Multisensory cueing facilitates naming in aphasia View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2020-09-09

AUTHORS

Klaudia Grechuta, Belén Rubio Ballester, Rosa Espín Munné, Teresa Usabiaga Bernal, Begoña Molina Hervás, Bettina Mohr, Friedemann Pulvermüller, Rosa Maria San Segundo, Paul F. M. J. Verschure

ABSTRACT

BackgroundImpaired naming is a ubiquitous symptom in all types of aphasia, which often adversely impacts independence, quality of life, and recovery of affected individuals. Previous research has demonstrated that naming can be facilitated by phonological and semantic cueing strategies that are largely incorporated into the treatment of anomic disturbances. Beneficial effects of cueing, whereby naming becomes faster and more accurate, are often attributed to the priming mechanisms occurring within the distributed language network.ObjectiveWe proposed and explored two novel cueing techniques: (1) Silent Visuomotor Cues (SVC), which provided articulatory information of target words presented in the form of silent videos, and (2) Semantic Auditory Cues (SAC), which consisted of acoustic information semantically relevant to target words (ringing for “telephone”). Grounded in neurophysiological evidence, we hypothesized that both SVC and SAC might aid communicative effectiveness possibly by triggering activity in perceptual and semantic language regions, respectively.MethodsTen participants with chronic non-fluent aphasia were recruited for a longitudinal clinical intervention. Participants were split into dyads (i.e., five pairs of two participants) and required to engage in a turn-based peer-to-peer language game using the Rehabilitation Gaming System for aphasia (RGSa). The objective of the RGSa sessions was to practice communicative acts, such as making a request. We administered SVCs and SACs in a pseudorandomized manner at the moment when the active player selected the object to be requested from the interlocutor. For the analysis, we compared the times from selection to the reception of the desired object between cued and non-cued trials.ResultsNaming accuracy, as measured by a standard clinical scale, significantly improved for all stimuli at each evaluation point, including the follow-up. Moreover, the results yielded beneficial effects of both SVC and SAC cues on word naming, especially at the early intervention sessions when the exposure to the target lexicon was infrequent.ConclusionsThis study supports the efficacy of the proposed cueing strategies which could be integrated into the clinic or mobile technology to aid naming even at the chronic stages of aphasia. These findings are consistent with sensorimotor accounts of language processing, suggesting a coupling between language, motor, and semantic brain regions.Trial registrationNCT02928822. Registered 30 May 2016. More... »

PAGES

122

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12984-020-00751-w

DOI

http://dx.doi.org/10.1186/s12984-020-00751-w

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1130725552

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32907594


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28 schema:description BackgroundImpaired naming is a ubiquitous symptom in all types of aphasia, which often adversely impacts independence, quality of life, and recovery of affected individuals. Previous research has demonstrated that naming can be facilitated by phonological and semantic cueing strategies that are largely incorporated into the treatment of anomic disturbances. Beneficial effects of cueing, whereby naming becomes faster and more accurate, are often attributed to the priming mechanisms occurring within the distributed language network.ObjectiveWe proposed and explored two novel cueing techniques: (1) Silent Visuomotor Cues (SVC), which provided articulatory information of target words presented in the form of silent videos, and (2) Semantic Auditory Cues (SAC), which consisted of acoustic information semantically relevant to target words (ringing for “telephone”). Grounded in neurophysiological evidence, we hypothesized that both SVC and SAC might aid communicative effectiveness possibly by triggering activity in perceptual and semantic language regions, respectively.MethodsTen participants with chronic non-fluent aphasia were recruited for a longitudinal clinical intervention. Participants were split into dyads (i.e., five pairs of two participants) and required to engage in a turn-based peer-to-peer language game using the Rehabilitation Gaming System for aphasia (RGSa). The objective of the RGSa sessions was to practice communicative acts, such as making a request. We administered SVCs and SACs in a pseudorandomized manner at the moment when the active player selected the object to be requested from the interlocutor. For the analysis, we compared the times from selection to the reception of the desired object between cued and non-cued trials.ResultsNaming accuracy, as measured by a standard clinical scale, significantly improved for all stimuli at each evaluation point, including the follow-up. Moreover, the results yielded beneficial effects of both SVC and SAC cues on word naming, especially at the early intervention sessions when the exposure to the target lexicon was infrequent.ConclusionsThis study supports the efficacy of the proposed cueing strategies which could be integrated into the clinic or mobile technology to aid naming even at the chronic stages of aphasia. These findings are consistent with sensorimotor accounts of language processing, suggesting a coupling between language, motor, and semantic brain regions.Trial registrationNCT02928822. Registered 30 May 2016.
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35 MethodsTen participants
36 ObjectiveWe
37 Rehabilitation Gaming System
38 account
39 accuracy
40 acoustic information
41 active players
42 activity
43 acts
44 affected individuals
45 analysis
46 aphasia
47 articulatory information
48 auditory cues
49 beneficial effects
50 brain regions
51 chronic non-fluent aphasia
52 chronic stage
53 clinic
54 clinical interventions
55 clinical scales
56 communicative acts
57 communicative effectiveness
58 coupling
59 cueing
60 cueing strategies
61 cueing techniques
62 cues
63 disturbances
64 dyads
65 early intervention sessions
66 effect
67 effectiveness
68 efficacy
69 evaluation points
70 evidence
71 exposure
72 facilitates
73 findings
74 form
75 game
76 gaming system
77 independence
78 individuals
79 information
80 interlocutors
81 intervention
82 intervention sessions
83 language
84 language games
85 language network
86 language processing
87 language regions
88 lexicon
89 life
90 longitudinal clinical intervention
91 manner
92 mechanism
93 mobile technology
94 moment
95 motor
96 naming
97 network
98 neurophysiological evidence
99 non-cued trials
100 non-fluent aphasia
101 objective
102 objects
103 participants
104 peers
105 players
106 point
107 previous research
108 priming mechanism
109 processing
110 quality
111 quality of life
112 reception
113 recovery
114 region
115 requests
116 research
117 results
118 scale
119 selection
120 sensorimotor account
121 sessions
122 silent video
123 stage
124 standard clinical scales
125 stimuli
126 strategies
127 study
128 symptoms
129 system
130 target lexicon
131 target words
132 technique
133 technology
134 time
135 treatment
136 trials
137 type of aphasia
138 types
139 ubiquitous symptom
140 video
141 words
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