations (e.g., phoneme /p/), are represented by distributed neural connections between auditory (e.g., auditory percept /p/), articulatory-motor (e.g., verbal production /p/), orthographic (e.g., letter p), and semantic/conceptual (e.g., knowledge that phoneme /p/ exists) domains that can be modified via experience and learning. Given the connectivity within and between domains, input into any domain of this phonological network will produce simultaneous activation in other domains.…”

Section: Traditional Phonological Treatment Approachesmentioning

confidence: 99%

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Phonological Treatment Approaches for Spoken Word Production in Aphasia

2017

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This article provides an overview of phonological treatment approaches for anomia in individuals with aphasia. The role of phonology in language processing, as well as the impact of phonological impairment on communication is initially discussed. Then, traditional phonologically based treatment approaches, including phonological, orthographic, indirect, guided, and mixed cueing methods, are described. Collectively, these cueing treatment approaches aim to facilitate word retrieval by stimulating residual phonological abilities. An alternative treatment approach, phonomotor treatment, is also examined. Phonomotor treatment aims to rebuild sublexical, phonological sequence knowledge and phonological awareness as a means to strengthen lexical processing and whole-word naming. This treatment is supported by a parallel-distributed processing model of phonology and therefore promotes multimodal training of individual phonemes and phoneme sequences in an effort to enhance the neural connectivity supporting underlying phonological processing mechanisms. The article concludes with suggestions for clinical application and implementation.

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The Influence of Phonomotor Treatment on Word Retrieval Abilities in 26 Individuals With Chronic Aphasia: An Open Trial

Abstract: The results of this trial demonstrate generalization of training effects on laboratory measures, which were sustained at 3 months, and provide support for the theories that motivated the treatment.

Cited by 60 publications

References 40 publications

Neuroplasticity and aphasia treatments: new approaches for an old problem

Neuroplasticity and aphasia treatments: new approaches for an old problem

Identification and Remediation of Phonological and Motor Errors in Acquired Sound Production Impairment

Phonological Treatment Approaches for Spoken Word Production in Aphasia

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