Communicative skills in chronic and severe nonfluent aphasia*1

Herrmann, Manfred; Koch, Uwe; Johannsen‐Horbach, Helga; Wallesch, Claus‐W.

doi:10.1016/0093-934x(89)90022-9

Cited by 27 publications

(17 citation statements)

References 11 publications

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“…That communication of patients with left hemisphere stroke and aphasia can be impaired by difficulties in understanding gestures is compatible with the idea that their lesion impairs gesture recognition [42]. The presence of increased gestural activity is in phase with the description that aphasic patients with speech reduction show an increase in the use of para-and non-verbal communication and of strategies aiming at securing the exchange [1]. In mild to moderate aphasia, there has also been shown to be a greater use of deictics and pantomimes than in normal subjects [43].…”

Section: Discussionmentioning

confidence: 56%

“…Producing feedback was relatively preserved, suggesting that subjects were still able to use it to partially encompass their difficulties in understanding the interlocutor. This likely participated in comforting the dyadic interaction [1]. Patients with right hemisphere stroke showed preserved abilities in verbal communication, even for pragmatics.…”

Section: Discussionmentioning

confidence: 99%

“…They have been mainly studied in the case of left hemisphere injury and/or aphasia. In open interviews and conversation, verbal communication (VC) was found to be severely impaired by phonetic, semantic (lexical) and syntactic difficulties [1]. However, patients used compensatory strategies, especially those aiming at securing comprehension (to indicate comprehension problems) and employing para-and non-verbal communication, especially in the case of non-fluent aphasia, such as global and Broca aphasias [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

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Communication in conversation in stroke patients

Rousseaux¹,

Daveluy²,

Kozlowski³

2010

J Neurol

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In stroke patients, it has been suggested that communication disorders could result from lexical and syntactic disorders in left hemisphere lesions and from pragmatics problems in right lesions. However, we have little information on patient behaviour in dyadic communication, especially in conversation. Here, we analyzed the various processes participating in communication difficulties at the rehabilitation phase (1-6 months) post-stroke, in order to define the main mechanisms of verbal and non-verbal communication (VC, NVC) disorders and their relationship with aphasic disorders. Sixty-three patients were recruited, who belonged to six groups, with left or right cortico-sub-cortical (L-CSC, R-CSC) or sub-cortical (L-SC, R-SC), frontal (Fro) or posterior fossa (PF) lesions. They were compared with an equivalent control group (gender, age, education level). We used the Lille Communication Test, which comprises three parts: participation to communication (greeting, attention, engagement), verbal communication (verbal comprehension, speech outflow, intelligibility, word production, syntax, verbal pragmatics and verbal feedback) and non-verbal communication (understanding gestures, affective expressivity, producing gestures, pragmatics and feedback). We also used the Functional Communication Profile and the Boston Diagnostic Aphasia Examination (BDAE). Decrease in participation was found in L-CSC, R-CSC and Fro patients. Verbal communication was essentially disrupted in L-SCS and L-SC groups, including by verbal pragmatic disorders, and to a lesser degree in frontal patients. Nonverbal communication was mainly affected in R-CSC patients, especially by pragmatic difficulties. L-CSC patients showed an increase in gesture production, compensating for aphasia. In conclusion, communication disorders were relatively complex and could not be summarised by syntactical and lexical difficulties in left stroke and pragmatic problems in right stroke. The former also showed severe verbal pragmatic difficulties. Frontal stroke also resulted in evident verbal and non-verbal disorders.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Communication in conversation in stroke patients

Rousseaux¹,

Daveluy²,

Kozlowski³

2010

J Neurol

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“…It is possible that the active involvement of the partner in APPUTE was essential for positive results. PWSA need much support from their communication partners to succeed in mediating a message with nonverbal means (Herrmann, Koch, Johannsen-Horbach, & Wallesch, 1989).…”

Section: Discussionmentioning

confidence: 99%

Communication therapy for people with aphasia and their partners (APPUTE)

et al. 2013

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Background: Severe aphasia is a chronic condition and can have a big effect on how people with severe aphasia (PWSA) succeed in their communication. The communication partner's support for the person with aphasia has been shown to be essential in achieving successful communication. However, interventions combining training both the partner and the PWSA to use hierarchical strategies in nonverbal communication are still needed. Aims: The aim of the present paper is to describe a new intervention (APPUTE) where both the person with aphasia and the partner receive therapy equally and practise finding functional communication strategies to convey everyday messages or more complicated ones. The data collection during the APPUTE intervention is also presented. Methods & Procedures:The data were collected during a development project including an evaluation period, two rehabilitation periods and follow-up measurement. Thirty-four PWSA and their partners participated. The linguistic functions and communication efficiency of PWSA were evaluated three times during the rehabilitation. The communication skills of the partner were also assessed, along with the success of the mutual communication.Outcomes & Results: The communication skills and communication efficiency of the PWSA and their partners improved significantly during the rehabilitation period, and the acquired skills were retained for 6 months after the intervention. The linguistic skills of the PWSA also improved. The advanced age of the partner explained both the variance of the partner's communication skills and the success in the mutual communication. The amount of earlier outpatient speech therapy explained the variance of the communication efficiency of PWSA as evaluated by the partners. Regarding success in mutual communication, all of the couples were able to communicate at least simple issues at the end of the rehabilitation period. The more demanding the tasks, the more difficult it became for them to succeed, especially for older PWSA with severe motor paralysis. Both the people with aphasia and their partners mainly experienced benefits from the APPUTE intervention and for the most part, the benefits were retained during follow-up.

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“…Die Suchbegriffe wurden systematisch mit "UND" und "ODER" verknüpft. Das "Testhandbuch Sprache" von Beushausen [7] [13,14].…”

Section: Lernzielunclassified

Teilhabe im Fokus von Aphasie-Evaluation

Schneider,

Hansen

2015

Sprache Stimme Gehör

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Zusammenfassung Eine aktuelle Anforderung an die Aphasie-Therapie ist ihre Ausrichtung an einer verbesserten Selbstbestimmung und Teilhabe der von einer Aphasie betroffenen Menschen. Dieses klientenzentrierte Ziel gilt es in der therapeutischen Praxis und in der anwendungsorientierten Forschung zu evaluieren. Um Teilhabe erfassen zu k?nnen, ist es zun?chst erforderlich, den Begriff der kommunikativen Teilhabe zu bestimmen. Die Begriffsdiskussion verdeutlicht, dass kommunikative Teilhabe ein vielschichtiges und komplexes Konstrukt ist, das von zahlreichen Faktoren beeinflusst wird. Eine kritische Analyse quantitativer pragmatisch-funktionaler Diagnostikverfahren im deutschsprachigen Raum zeigt, dass diese nur unzureichend geeignet sind, das individuelle Erleben kontextspezifischer und gespr?chspartnerbeeinflusster kommunikativer Teilhabe in allt?glichen Kommunikationssituationen zu erfassen. Eine Weiterentwicklung quantitativer Methoden sowie ihre Erg?nzung durch qualitative Methoden wird als notwendig erachtet.

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Communicative skills in chronic and severe nonfluent aphasia*1

Cited by 27 publications

References 11 publications

Communication in conversation in stroke patients

Communication in conversation in stroke patients

Communication therapy for people with aphasia and their partners (APPUTE)

Teilhabe im Fokus von Aphasie-Evaluation

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