Oral Reading for Language in Aphasia (ORLA): Evaluating the Efficacy of Computer-Delivered Therapy in Chronic Nonfluent Aphasia

Cherney, Leora R.

doi:10.1310/tsr1706-423

Cited by 88 publications

(72 citation statements)

References 24 publications

(29 reference statements)

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“…The lexical treatment approaches have predominantly targeted reading text aloud (Cherney, 2010;Kim & Russo, 2010;Orjada & Beeson, 2005) or paired associated learning (Friedman, Sample, & Lott, 2002;Lott, Sample, Oliver, Lacey, Friedman, 2008). Taken as a whole, lexically focused treatments demonstrate improved reading for trained stimuli with limited generalization to untrained items and contexts.…”

mentioning

confidence: 99%

Effects of Intensive Phonomotor Treatment on Reading in Eight Individuals With Aphasia and Phonological Alexia

Brookshire

Conway

Pompon

et al. 2014

Am J Speech Lang Pathol

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This study provides support that phonomotor treatment is a viable approach to improve phonological processing and oral reading for PWA with phonological alexia. The lack of improvement with comprehension is inconsistent with prior work using similar treatments (Conway et al., 1998; Kendall et al., 2003). However, this difference can, in part, be accounted for by differences in variables, such as treatment intensity and frequency, outcome measures, and alexia severity.

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mentioning

confidence: 99%

Effects of Intensive Phonomotor Treatment on Reading in Eight Individuals With Aphasia and Phonological Alexia

Brookshire

Conway

Pompon

et al. 2014

Am J Speech Lang Pathol

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“…Taggart, Turkle, and Kidd (2005), for example, observed interactions of elderly individuals with robots and found that they exhibited social reactions to the robots that reflected a sense of companionship. Evidence from aphasia comes from a study reported by Cherney (2010) on the efficacy of a treatment protocol, Oral Reading for Language in Aphasia (ORLA), which was administered to 25 individuals with nonfluent aphasia by an HC and, in a second condition, delivered by a computer program. No significant difference was observed in the outcomes of the two conditions.…”

Section: Conclusion: Results Provide Support For the Feasibility And mentioning

confidence: 99%

Using Virtual Technology to Promote Functional Communication in Aphasia: Preliminary Evidence From Interactive Dialogues With Human and Virtual Clinicians

Kalinyak-Fliszar

Martin

Keshner

et al. 2015

Am J Speech Lang Pathol

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Purpose: We investigated the feasibility of using a virtual clinician (VC) to promote functional communication abilities of persons with aphasia (PWAs). We aimed to determine whether the quantity and quality of verbal output in dialogues with a VC would be the same or greater than those with a human clinician (HC). Method: Four PWAs practiced dialogues for 2 sessions each with a HC and VC. Dialogues from before and after practice were transcribed and analyzed for content. We compared measures taken before and after practice in the VC and HC conditions. Results: Results were mixed. Participants either produced more verbal output with the VC or showed no difference on this measure between the VC and HC conditions. Participants also showed some improvement in postpractice narratives. Conclusion: Results provide support for the feasibility and applicability of virtual technology to real-life communication contexts to improve functional communication in PWAs.

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“…We selected Oral Reading for Language in Aphasia (ORLA; Cherney, 2004) for several reasons. This method is particularly well suited for telerehabilitation and has been used successfully with mild to moderate non-fluent aphasia (Cherney, 2010a; b). In addition, by design this oral reading treatment focuses on connected discourse and provides practice with speech rhythm and pacing, which we expected to be particularly beneficial to our participant given his frequent hesitations and blocking during oral language production (Cherney, 2010b).…”

Section: Methodsmentioning

confidence: 99%

“…This method is particularly well suited for telerehabilitation and has been used successfully with mild to moderate non-fluent aphasia (Cherney, 2010a; b). In addition, by design this oral reading treatment focuses on connected discourse and provides practice with speech rhythm and pacing, which we expected to be particularly beneficial to our participant given his frequent hesitations and blocking during oral language production (Cherney, 2010b). We modified the original protocol to suit the needs of our participant and employed the following six steps: reading single paragraphs aloud, locating words in the text, using words in sentences, reading multiple paragraphs independently, summarising paragraphs, and answering content questions.…”

Section: Methodsmentioning

confidence: 99%

The role of language proficiency and linguistic distance in cross-linguistic treatment effects in aphasia

Conner

Goral

Anema

et al. 2018

Clinical Linguistics & Phonetics

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Current findings from intervention in bilingual aphasia are inconclusive regarding the extent to which levels of language proficiency and degree of linguistic distance between treated and non-treated languages influence cross-language generalisation and changes in levels of language activation and inhibition following treatment. In this study we enrolled a 65-year-old multilingual speaker with aphasia and administered treatment in his L1, Dutch. We assessed pre- and post-treatment performance for 7 of his languages, 5 of high proficiency and 2 of lower proficiency. We asked whether treatment in L1 would generalise to his other languages or increase interference among them. Forty hours of treatment were completed over the course of five weeks. Each language was tested three times at pre-treatment and at post-treatment. Testing included measures of narrative production, answering questions, picture description and question generation. Dependent measures examined language efficiency, defined as Correct Information Units/min. as well as language mixing, defined as proportion of code-mixed whole words. We found that our participant’s improved efficiency in Dutch was mirrored by parallel improvement in the four languages of high proficiency, English, German, Italian, and French. In contrast, in his languages of lower proficiency, Norwegian and Spanish, improved efficiency was limited. An increase in code-mixing was noted in Spanish, but not in Norwegian. We interpret the increased code-mixing in Spanish as indication of heightened inhibition following improvement in a language of close linguistic proximity, Italian. We conclude that an interaction of language proficiency and linguistic similarity affects cross-language generalisation following intervention in multilingual aphasia.

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Oral Reading for Language in Aphasia (ORLA): Evaluating the Efficacy of Computer-Delivered Therapy in Chronic Nonfluent Aphasia

Abstract: Low-intensity ORLA, delivered by computer to individuals with chronic nonfluent aphasia, is efficacious and may be equivalent to ORLA delivered by an SLP.

Cited by 88 publications

References 24 publications

Effects of Intensive Phonomotor Treatment on Reading in Eight Individuals With Aphasia and Phonological Alexia

Effects of Intensive Phonomotor Treatment on Reading in Eight Individuals With Aphasia and Phonological Alexia

Using Virtual Technology to Promote Functional Communication in Aphasia: Preliminary Evidence From Interactive Dialogues With Human and Virtual Clinicians

The role of language proficiency and linguistic distance in cross-linguistic treatment effects in aphasia

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