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Factors affecting cross-language activation and language mixing in bilingual aphasia: A case study 影响双语失语症跨语言激活和语言混合的因素:个案研究
IF 2 4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-08-03 DOI: 10.1080/02687038.2022.2081960
Solène Hameau, Urszula Dmowski, L. Nickels
ABSTRACT Background Some bilinguals with aphasia tend to mix languages within a single utterance. Two opposing views attribute this to difficulty with either language control or word retrieval. Aims This study investigated the influence of factors that increase activation of the non-target language on the occurrence of language mixing errors. This increased activation predicts more language mixing errors if there is a language control issue, but not if they stem from word retrieval difficulties. Methods and procedures A picture naming experiment was conducted with a bilingual individual with aphasia who showed language mixing. We investigated the influence of four factors likely to influence activation of representations of the non-target language on response accuracy, response latency and the occurrence of language selection errors: language, language mode, task, and phonological overlap between the target word and its translation equivalent. Outcomes and results The increased activation of the non-target language induced by language mode, task and phonological overlap with the translation equivalent did not lead to an increase in language selection errors when compared to correct responses. This is despite the fact that these factors affected accuracy and response latency, in the direction that is expected in unimpaired bilingual performance. Conclusions Results were not consistent with a disruption of the cognitive control needed to respond in the intended language. Instead, they highlight that language mixing in this individual, rather than being “pathological”, is instead used as a strategy to potentially improve communication when lexical retrieval difficulties occur. Language mixing behaviours in aphasia may not be due to issues of control and have a communicative value that should be recognised.
摘要背景一些失语症的双语者倾向于在一句话中混合语言。两种相反的观点将其归因于语言控制或单词检索的困难。本研究探讨了增加非目标语言激活的因素对语言混合错误发生的影响。如果存在语言控制问题,这种激活的增加会预测更多的语言混合错误,但如果它们源于单词检索困难,则不会。方法和程序对一名表现为语言混合的双语失语症患者进行图片命名实验。我们研究了四个可能影响非目标语言表征激活的因素对反应准确性、反应潜伏期和语言选择错误发生的影响:语言、语言模式、任务以及目标词与其翻译等价物之间的语音重叠。结果与结果与正确回答相比,语言模式、任务和语音与翻译等价物的重叠引起的非目标语言的激活增加并没有导致语言选择错误的增加。尽管这些因素影响了准确性和响应延迟,但在双语表现不受影响的情况下,这是意料之中的。结论结果不符合以预期语言做出反应所需的认知控制的中断。相反,他们强调,当词汇检索出现困难时,这个人的语言混合并不是“病态的”,而是作为一种潜在的改善沟通的策略。失语症患者的语言混合行为可能不是由于控制问题,而是具有应该认识到的交际价值。
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引用次数: 1
Longitudinal changes in connected speech over a one-year span in the nonfluent/agrammatic variant of Primary Progressive Aphasia 原发性进行性失语症非流利/无语法变体一年内连接言语的纵向变化
IF 2 4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-08-03 DOI: 10.1080/02687038.2022.2084707
M. Lavoie, S. Black, D. Tang‐Wai, N. Graham, S. Stewart, M. Freedman, C. Leonard, E. Rochon
ABSTRACT Background Connected speech assessment is essential to characterize the language features in primary progressive aphasia (PPA). This is especially true for the non-fluent/agrammatic variant (nfvPPA) in which one of the core features is agrammatism. Identification of agrammatism typically involves the analysis of sentence production, as in connected speech, in order to detect syntactic deficits. However, little is known about the longitudinal changes occurring in connected speech of individuals with non-fluent PPA. Aim The aim of this study was to assess changes in connected speech over a one-year span in participants with nfvPPA using semi-structured interviews. Methods and procedures We conducted a prospective group study including participants with nfvPPA (n=9) and age- and education-matched healthy controls (n=9). For each individual, connected speech was obtained using topic-directed interviews at two testing rounds, each approximately one year apart. Production on each task was recorded, transcribed and analyzed according to the Quantitative Production Analysis (QPA) protocol, a tool developed by Berndt and colleagues (2000) for the analysis of sentence production in aphasia. For each group, the probability of deterioration between the two testing rounds was estimated using Bayesian analysis. Results and outcomes For individuals with nfvPPA, statistical evidence of deterioration from the first testing round to the second was found for five variables, namely the proportion of pronouns, the proportion of verbs, the proportion of closed class words, the inflection index and the proportion of well-formed sentences. Conclusions Results from the present study suggest that variables relating to word-finding and morphology are more vulnerable to time and therefore may be relevant potential targets for intervention.
背景关联言语评估是表征原发性进行性失语症(PPA)语言特征的关键。对于非流畅/语法缺失变体(nfvPA)尤其如此,其中一个核心特征是语法缺失。语法缺失的识别通常包括对句子产生的分析,如在连接语音中,以检测句法缺陷。然而,对于PPA不流利的个体在连接语音中发生的纵向变化知之甚少。目的本研究的目的是使用半结构化访谈来评估一年内nfvPA参与者连接言语的变化。方法和程序我们进行了一项前瞻性小组研究,包括患有nfvPA的参与者(n=9)和年龄和教育程度匹配的健康对照组(n=9)。对于每个人,在两轮测试中使用主题导向访谈获得关联演讲,每轮测试间隔约一年。根据定量产出分析(QPA)方案记录、转录和分析每项任务的产出,这是Berndt及其同事(2000)开发的一种用于分析失语症句子产出的工具。对于每组,使用贝叶斯分析来估计两轮测试之间的恶化概率。结果和结果对于患有nfvPA的个体,从第一轮测试到第二轮测试,发现了五个变量的恶化的统计证据,即代词的比例、动词的比例、闭类词的比例、屈折指数和格式良好的句子的比例。结论本研究的结果表明,与单词发现和形态相关的变量更容易受到时间的影响,因此可能是相关的潜在干预目标。
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引用次数: 0
Measuring Inner Speech Objectively and Subjectively in Aphasia 失语症患者内心言语的客观与主观测量
IF 2 4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-07-21 DOI: 10.1080/02687038.2023.2235761
Julianne M. Alexander, Peter Langland-Hassan, Brielle C. Stark
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引用次数: 1
Word retrieval in aphasia: From naming tests to connected speech and the impact on well-being 失语症中的单词检索:从命名测试到连接言语及其对健康的影响
IF 2 4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-07-10 DOI: 10.1080/02687038.2023.2228017
M. Biran, Gali Ben-Or, Hila Yihye-Shmuel
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引用次数: 0
Preferences of people with post-stroke aphasia for aphasia research videos: An international project 脑卒中后失语症患者对失语症研究视频的偏好:一个国际项目
IF 2 4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-07-06 DOI: 10.1080/02687038.2023.2229030
Emma Finch, John E Pierce, Analisa M. Pais, Carol Dow-Richards, Allie Reed, M. Charalambous, M. A. Matos, S. Wallace, C. Breitenstein
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引用次数: 0
Feasibility of Remotely Supervised Transcranial Direct Current Stimulation (RS-tDCS) for People with Stroke-Induced and Progressive Aphasia 远程监督经颅直流电刺激(RS-tDCS)治疗脑卒中致进行性失语症的可行性
IF 2 4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-07-03 DOI: 10.1080/02687038.2022.2076279
J. Richardson, E. Galletta, L. Charvet, Michael T. Shaw
ABSTRACT Background Remotely-supervised transcranial direct current stimulation (RS-tDCS) is a telerehabilitation protocol that provides access to tDCS treatment to participants with aphasia in their homes using real-time monitoring via videoconference and overcomes barriers associated with in-person tDCS treatment of neurological disease. Aims Two feasibility studies for participants with aphasia are presented herein that investigate (1) RS-tDCS procedural implementation, acceptability, and demand, and (2) acceptability of ten repeated consecutive RS-tDCS sessions. Methods & Procedures Thirteen participants with aphasia were enrolled in Study 1: (1) seven participants with stroke-induced latent aphasia, (2) four participants with stroke-induced clinically diagnosed aphasia, and (3) two participants with logopenic variant primary progressive aphasia (lvPPA). Four supervisors (1 certified speech-language pathologist [SLP], 3 graduate SLPs-in-training) were trained to supervise RS-tDCS and also provided survey responses. All participants participated in RS-tDCS training and a virtual simulation of home delivery. Two participants with stroke-induced aphasia (1 latent aphasia, 1 clinically diagnosed aphasia) were enrolled in 10 consecutive sessions of RS-tDCS alongside computerized treatment in their home for Study 2. Outcomes & Results This work provides preliminary evidence for the feasibility of RS-tDCS for people with stable and progressive aphasia of varying severity and typology and includes both participant and clinician perspectives. Importantly, no major barriers to use of RS-tDCS were revealed for people with aphasia, though eHelpers were required for two participants. Conclusions This work confirms that remotely supervised at-home tDCS studies can be used to enable much-needed efficacy trials, with sufficient sample size, power, and dosing considerations, that will determine the clinical efficacy of tDCS as a treatment adjuvant to aphasia treatment.
远程监督经颅直流电刺激(RS-tDCS)是一种远程康复方案,通过视频会议实时监控,为失语症患者在家中提供tDCS治疗,克服了现场tDCS治疗神经系统疾病的障碍。本文提出了两项针对失语患者的可行性研究,分别调查(1)RS-tDCS程序的实施、可接受性和需求;(2)连续10次重复RS-tDCS会话的可接受性。研究1共纳入13例失语症患者:(1)7例卒中性潜伏失语症患者,(2)4例卒中性临床诊断失语症患者,(3)2例logopenic variant primary progressive aphasia (lvPPA)患者。4名督导人员(1名注册言语语言病理学家,3名在职研究生言语语言病理学家)接受了RS-tDCS督导培训,并提供调查反馈。所有参与者都参加了RS-tDCS培训和虚拟模拟送货上门。两名卒中性失语症患者(1名潜伏性失语症患者,1名临床诊断失语症患者)参加了连续10次RS-tDCS治疗,并在家中进行计算机治疗。本研究为RS-tDCS用于不同严重程度和类型的稳定和进行性失语症患者的可行性提供了初步证据,并包括参与者和临床医生的观点。重要的是,尽管有两名参与者需要使用电子助手,但失语症患者使用RS-tDCS没有发现主要障碍。本研究证实,远程监督的家庭tDCS研究可以用于急需的疗效试验,有足够的样本量、功率和剂量考虑,将确定tDCS作为失语治疗辅助治疗的临床疗效。
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引用次数: 3
Semantic relatedness and the cocktail party problem in aphasia: A hybrid remote/in-lab study 失语症患者的语义关联与鸡尾酒会问题:一项远程/实验室混合研究
IF 2 4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-06-20 DOI: 10.1080/02687038.2023.2221997
Sarah Villard, Isabelle Yap, G. Kidd
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引用次数: 0
Harnessing insights from a community of practice to progress aphasia psychological care in Ireland: A mixed methods integration study informed by normalisation process theory 利用实践社区的见解推进爱尔兰失语症心理护理:一项基于正常化过程理论的混合方法整合研究
IF 2 4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-06-20 DOI: 10.1080/02687038.2023.2224516
Molly X Manning, Mia Hanrahan, Aoife Carolan
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引用次数: 1
Semantic Feature Analysis (SFA) treatment in L1 and L2 in bilingual aphasia: Effects of cognitive and language factors 语义特征分析(SFA)对双语失语症L1和L2的治疗:认知和语言因素的影响
IF 2 4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-06-20 DOI: 10.1080/02687038.2023.2226359
Alina Bihovsky, M. Ben-Shachar, N. Meir
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引用次数: 1
People with aphasia living alone: A scoping review 独居失语症患者:范围审查
IF 2 4区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-06-20 DOI: 10.1080/02687038.2023.2227403
S. Sherratt
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引用次数: 0
期刊
Aphasiology
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