Rehabilitation of lexical and semantic communicative impairments: An overview of available approaches

Casarin, Fabíola Schwengber; Branco, Laura Damiani; Pereira, Natalie; Kochhann, Renata; Gindri, Gigiane; Fonseca, Róchele Paz

doi:10.1590/s1980-57642014dn83000011

Cited by 6 publications

(6 citation statements)

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“…1 Although anomia is considered a common early sign in primary progressive aphasia (PPA) 2 and the most relevant symptom of acute aphasia, 3 it is also considered a common symptom in most types of dementia and non-focal brain disease. 2,[4][5][6] Milder forms of anomia are among the most common complaints in normal aging 5 and, when memory is affected, anomia is one of the most frequent symptoms associated with the underlying syndrome.…”

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confidence: 99%

“…Naming tests can be considered language indicators of semantic memory: in visual CNT, the interviewee is usually assessed through pictures, in which he/she must recognize their function or meaning, involving visual knowledge, and retrieve their names, involving verbal knowledge. 17 Although a correlation between naming and cognitive impairment has been observed, [2][3][4][5][6]17 questions remains regarding the validity of the CNT total score for the detection of anomia in some disorders which supposedly have this symptom (see papers). 9,12,18 Considering brain laterality and naming, some new perspectives have emerged (focused mainly on specific brain areas or pathologies), and there is now a substantial body of work about this issue.…”

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Remembering a name: Neuropsychological validity studies and a computer proposal for detection of anomia

Vigliecca

Voos

2019

Dement. neuropsychol.

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There are contradictory results or lack of validity studies concerning the naming function and brain laterality. Although anomia is a frequent symptom of memory impairment, and the most relevant symptom of aphasia, few studies have been conducted to evaluate its validity for detecting patients with left-hemisphere damage (LD), as per the MeSH definition. Objective: To validate a paper-and-pencil confrontation naming test (CNT) according to side of brain injury; to select a valid and reliable abbreviated CNT wherein the effect of demographic variables is minimized; and to use the selected CNT to develop a computer-aided confrontation-naming evaluation (CACNE). Methods: Control data were obtained from 213 healthy participants (HP) aged 15 to 89 years. A subsample of 106 HP was demographically matched to 39 patients with LD and 40 patients with right-hemisphere damage (RD). Anomia definition and CNT cues were considered for the CACNE. Results: Test-retest and inter-rater reliability, internal consistency, and validity for detecting LD were demonstrated. A significant age effect was observed in HP. The CACNE was developed to detect anomia in interaction with environmental interventions. Conclusion: The inconsistencies observed in the CNT studies were probably due to the presence of anomia in almost 50% of the RD patients.

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confidence: 99%

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Remembering a name: Neuropsychological validity studies and a computer proposal for detection of anomia

Vigliecca

Voos

2019

Dement. neuropsychol.

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“…2 [Insert Table 1 about here] Each of these reviews attempted to address issues related to effective word-finding therapies, but from different angles and using different methodologies. A shift towards more robust objective syntheses can be discerned, with Casarin et al (2014) being the only review relying on descriptive statistics for analysis. While collectively they add to the richness in word-finding literature, these recent reviews still do not address the issue of the relative importance of active components making up the therapies.…”

Section: Reviews and Meta-analysesmentioning

confidence: 99%

“…(3) Casarin, Branco, Pereira, Kochhann, Gindri, and Fonseca (2014) (5) Brady, Kelly, Godwin, Enderby and Campbell (2016):…”

Section: Random Forest Naming Therapy Components 54mentioning

confidence: 99%

Identifying the components of a successful spoken naming therapy: a meta-analysis of word-finding interventions for adults with aphasia

et al. 2020

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Background:Spoken word retrieval therapy forms an integral part of aphasia therapy. Due to the range of therapy options and variations, drawing clear-cut conclusions from the evidence base can be challenging. Aims:This paper consolidates recent findings (2008 -2018), pertinent to spoken word-finding interventions. Specifically, we are interested in aphasia interventions : (1) that target singleword spoken naming; (2) whose participants are adults with acquired naming impairments after a stroke; and (3) whose treatment approach focus on the use of language forms (i.e., semantics, phonology and orthography). The over-arching objective is to determine the important therapy components underpinning successful single-word naming treatments. Methods and Procedures:A systematic literature search was conducted. This led to the compilation of a large-scale dataset (n = 222 participants from 32 papers), with the heterogenous interventions dissected into their "active" therapy components. A detailed framework ("RITA": (1) Regimen; (2) Item(s); (3) Technique(s); and (4) Application of technique(s) with their Adjuncts) was designed to organise these "active therapy ingredients". Using random forest, we identified the crucial components responsible for the successful naming of treated and untreated items respectively, at short-term and maintenance periods. Outcomes and Results:The role of the written form as therapeutic cues, presented either as a whole word or partword, emerged to be a consistent and robust predictor, across the outcomes. Semantic tasks were useful in the successful naming of untreated items. Random Forest Naming Therapy Components 3 Conclusions:Clinicians should consider using written prompts as part of spoken naming therapy. It is possible that the use of orthography underlies the success of multi-component techniques.Other clinical implications (e.g., homework, treatment intensity) are also discussed. In addition, we propose a comprehensive "RITA" framework, which summarises the "active" therapy components. "RITA" is useful for clinicians and researchers as a guide to unpack a language intervention. Furthermore, the paper highlights the strengths of a well-established method, random forest, as a valuable statistical tool to move aphasia research forward.Overall, the study refines our understanding of spoken naming treatment for those with aphasia, specifically individuals with word-finding deficits. Importantly, through the use of a robust statistical approach and an original framework designed to lay out language therapy components, the paper adds new clarity to the evidence base. Random Forest Naming Therapy Components 4 Identifying the components of a successful spoken naming therapy:A meta-analysis of word-finding interventions for adults with aphasia A core characteristic of aphasia is the difficulty in retrieving words (Helm-Estabrooks & Albert, 2004, p. 43) and this remains a lingering complaint of many well-recovered individuals with aphasia (Murdoch, 1990, p. 84). The principal aim of word-findi...

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“…It is important to note that the use of the same type of language training in patients with similar clinical features may often lead to different results [ 21 , 25 , 30 ]. This suggests that when selecting the interventions to be applied, not only an accurate and detailed assessment of language and cognitive deficits is needed, but variables that could affect the outcome, such as motivation, the presence of a caregiver, the severity of the disease and the presence of anosognosia, should also be taken into account.…”

Section: Introductionmentioning

confidence: 99%

Language training for oral and written naming impairment in primary progressive aphasia: a review

Pagnoni

Gobbi

Premi

et al. 2021

Transl Neurodegener

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Background Primary progressive aphasia (PPA) is a neurodegenerative disorder characterized by a gradual, insidious and progressive loss of language abilities, with naming difficulties being an early and persistent impairment common to all three variants. In the absence of effective pharmacological treatments and given the progressive nature of the disorder, in the past few decades, many studies have investigated the effectiveness of language training to minimize the functional impact of word-finding difficulties in daily life. Main body We review language treatments most commonly used in clinical practice among patients with different variants of PPA, with a focus on the enhancement of spoken and written naming abilities. Generalization of gains to the ability to name untrained stimuli or to other language abilities and the maintenance of these results over time are also discussed. Forty-eight studies were included in this literature review, identifying four main types of language treatment: a) lexical retrieval treatment, b) phonological and/or orthographic treatment, c) semantic treatment, and d) a multimodality approach treatment. Overall, language training is able to induce immediate improvements of naming abilities in all variants of PPA. Moreover, despite the large variability among results, generalization and long-term effects can be recorded after the training. The reviewed studies also suggest that one factor that determines the choice of a particular approach is the compromised components of the lexical/semantic processing system. Conclusion The majority of studies have demonstrated improvements of naming abilities following language treatments. Given the progressive nature of PPA, it is essential to apply language treatment in the early stages of the disease.

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Rehabilitation of lexical and semantic communicative impairments: An overview of available approaches

Cited by 6 publications

References 51 publications

Remembering a name: Neuropsychological validity studies and a computer proposal for detection of anomia

Remembering a name: Neuropsychological validity studies and a computer proposal for detection of anomia

Identifying the components of a successful spoken naming therapy: a meta-analysis of word-finding interventions for adults with aphasia

Language training for oral and written naming impairment in primary progressive aphasia: a review

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