Impairment and Functional Interventions for Aphasia: Having it All

Galletta, Elizabeth E.; Barrett, Anna M.

doi:10.1007/s40141-014-0050-5

Cited by 29 publications

(14 citation statements)

References 45 publications

(37 reference statements)

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“…One such context is therapy, which very often makes use of language-based techniques (e.g. [88,89]). Hence, language loss owing to cerebral damage does not correspond to the original bootstrapping situation in phylogeny, both with regard to the users' communicative abilities and the social context in which communication takes place.…”

Section: (C) Language Impairmentmentioning

confidence: 99%

Pantomimic fossils in modern human communication

Żywiczyński

Wacewicz

Lister

2021

Phil. Trans. R. Soc. B

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Bodily mimesis, the capacity to use the body representationally, was one of the key innovations that allowed early humans to go beyond the ‘baseline’ of generalized ape communication and cognition. We argue that the original human-specific communication afforded by bodily mimesis was based on signs that involve three entities: an expression that represents an object (i.e. communicated content) for an interpreter . We further propose that the core component of this communication, pantomime, was able to transmit referential information that was not limited to select semantic domains or the ‘here-and-now’, by means of motivated—most importantly iconic—signs. Pressures for expressivity and economy then led to conventionalization of signs and a growth of linguistic characteristics: semiotic systematicity and combinatorial expression. Despite these developments, both naturalistic and experimental data suggest that the system of pantomime did not disappear and is actively used by modern humans. Its contemporary manifestations, or pantomimic fossils , emerge when language cannot be used, for instance when people do not share a common language, or in situations where the use of (spoken) language is difficult, impossible or forbidden. Under such circumstances, people bootstrap communication by means of pantomime and, when these circumstances persist, newly emergent pantomimic communication becomes increasingly language-like. This article is part of the theme issue ‘Reconstructing prehistoric languages’.

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Section: (C) Language Impairmentmentioning

confidence: 99%

Pantomimic fossils in modern human communication

Żywiczyński

Wacewicz

Lister

2021

Phil. Trans. R. Soc. B

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“…Therapists have previously reported preferencing a functional approach in therapy (Verna et al, 2009). A functional approach to therapy focuses on improving the individual's ability to perform communication activities of daily living (Galletta & Barrett, 2014). This approach is usually contrasted with an impairment-based approach that focuses on treating the aphasia impairment at the body function and structure domain of the ICF (Galletta & Barrett, 2014).…”

Section: Description Of Therapymentioning

confidence: 99%

Behind the therapy door: what is “usual care” aphasia therapy in acute stroke management?

2020

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Background: Usual care is the term used to describe everyday practice in the management of a client within a profession. The knowledge of the tasks used in therapy and key therapeutic processes used within these treatments, provides critical information about if and how the therapy works. The Very Early Rehabilitation in SpEech Randomised Controlled Trial (VERSE RCT) had three arms with therapists within the intensive Usual Care-Plus arm (UC-Plus) providing daily direct aphasia therapy at their discretion for 20 sessions. Aims: To describe usual care aphasia treatment provided in the Usual Care-Plus arm of VERSE RCT. Methods and Procedures: One in four intensive Usual Care-Plus treatment sessions were video-recorded (N = 187) within the main trial. Twenty-five of these (13%) were transcribed, coded, and analysed for therapeutic inputs to describe usual care aphasia therapy using the Template for Intervention Description and Replication (TIDieR) checklist as an overriding framework. Outcomes and Results: Therapy predominantly took place in an inpatient setting (52%) with an average session duration of 51 minutes (SD 7.8). Across the sessions, 96 different tasks were used and 57% of these focused on verbal expression at the single word level. Visual materials were most frequently used compared to the use of technology during sessions. Therapists (n = 16) did the majority of the talking during sessions and most frequently provided models as cues or problemsolving accuracy feedback. Models (55%), sentence completion (51%), and orthographic cues (44%) were the most successful at eliciting the target response. Conclusions: Considerable variability in task selection was seen in the sample which may be a hallmark of usual care. Therapists may have a preference for single word tasks and appear to produce the majority of verbal utterances during sessions, potentially creating an unequal communication environment. This study provided a comprehensive description from the Usual Care-Plus data of the VERSE RCT and may establish a baseline of therapy type for future research.

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“…When one of the modalities is more severely affected than the other, therapy is sometimes shifted towards a compensatory approach whereby the therapy is focused on the modality that is more amenable to treatment. Treatment focuses on residual abilities and maximizing communication by improving performances of less severely affected abilities [ 8 ]. For the cases of impairment to both modalities, speaking and writing therapies can be combined for effective treatment of aphasia [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Targeting Complex Orthography in the Treatment of a Bilingual Aphasia with Acquired Dysgraphia: The Case of a Malay/English Speaker with Conduction Aphasia

Aziz

Razak

Garraffa

2020

Behavioral Sciences

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Background: Disruption of spoken language in people with aphasia tends to interfere with the ability to write, which is referred to as dysgraphia. This study examined the effectiveness of the anagram and copy treatment (ACT), administered in English on a bilingual Malay/English patient with conduction aphasia (GM). ACT is the arrangement of component letters presented in scrambled order (i.e., an anagram) so that the patient could use the letters to form target words, followed by repeated copying of the word. Methods: A single-subject multiple-baseline design was used with sets of English words (both nouns and verbs) sequentially targeted for treatment. Prior to the treatment, a series of single word writing and reading baselines were conducted in two languages: English and Malay. The ACT treatment was done in English, the language reported as more dominant for reading by the patient. Probes assessing generalizations to untrained pictures were presented at 8th, 13th, and 18th sessions. Results: GM showed steady and incremental improvement in the writing of trained nouns and verbs, with generalizations to untrained English nouns and verbs. Conclusions: Single word writing treatment in a non-transparent language may improve dysgraphia among adults with bilingual aphasia through the administration of a structured and systematic treatment.

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Impairment and Functional Interventions for Aphasia: Having it All

Cited by 29 publications

References 45 publications

Pantomimic fossils in modern human communication

Pantomimic fossils in modern human communication

Behind the therapy door: what is “usual care” aphasia therapy in acute stroke management?

Targeting Complex Orthography in the Treatment of a Bilingual Aphasia with Acquired Dysgraphia: The Case of a Malay/English Speaker with Conduction Aphasia

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