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The Application of Lexical Retrieval Training in Tablet-Based Speech-Language Intervention
In the setting of shortened hospitalization periods, periods of confinement and social isolation, limited resources, and accessibility, technology can be leveraged to enhance opportunities for rehabilitative care (1). In the current manuscript, we focus on the use of tablet-based rehabilitation for individuals with aphasia, a language disorder that frequently arises post-stroke. Aphasia treatment that targets naming through effortful and errorful instances of lexical retrieval, where corrective feedback is generated on every trial, may enhance retention and generalizability of gains (2, 3). This pilot evaluation explored h...
Source: Frontiers in Neurology - November 16, 2020 Category: Neurology Source Type: research

Conversational Therapy through Semi-Immersive Virtual Reality Environments for Language Recovery and Psychological Well-Being in Post Stroke Aphasia.
Abstract Aphasia is a highly disabling acquired language disorder generally caused by a left-lateralized brain damage. Even if traditional therapies have been shown to induce an adequate clinical improvement, a large percentage of patients are left with some degree of language impairments. Therefore, new approaches to common speech therapies are urgently needed in order to maximize the recovery from aphasia. The recent application of virtual reality (VR) to aphasia rehabilitation has already evidenced its usefulness in promoting a more pragmatically oriented treatment than conventional therapies (CT). In the prese...
Source: Behavioural Neurology - August 26, 2020 Category: Neurology Authors: Giachero A, Calati M, Pia L, La Vista L, Molo M, Rugiero C, Fornaro C, Marangolo P Tags: Behav Neurol Source Type: research

Self-managed, computerised speech and language therapy for patients with chronic aphasia post-stroke compared with usual care or attention control (Big CACTUS): a multicentre, single-blinded, randomised controlled trial
Publication date: September 2019Source: The Lancet Neurology, Volume 18, Issue 9Author(s): Rebecca Palmer, Munyaradzi Dimairo, Cindy Cooper, Pam Enderby, Marian Brady, Audrey Bowen, Nicholas Latimer, Steven Julious, Elizabeth Cross, Abualbishr Alshreef, Madeleine Harrison, Ellen Bradley, Helen Witts, Tim ChaterSummaryBackgroundPost-stroke aphasia might improve over many years with speech and language therapy; however speech and language therapy is often less readily available beyond a few months after stroke. We assessed self-managed computerised speech and language therapy (CSLT) as a means of providing more therapy than ...
Source: The Lancet Neurology - August 8, 2019 Category: Neurology Source Type: research

Aphemia: A rare presentation of an acute infarct (P3.277)
Conclusions:Aphemia, or apraxia of speech, is a rare presentation of dominant inferior frontal gyrus infarction. Aphemia is primarily a disorder of articulation, whereas aphasia is a disorder of language. This patient lost her ability to produce speech but was able to comprehend and write fluently. Her deficit did not fit a classic aphasia pattern but rather represented an inability to voluntarily control her oral muscles, resulting in a transient apraxia of the muscles of articulation, chewing, and deglutition. Very few cases of acute aphemia due to stroke are described, all localized to the dominant inferior frontal gyru...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Stachyra, J., Davalos-Balderas, A., Lee, J., Kass, J. Tags: Cerebrovascular Disease Case Reports II Source Type: research

Can enhancing left lateralization using transcranial direct current stimulation improve recovery from post-stroke aphasia?
One third of stroke victims suffer from aphasia, an acquired language disorder for which there are few effective medical treatments. Aphasia often does not resolve completely, resulting in substantial long-term disability. After a stroke that causes aphasia, the reorganization of language networks in the brain involves compensatory recruitment of brain tissue in the left hemisphere as well as potentially maladaptive recruitment of symmetric areas in the right hemisphere. One avenue for intervention might be to externally “left lateralize” the brain, enhancing activity of the left frontal lobe while inhibiting the right...
Source: BRAIN STIMULATION: Basic, Translational, and Clinical Research in Neuromodulation - March 1, 2014 Category: Neurology Authors: Mackenzie Fama, Elizabeth Lacey, Alexa Desko, Lauren Taylor, Laura Hussey, Peter Turkeltaub Tags: Abstracts Presented at NYC Neuromodulation 2013 Source Type: research