Contrasting effects of errorless naming treatment and gestural facilitation for word retrieval in aphasia.
Contrasting effects of errorless naming treatment and gestural facilitation for word retrieval in aphasia.
复制标题
无错误命名治疗和手势促进对失语症单词检索的效果对比。
DOI：
10.1080/09602011.2011.618306
复制
发表时间：
2012
影响因子：
2.7
通讯作者：
Casselton,Colleen
中科院分区：
文献类型：
--
作者：
Raymer,AnastasiaM;McHose,Beth;Smith,KimberlyG;Iman,Lisa;Ambrose,Alexis;Casselton,Colleen
我们比较了两种治疗失语症词提取障碍的效果，无错命名治疗（ENT）和手势促进命名（GES），在同一个人，预计使用手势将提高治疗效果的无错治疗。除了图片命名外，我们还评估了其他在早期耳鼻喉研究中基本上未经测试的结果。在一个单一的参与者交叉治疗设计中，我们研究了ENT和GES在8个人与中风引起的失语症和单词检索障碍（三个语义失范，五个语音失范）在平衡阶段的参与者。我们评估了这两种治疗方法对日常图片命名/手势制作探测措施的影响，以及在标准化失语症测试和跨实验阶段管理的沟通评级量表中的影响。这两种治疗方法都能改善语义和语音异常个体对训练单词的命名（从小到大的效应量）。小的概括性命名的改善，注意到三个人与语音失范。GES改进了对训练单词的相应手势的使用（大效果大小）。结果在治疗完成后1个月基本保持不变。ENT和GES训练也增加了标准化失语症测试的分数。ENT和GES都导致了命名措施的改善，治疗之间没有明显差异。GES后手势使用的增加为那些没有提高语言技能的人提供了一种潜在的补偿性沟通手段。这两种治疗被认为是有效的方法，以促进恢复的单词检索和言语生产技能的失语症患者。
We compared the effects of two treatments for aphasic word retrieval impairments, errorless naming treatment (ENT) and gestural facilitation of naming (GES), within the same individuals, anticipating that the use of gesture would enhance the effect of treatment over errorless treatment alone. In addition to picture naming, we evaluated results for other outcome measures that were largely untested in earlier ENT studies. In a single participant crossover treatment design, we examined the effects of ENT and GES in eight individuals with stroke-induced aphasia and word retrieval impairments (three semantic anomia, five phonological anomia) in counterbalanced phases across participants. We evaluated effects of the two treatments for a daily picture naming/gesture production probe measure and in standardised aphasia tests and communication rating scales administered across phases of the experiment.Both treatments led to improvements in naming of trained words (small-to-large effect sizes) in individuals with semantic and phonological anomia. Small generalised naming improvements were noted for three individuals with phonological anomia. GES improved use of corresponding gestures for trained words (large effect sizes). Results were largely maintained at one month post-treatment completion. Increases in scores on standardised aphasia testing also occurred for both ENT and GES training.Both ENT and GES led to improvements in naming measures, with no clear difference between treatments. Increased use of gestures following GES provided a potential compensatory means of communication for those who did not improve verbal skills. Both treatments are considered to be effective methods to promote recovery of word retrieval and verbal production skills in individuals with aphasia.