Narrative and Procedural Discourse Production by Severely Aphasic Patients

Weinrich, Michael; McCall, Denise; Boser, Katharina; Virata, Telana

doi:10.1177/154596802401105199

Cited by 11 publications

(5 citation statements)

References 39 publications

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“…However, it is possible that this task is not suitable for measuring verbal communication in people with severe nonfluent aphasia; storytelling is known to be extremely difficult for severely aphasic patients. 40 In this study, many participants (48%) were unable to produce more than one adequate word on the Sabadel story retelling, both before and after the intervention period. In contrast, these same patients were able to produce adequate words and utterances on the ANELT.…”

Section: Discussionmentioning

confidence: 96%

The Efficacy and Timing of Melodic Intonation Therapy in Subacute Aphasia

Meulen

Sandt–Koenderman

Heijenbrok‐Kal

et al. 2014

Neurorehabil Neural Repair

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Background Little is known about the efficacy of language production treatment in subacute severe nonfluent aphasia. Although Melodic Intonation Therapy (MIT) is a language production treatment for this disorder, until now MIT effect studies have focused on chronic aphasia. Purpose This study examines whether language production treatment with MIT is effective in subacute severe nonfluent aphasia. Methods A multicenter, randomized controlled trial was conducted in a waiting-list control design: patients were randomly allocated to the experimental group (MIT) or the control group (control intervention followed by delayed MIT). In both groups, therapy started at 2 to 3 months poststroke and was given intensively (5 h/wk) during 6 weeks. In a second therapy period, the control group received 6 weeks of intensive MIT. The experimental group resumed their regular treatment. Assessment was done at baseline (T1), after the first intervention period (T2), and after the second intervention period (T3). Efficacy was evaluated at T2. The impact of delaying MIT on therapy outcome was also examined. Results A total of 27 participants were included: n = 16 in the experimental group and n = 11 in the control group. A significant effect in favor of MIT on language repetition was observed for trained items, with mixed results for untrained items. After MIT there was a significant improvement in verbal communication but not after the control intervention. Finally, delaying MIT was related to less improvement in the repetition of trained material. Conclusions In these patients with subacute severe nonfluent aphasia, language production treatment with MIT was effective. Earlier treatment may lead to greater improvement.

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Section: Discussionmentioning

confidence: 96%

The Efficacy and Timing of Melodic Intonation Therapy in Subacute Aphasia

Meulen

Sandt–Koenderman

Heijenbrok‐Kal

et al. 2014

Neurorehabil Neural Repair

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“…Given current healthcare constraints, computer-based treatment can be used to provide intensive aphasia therapy at a reasonable cost. Despite the large number of computer programs and web-based systems for language practice, there is a paucity of theory-driven computational systems for aphasia therapy per se (Weinrich, 1997), although some good research has been done (Canseco-Gonzalez, Shapiro, Zurif, & Baker, 1990; Cherney, Halper, Holland, & Cole, 2008; Crerar, Ellis, & Dean, 1996; Fitch, 1983; Grawemeyer, Cox, & Lum, 2000; Katz & Wertz, 1997; Naeser, Baker, Palumbo, Nicholas, Alexander, Samaraweera, Prete, Hodge, & Weissman, 1998; Steele, Weinrich, Wertz, Kleczewska, & Carlson, 1989; Weinrich, McCall, Boser, & Virata, 2002; Weinrich, Shelton, Cox, & McCall, 1997; Weinrich, Shelton, McCall, & Cox, 1997). …”

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confidence: 99%

IMITATE: An intensive computer-based treatment for aphasia based on action observation and imitation

et al. 2009

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Background-Neurophysiological evidence from primates has demonstrated the presence of mirror neurons, with visual and motor properties, that discharge both when an action is performed and during observation of the same action. A similar system for observation-execution matching may also exist in humans. We postulate that behavioral stimulation of this parietal-frontal system may play an important role in motor learning for speech and thereby aid language recovery after stroke.

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“…Picture stimuli from Boston Diagnostic Aphasia Examination and the Minnesota Test for Differential Diagnosis of Aphasia were used to elicit responses for the descriptive language sample because they are often utilized to assess language production (32,33). Procedural discourse relies on implicit knowledge and was used to elicit present tense verb forms (34). Two common tasks were used as stimuli to elicit procedural discourse.…”

Section: Methodsmentioning

confidence: 99%