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Novel treatments for expressive aprosodia: A phase I investigation of cognitive linguistic and imitative interventions

Published online by Cambridge University Press:  01 September 2004

JOHN C. ROSENBEK ,
GREGORY P. CRUCIAN ,
SUSAN A. LEON ,
BETHANY HIEBER ,
AMY D. RODRIGUEZ ,
BETH HOLIWAY ,
TIMOTHY U. KETTERSON ,
MARIBEL CIAMPITTI ,
KENNETH HEILMAN  and
LESLIE GONZALEZ-ROTHI
JOHN C. ROSENBEK
Affiliation:
VA RR&D Brain Rehabilitation Research Center University of Florida, Department of Communicative Disorders
GREGORY P. CRUCIAN
Affiliation:
VA RR&D Brain Rehabilitation Research Center University of Florida, Department of Neurology
SUSAN A. LEON
Affiliation:
VA RR&D Brain Rehabilitation Research Center University of Florida, Department of Neurology
BETHANY HIEBER
Affiliation:
VA RR&D Brain Rehabilitation Research Center Malcolm Randall VA Medical Center, Gainesville, Florida University of Florida, Department of Neurology
AMY D. RODRIGUEZ
Affiliation:
VA RR&D Brain Rehabilitation Research Center
BETH HOLIWAY
Affiliation:
VA RR&D Brain Rehabilitation Research Center University of Florida Brooks Center for Rehabilitation Studies
TIMOTHY U. KETTERSON
Affiliation:
VA RR&D Brain Rehabilitation Research Center University of Florida, Department of Clinical and Health Psychology
MARIBEL CIAMPITTI
Affiliation:
VA RR&D Brain Rehabilitation Research Center University of Florida Health Sciences, Center/Jacksonville
KENNETH HEILMAN
Affiliation:
VA RR&D Brain Rehabilitation Research Center Malcolm Randall VA Medical Center, Gainesville, Florida University of Florida, Department of Neurology
LESLIE GONZALEZ-ROTHI
Affiliation:
VA RR&D Brain Rehabilitation Research Center University of Florida, Department of Neurology
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Abstract

This study investigated two mechanism-based treatments for expressive aprosodia, a disturbance in emotional prosody thought to be governed by the right hemisphere. The 3 participants all suffered right CVA's resulting in expressive aprosodia. Presence of expressive aprosodia was determined by performance on two batteries of emotional communication. A single subject ABAC design was employed in which two treatments, one imitative and one cognitive linguistic, were assigned in random order. All participants in this study were randomly assigned to begin with the cognitive linguistic treatment. Probes of treated and untreated emotions were completed during baseline and therapy phases. Probe items were judged by a reliable, trained rater blind to time of testing. Visual and statistical analyses were completed. These analyses confirmed that both treatments were active. For example, effect size calculations confirmed modest to substantial treatment effects for both treatments in all 3 patients. Replication to increase confidence about treatment effect and enhance understanding of the neuromechanisms underlying aprosodia is underway. (JINS, 2004, 10, 786–793.)

Keywords

AprosodiaRight hemisphere strokeImitative therapyCognitive linguistic therapy
Type
BRIEF COMMUNICATION
Information
Journal of the International Neuropsychological Society , Volume 10 , Issue 5 , September 2004 , pp. 786 - 793
Copyright
2004 The International Neuropsychological Society

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References

REFERENCES

Anderson, J.M., Beversdorf, D.Q., Heilman, K.M., & Gonzalez-Rothi, L.J. (1999). Treatment of expressive aprosodia associated with right hemisphere injury. Journal of the International Neuropsychological Society, 5, 157.Google Scholar
Beck, A. & Steer, R.A. (1988). Beck Hopelessness Scale. San Antonio, TX: The Psychological Corporation.
Benton, A.L., Hamsher, K. deS., Varney, N.R., & Spreen, O. (1983). Judgment of Line Orientation. New York: Oxford University Press.
Bowers, D., Bauer, R.M., Heilman, K.M. (1993). The non-verbal affect lexicon: Theoretical perspectives from neurological studies of affect perception. Neuropsychology, 7, 433–444.CrossRefGoogle Scholar
Bowers, D., Blonder, L., & Heilman, K. (1998). The Florida Affect Battery. Cognitive Neuroscience Laboratory, University of Florida Brain Institute, Gainsville, FL.
Bowers, D., Coslett, H.B., Speedie, L.J., & Heilman, K.M. (1987). Comprehension of emotional prosody following unilateral hemispheric lesions; processing defects vs. distraction defects. Neuropsychologia, 25, 317–328.CrossRefGoogle Scholar
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.) Hillsdale, NJ: Erlbaum.
Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975). Mini-Mental State. Journal of Psychological Research, 12, 189–198.CrossRefGoogle Scholar
Heilman, K.M. & Gonzalez Rothi, L.J. (1999). Treatment of emotional communication deficits. (National Institutes of Health Grant P50 DCO3888). Rockville, MD: Author.
Heilman, K.M., Bowers, D., Speedie, L., & Coslett, H.B. (1984). Comprehension of affective and nonaffective prosody. Neurology, 34, 917–921.CrossRefGoogle Scholar
Lezak, M.D. (1983). Neuropsychological assessment. New York: Oxford University Press.
Monrad-Krohn, G.H. (1947). Dysprosody or altered “melody of language.” Brain, 70, 405–415.CrossRefGoogle Scholar
Myers, P.S. (1999). Right hemisphere damage: Disorders of communication and cognition. San Diego, CA: Singular Publishing.
Pell, M.D. & Baum, S.R. (1997). Unilateral brain damage, prosodic comprehension deficits, and the acoustic cues to prosody. Brain and Language, 57, 195–214.CrossRefGoogle Scholar
Plaut, D.C. (1996). Relearning after damage in connectionist networks: Toward a theory of rehabilitation. Brain and Language, 52, 25–82.CrossRefGoogle Scholar
Porges, S.W. (1995). Orienting in a defensive world: Mammalian modifications of our evolutionary heritage. A polyvagal theory. Psychophysiology, 32, 301–318.Google Scholar
Robey, R.R. (1994). The efficacy of treatment for aphasic persons: A meta-analysis. Brain and Language, 47, 582–608.CrossRefGoogle Scholar
Robey, R.R., Schultz, M.C., Crawford, A.B., & Sinner, C.A. (1999). Single-subject clinical-outcome research: Designs, data, effect sizes, and analyses. Aphasiology, 13, 445–473.CrossRefGoogle Scholar
Ross, E.D. (1981). The aprosodias. Archives of Neurology, 38, 561–569.CrossRefGoogle Scholar
Stringer, A.Y. (1996). Treatment of motor aprosodia with pitch biofeedback and expression modeling. Brain Injury, 10, 583–590.CrossRefGoogle Scholar
Tryon, W.W. (1982). A simplified time-series analysis for evaluating treatment interventions. Journal of Applied Behavior Analysis, 15, 423–429.CrossRefGoogle Scholar
Tucker, D.M., Watson, R.T., & Heilman, K.M. (1997). Discrimination and evocation of affectively intoned speech in patients with right parietal disease. Neurology, 27, 947–950.Google Scholar
Yesavage, J.A., Brink, T.L., Rose, T.L., Lum, O., Huang, V., Adey, M.B., & Leirer, V.O. (1983). Development and validation of the geriatric depression rating scale: A preliminary report. Journal of Psychiatric Research, 17, 37–49.Google Scholar
van der Merwe, A. (1997). A theoretical framework for the characterization of pathological speech sensorimotor control. In M.R. McNeil (Ed.), Clinical management of sensorimotor speech disorders (pp. 1–25). New York: Thieme.