Agrammatism: Deficit or compensation? Consequences for aphasia therapy

Springer, Luise; Huber, Walter; Schlenck, Klaus-J.; Schlenck, Claudia

doi:10.1080/096020100389165

Cited by 46 publications

(28 citation statements)

References 58 publications

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“…Even though it is rarely described to be part of aphasia therapy approaches, most therapies do use shaping (e.g., ''Reduced Syntax Therapy''; Schlenck et al, 1995;Springer et al, 2000; or naming tasks with increasing difficulties). Nevertheless, therapists should ensure that shaping is sufficiently implemented when conducting aphasia therapy.…”

Section: Discussionmentioning

confidence: 98%

“…The linguistic approach directly refers to the symptoms, e.g., phonological errors or problems with subject-verb-congruency. The strategy approach comprises simplifying strategies like ''Reduced Syntax Therapy'' (Schlenck, Schlenck & Springer, 1995;Springer, Huber, Schlenck, & Schlenck, 2000) or paraphrasing strategies in case of anomia. The communicative approach exercises communication in role playing and everyday situations.…”

Section: Training Proceduresmentioning

confidence: 99%

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Intensive language therapy in chronic aphasia: Which aspects contribute most?

et al. 2008

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Background: Recent research suggests the effectiveness of short-term highly intensive treatment approaches in the chronic stage of aphasia. However, the effective elements of such treatment need to be determined. Aims: The present study's aim was to evaluate which factors attribute to the success of aphasia therapy. An intensive (3 hours/day, 10 consecutive days) model-orientated aphasia therapy (MOAT), which considers patients' individual symptoms, was evaluated and therapy effects were compared to those of a similarly intensive training focusing on active speaking elements (constraint-induced aphasia therapy, CIAT) in order to identify the effective elements. Methods & Procedures: 12 patients with chronic aphasia received 30 hours of MOAT over 10 days. Language functions were assessed with a standardised language test (Aachen Aphasia Test) and a naming task prior to therapy, after therapy, and at a 6-month follow-up. In addition, the amount and quality of communication were assessed with questionnaires as an indication of transfer to everyday communication. Results of this treatment group were compared to those of 27 patients who were treated according to principles of CIAT. Outcomes & Results: Language functions improved significantly following treatment relative to the pre-treatment scores, and the improvements remained stable across the follow-up period. Effects were comparable to those of CIAT for most variables, except for written language and perception of everyday communication which improved more

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Section: Discussionmentioning

confidence: 98%

Section: Training Proceduresmentioning

confidence: 99%

Intensive language therapy in chronic aphasia: Which aspects contribute most?

et al. 2008

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“…KR’s therapist encouraged her to use elliptical speech (i.e., economizing by producing a partial sentence if a full sentence was too difficult). [22] She also provided simple compensatory assistive devices, including letter and picture boards that could be used with pointing.…”

Section: Current Methods Of Care or Managementmentioning

confidence: 99%

Rehabilitation of Poststroke Cognition

2014

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Given the increasing rates of stroke and our aging population, it is critical that we continue to foster innovation in stroke rehabilitation. Although there is evidence supporting cognitive rehabilitation in stroke, the set of cognitive domains effectively addressed to date represents only a small subset of the problems experienced by stroke survivors. Further, a gap remains between investigational treatments and our evolving theories of brain function. These limitations present opportunities for improving the functional impact of stroke rehabilitation. The authors use a case example to encourage the reader to consider the evidence base for cognitive rehabilitation in stroke, focusing on four domains critical to daily life function: (1) speech and language, (2) functional memory, (3) executive function and skilled learned purposive movements, and (4) spatial-motor systems. Ultimately, they attempt to draw neuroscience and practice closer together by using translational reasoning to suggest possible new avenues for treating these disorders.

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“…Es gibt Hinweise, dass Therapieverfahren nur bei Teilpopulationen von Patienten wirksam sind [11]. Zum Zeitpunkt der Erstellung der Leitlinie "Rehabilitation aphasischer Störungen nach Schlaganfall" [2] Mitte 2008 wurden folgende spezifischen Interventionen dort als evidenzbasiert zitiert: " Integration kommunikationsorientierter und sprachsystematischer Elemente [12], " Computergestütztes Lesetraining [13], " Behandlung des Agrammatismus mit reduzierter Syntaxtherapie [14,15], " Training semantischer Beziehungen [16], " Therapie der Sprechapraxie [17]. Obwohl zur Melodic Intonation Therapy [18] randomisierte Studien vorliegen, kam ein Technology Assessment aus methodischen Gründen zu keiner eindeutigen Bewertung [19].…”

Section: Fortschritte Der Neurologischen Rehabilitation 279unclassified

Aphasietherapie – Wirksamkeit und Evidenzbasierung

Wallesch¹,

Johannsen‐Horbach²

2010

Akt Neurol

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Agrammatism: Deficit or compensation? Consequences for aphasia therapy

Cited by 46 publications

References 58 publications

Intensive language therapy in chronic aphasia: Which aspects contribute most?

Intensive language therapy in chronic aphasia: Which aspects contribute most?

Rehabilitation of Poststroke Cognition

Aphasietherapie – Wirksamkeit und Evidenzbasierung

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