Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-30T16:31:18.179Z Has data issue: false hasContentIssue false
  • English
  • Français

Treatment of naming in nonfluent aphasia through manipulation of intention and attention: A phase 1 comparison of two novel treatments

Published online by Cambridge University Press:  18 May 2007

BRUCE CROSSON ,
KATHERINE S. FABRIZIO ,
FLORIS SINGLETARY ,
M. ALLISON CATO ,
CHRISTINA E. WIERENGA ,
R. BRUCE PARKINSON ,
MEGAN E. SHEROD ,
ANNA BACON MOORE ,
MARIBEL CIAMPITTI  and
BETH HOLIWAY
...Show all authors
BRUCE CROSSON
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida
KATHERINE S. FABRIZIO
Affiliation:
Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida
FLORIS SINGLETARY
Affiliation:
Brooks Center for Rehabilitation Studies, University of Florida, Jacksonville, Florida
M. ALLISON CATO
Affiliation:
Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida
CHRISTINA E. WIERENGA
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida
R. BRUCE PARKINSON
Affiliation:
Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida
MEGAN E. SHEROD
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida
ANNA BACON MOORE
Affiliation:
Aging Veterans with Vision Loss Center, Atlanta VA Medical Center, Atlanta, Georgia Emory University, Department of Physical Medicine and Rehabilitation, Atlanta, Georgia
MARIBEL CIAMPITTI
Affiliation:
Department of Neurology, University of Florida Health Sciences Center, Jacksonville, Florida
BETH HOLIWAY
Affiliation:
Brooks Center for Rehabilitation Studies, University of Florida, Jacksonville, Florida
SUSAN LEON
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida
AMY RODRIGUEZ
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida
DIANE L. KENDALL
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida Department of Neurology, University of Florida, Department of Neurology, Gainesville, Florida
ILANA F. LEVY
Affiliation:
Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida
LESLIE J. GONZALEZ ROTHI
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida Department of Neurology, University of Florida, Department of Neurology, Gainesville, Florida
Get access Rights & Permissions [Opens in a new window]

Abstract

Twenty-three chronic nonfluent aphasia patients with moderate or severe word-finding impairments and 11 with profound word-finding impairments received two novel picture-naming treatments. The intention treatment initiated picture-naming trials with a complex left-hand movement and was designed to enhance right frontal participation during word retrieval. The attention treatment required patients to view visual stimuli for picture-naming trials in their left hemispace and was designed to enhance right posterior perisylvian participation during word retrieval. Because the intention treatment addressed action mechanisms and nonfluent aphasia reflects difficulty initiating or maintaining action (i.e., language output), it was hypothesized that intention component of the treatment would enhance re-acquisition of picture naming more than the attention component. Patients with moderate and severe word-finding impairment showed gains with both treatments but greater incremental improvement from one treatment phase to the next with the intention than the attention treatment. Thus, the hypothesis that intention component would be a more active constituent than the attention component was confirmed for these patients. Patients with profound word-finding impairment showed some improvement with both treatments but no differential effects for the intention treatment. Almost all patients who showed treatment gains on either treatment also demonstrated generalization from trained to untrained items. (JINS, 2007, 13, 582–594.)

Keywords

IntentionAttentionRehabilitation of speech and language disordersLanguage therapyTreatment outcomeAphasia
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 13 , Issue 4 , July 2007 , pp. 582 - 594
Copyright
© 2007 The International Neuropsychological Society

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Abdullaev, Y.G. & Posner, M.I. (1998). Event-related brain potential imaging of semantic encoding during processing single words. Neuro Image, 7, 1–13.Google Scholar
Alexander, M.P. (2003). Aphasia: Clinical and Anatomic Issues. In T.E. Feiberg & M.J. Farah (Eds.), Behavioral Neurology and Neuropsychology (2nd ed.), (pp. 147–164). New York: McGraw-Hill.
Alexander, M.P. (2006). Impairments of procedures for implementing complex language are due to disruption of frontal attention processes. Journal of the International Neuropsychological Society, 12, 236–247.Google Scholar
Anderson, B. (1996). Semantic neglect? Journal of Neurology, Neurosurgery, and Psychiatry, 60, 349–350.Google Scholar
Barris, R.W. & Schuman, H.R. (1953). Bilateral anterior cingulate gyrus lesions: Syndrome of the anterior cingulate gyri. Neurology, 3, 44–52.Google Scholar
Basso, A., Gardelli, M., Grassi, M.P., & Mariotti, M. (1989). The role of the right hemisphere in recovery from aphasia. Two case studies. Cortex, 25, 555–566.Google Scholar
Cato, M.A., Parkinson, R.B., Wierenga, C.E., & Crosson, B. (2004a). Lesion pattern relates to rehabilitative treatment success in chronic nonfluent aphasia. Program No. 665.13. Society for Neuroscience 2004 Abstract Viewer/Itinerary Planner. Washington, DC: Society for Neuroscience. Online.
Cato, M.A., Parkinson, R.B., Wierenga, C.E., & Crosson, B. (2004b). Predicting rehabilitative treatment success in chronic nonfluent aphasia: Lesion and performance characteristics. International Neuropsychological Society: 32nd Annual Meeting Program & Abstracts. pp. 92–93.
Coslett, H.B. (1999). Spatial influences on motor and language function. Neuropsychologia, 37, 695–706.Google Scholar
Coslett, H.B., Schwartz, M.F., Goldberg, G., Hass, D., & Perkins, J. (1993). Multi-modal hemispatial deficits after left hemisphere stroke. Brain, 116, 527–554.Google Scholar
Crosson, B. (2000a). Systems that support language processes: Attention. In S.E. Nadeau, L.J. G. Rothi, & B. Crosson (Eds.), Aphasia and Language: Theory to Practice (pp. 372–398). New York: Guilford Press.
Crosson, B. (2000b). Systems that support language processes: Verbal Working Memory. In S. E. Nadeau, L.J.G. Rothi, & B. Crosson (Eds.), Aphasia and Language: Theory to Practice (pp. 399–418). New York: Guilford Press.
Crosson, B., Bacon Moore, A., Gopinath, K., White, K.D., Wierenga, C.E., Gaiefsky, M.E., Fabrizio, K.R., Peck, K.K., Soltysik, D., Milstead, C., Briggs, R.W., Conway, T.W., & Rothi, L.J.G. (2005). Role of the right and left hemispheres in recovery of function during treatment of intention in aphasia. Journal of Cognitive Neuroscience, 17, 392–406.Google Scholar
Crosson, B., Benefield, H., Cato, M.A., Sadek, J.R., Moore, A.B., Wierenga, C.E., Gopinath, K., Soltysik, D., Bauer, R.M., Auerbach, E.J., Gökçay, D., Leonard, C.M., & Briggs, R.W. (2003). Left and right basal ganglia and frontal activity during language generation: Contributions to lexical, semantic, and phonological processes. Journal of the International Neuropsychological Society, 9, 1061–1077.Google Scholar
Crosson, B., Sadek, J.R., Bobholz, J.A., Gökçay, D., Mohr, C.M., Leonard, C.M., Maron, L., Auerbach, E.J., Browd, S.R., Freeman, A.J., & Briggs, R.W. (1999). Activity in the paracingulate and cingulate sulci during word generation: An fMRI study of functional anatomy. Cerebral Cortex, 9, 307–316.Google Scholar
Crosson, B., Sadek, J.R., Maron, L., Gökçay, D., Mohr, C.M., Auerbach, E.J., Freeman, A.J., Leonard, C.M., & Briggs, R.W. (2001). Relative shift in activity from medial to lateral frontal cortex during internally versus externally guided word generation. Journal of Cognitive Neuroscience, 13, 272–283.Google Scholar
Deloche, B., Ferrand, I., Metz-Lutz, M.N., Dordain, M., Kremin, H., Hannequin, D., Perrier, D., Pichard, B., Quint, S., Larroque, C., Cardebat, D., Naud, E., Gergego, C., Pradat-Diehl, P., & Tssier, C. (1992). Confrontation naming rehabilitation in aphasics: A computerized written technique. Neuropsychological Rehabilitation, 2, 117–124.Google Scholar
Deloche, G., Hannequin, D., Dordain, M., Metz-Lutz, M.-N., Kremin, H., Tessier, C., Vendrell, J., Cardebat, D., Perrier, D., Quint, S., & Pichard, B. (1997). Diversity of patterns of improvement in confrontation naming rehabilitation: Some tentative hypotheses. Journal of Communication Disorders, 30, 11–22.Google Scholar
Dotson, V.M., Singletary, F., Fuller, R., Koehler, S., Bacon Moore, A., Rothi, L.J.G., & Crosson, B., (in press). Treatment of word-finding deficits in fluent aphasia through the manipulation of spatial attention: Preliminary findings. Aphasiology.
Ellis, A.W. & Young, A.W. (1988). Human Cognitive Neuropsychology. Hillsdale, NJ: Lawrence Erbaum.
Francis, W.N. & Kucera, H. (1982). Frequency Analysis of English Usage: Lexicon and Grammar. Boston: Houghton Mifflin.
Fuster, J.M. (2003). Cortex and Mind: Unifying Cognition. New York: Oxford University Press.
Greenwald, M.L., Nadeau, S.E., & Rothi, L.J.G. (2000). Fluency. In S.E. Nadeau, L.J.G. Rothi, & B. Crosson (Eds.), Aphasia and language: Theory to practice (pp. 31–39). New York: Guilford Press.
Heilman, K.M., Watson, R.T., & Valenstein, E. (2003). Neglect and related disorders. In K.M. Heilman & E. Valenstein (Eds.), Clinical Neuropsychology (4th ed.), (pp. 296–346). New York: Oxford University Press.
Heiss, W.D., Karbe, H., Weber-Luxenburger, G., Herholz, K., Kessler, J., Pietrzyk, U., & Pawlik, G. (1997). Speech-induced cerebral metabolic activation reflects recovery from aphasia. Journal of Neurological Sciences, 145, 213–217.Google Scholar
Hillis, A.E. (1989). Efficacy and generalization of treatment for aphasic naming errors. Archives of Physical Medicine and Rehabilitation, 70, 632–636.Google Scholar
Hoodin, R.B. & Thompson, C.K. (1983). Facilitation of verbal labeling in adult aphasia by gestural, verbal or verbal plus gestural training. In R.H. Brookshire (Ed.), Clinical Aphasiology, Vol. 13 (pp. 62–64). Minneapolis, MN: BRK Publishers.
Jonas, S. (1981). The supplementary motor region and speech emission. Journal of Communication Disorders, 14, 349–373.Google Scholar
Kaplan, E., Goodglass, H., & Weintraub, S. (2001). Boston Naming Test (2nd ed.). Philadelphia: Lippincott, Williams & Wilkins.
Kearns, K., Simmon, N.N., & Sisterhen, C. (1982). Gestural sign (Amer-Ind) as a facilitator of verbalization in patients with aphasia. In R.H. Brookshire (Ed.), Clinical Aphasiology, Vol. 12 (pp. 183–191). Minneapolis, MN: BRK Publishers.
Kertesz, A. (1982). Western Aphasia Battery. San Antonio, TX: Psychological Corporation.
Kinsbourne, M. (1971). The minor cerebral hemisphere as a source of aphasic speech. Archives of Neurology, 25, 302–306.Google Scholar
Kiran, S. & Thompson, C.K. (2003). The role of semantic complexity in treatment of naming deficits: Training semantic categories in fluent aphasia by controlling exemplar typicality. Journal of Speech, Language, and Hearing Research, 46, 773–787.Google Scholar
McNeil, M.R. & Doyle, P.J. (2000). Reconsidering the hegemony of linguistic explanations in aphasia: The challenge for the beginning of the millennium. Brain and Language, 71, 154–156.Google Scholar
Murray, L.L., Holland, A.L., & Beeson, P.M. (1997). Auditory processing in individuals with mild aphasia: A study of resource allocation. Journal of Speech, Language, and Hearing Research, 40, 792–808.Google Scholar
Nadeau, S.E. & Crosson, B. (1997). Subcortical aphasia. Brain and Language, 58, 355–402.Google Scholar
Naeser, M.A., Martin, P.I., Nicholas, M., Baker, E.H., Seekins, H., Kobayashi, M., Theoret, H., Fregni, F., Maria-Tormos, J., Kurland, J., Doron, K.W., & Pascual-Leone, A. (2005). Improved picture naming in chronic aphasia after TMS to part of right Broca's area: An open-protocol study. Brain and Language, 93, 95–105.Google Scholar
Nielsen, J.M. & Jacobs, L.L. (1951). Bilateral lesions of the anterior cingulate gyri: Report of case. Bulletin of the Los Angeles Neurological Society, 16, 231–234.Google Scholar
Pashek, G. (1997). A case study of gesturally cued naming in aphasia: Dominant versus nondominant hand training. Journal of Communication Disorders, 30, 349–366.Google Scholar
Petry, M.C., Crosson, B., Rothi, L.J.G., Bauer, R.M., & Schauer, C.A. (1994). Selective attention and aphasia in adults: Preliminary findings. Neuropsychologia, 32, 1397–1408.Google Scholar
Picard, N. & Strick, P.L. (1996). Motor areas of the medial wall: A review of their location and functional activation. Cerebral Cortex, 6, 342–353.Google Scholar
Raymer, A.M., Rowland, L., Haley, M., & Crosson, B. (2002). Nonsymbolic movement training to improve sentence generation in transcortical motor aphasia: A case study. Aphasiology, 16, 493–506.Google Scholar
Richards, K., Singletary, F., Rothi, L.J.G., Koehler, S., & Crosson, B. (2002). The activation of intentional mechanisms through utilization of nonsymbolic movements in aphasia rehabilitation. Journal of Rehabilitation Research and Development, 39, 445–454.Google Scholar
Rose, M. & Douglas, J. (2001). The differential facilitatory effects of gesture and visualization processes on object naming in aphasia. Aphasiology, 15, 977–990.Google Scholar
Skelly, M., Schinsky, L., Smith, R.W., & Solovitz Fust, R. (1974). American Indian sign (AmerInd) as a facilitation of verbalization for the oral verbal apraxic. Journal of Speech and Hearing Disorders, 39, 445–456.Google Scholar
Thompson, C.K. & Kearns, K. (1981). Experimental analysis of acquisition, generalization and naming behaviors in patients with anomia. In R.H. Brookshire (Ed.), Clinical Aphasiology, Vol. 11 (pp. 35–45). Minneapolis: BRK Publishers.
Tijssen, C.C., Tavy, D.L.J., Hekster, R.E.M., Bots, G.T.A.M., & Endtz, L.J. (1984). Aphasia with a left frontal interhemispheric hematoma. Neurology, 34, 1261–1264.Google Scholar
Tryon, W.W. (1982). A simplified time-series analysis for evaluating treatment interventions. Journal of Applied Behavioral Analysis, 15, 423–429.Google Scholar
Tseng, C.H., McNeil, M.R., & Milenkovic, P. (1993). An investigation of attention allocation deficits in aphasia. Brain and Language, 45, 276–296.Google Scholar