Modified script training for nonfluent/agrammatic primary progressive aphasia with significant hearing loss: A single-case experimental design.
Modified script training for nonfluent/agrammatic primary progressive aphasia with significant hearing loss: A single-case experimental design.
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DOI：
10.1080/09602011.2020.1822188
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发表时间：
2022-03
影响因子：
2.7
通讯作者：
Henry ML
中科院分区：
文献类型：
--
作者：
Schaffer KM;Wauters L;Berstis K;Grasso SM;Henry ML
言语语言病理学病例通常包括听力损失和共存的神经源性沟通障碍的个体。然而，具体的治疗技术和修改设计，以适应这一人群的研究不足。本研究采用单病例实验设计，探讨了改良的失语症视频脚本训练（VISTA）对非流利/语法变异型原发性进行性失语症和重度至极重度双侧听力损失患者的实用性。我们分析了这种干预的影响，其中包括正字法输入和排练，对脚本生产的准确性，语音清晰度，语法复杂性，平均话语长度和语速。与先前的一项研究相比，治疗产生了相当的积极结果，该研究评估了功能性听力非流利/无语法原发性进行性失语患者的脚本训练。在治疗后3个月、6个月和1年获得的随访数据证实了训练脚本的治疗效果维持。据我们所知，这是第一项针对PPA和听力损失患者的需求进行改良的语音语言干预的研究，研究结果证实，简单的治疗修改可能有助于扩大伴随感觉和沟通障碍患者的治疗选择范围。
Speech-language pathology caseloads often include individuals with hearing loss and a coexisting neurogenic communication disorder. However, specific treatment techniques and modifications designed to accommodate this population are understudied. Using a single-case experimental design, the current study investigated the utility of modified Video Implemented Script Training for Aphasia (VISTA) for an individual with nonfluent/agrammatic variant primary progressive aphasia and severe-to-profound, bilateral hearing loss. We analyzed the impact of this intervention, which incorporates orthographic input and rehearsal, on script production accuracy, speech intelligibility, grammatical complexity, mean length of utterance, and speech rate. Treatment resulted in comparable positive outcomes relative to a previous study evaluating script training in nonfluent/agrammatic primary progressive aphasia patients with functional hearing. Follow-up data obtained at three months, six months, and one year post-treatment confirmed maintenance of treatment effects for trained scripts. To our knowledge, this is the first study to investigate a modified speech-language intervention tailored to the needs of an individual with PPA and hearing loss, with findings confirming that simple treatment modifications may serve to broaden the range of treatment options available to those with concomitant sensory and communication impairments.
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