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A pilot study of use-dependent learning in the context of Constraint Induced Language Therapy

Published online by Cambridge University Press:  25 October 2006

LYNN M. MAHER ,
DIANE KENDALL ,
JENNIFER A. SWEARENGIN ,
AMY RODRIGUEZ ,
SUSAN A. LEON ,
KARYN PINGEL ,
AUDREY HOLLAND  and
LESLIE J. GONZALEZ ROTHI
LYNN M. MAHER
Affiliation:
Michael E. DeBakey VA Medical Center, Rehabilitation Research, Houston, Texas Dept. of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas Brain Rehabilitation Research Center, Malcom Randall Department of Veterans Affairs VA Medical Center, Gainesville, Florida
DIANE KENDALL
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall Department of Veterans Affairs VA Medical Center, Gainesville, Florida Department of Neurology, University of Florida College of Medicine, Gainesville, Florida
JENNIFER A. SWEARENGIN
Affiliation:
Michael E. DeBakey VA Medical Center, Rehabilitation Research, Houston, Texas
AMY RODRIGUEZ
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall Department of Veterans Affairs VA Medical Center, Gainesville, Florida Department of Communication Sciences and Disorders, University of Florida, Gainesville Florida
SUSAN A. LEON
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall Department of Veterans Affairs VA Medical Center, Gainesville, Florida Department of Communication Sciences and Disorders, University of Florida, Gainesville Florida
KARYN PINGEL
Affiliation:
James A. Haley VA Medical Center, Tampa, Florida
AUDREY HOLLAND
Affiliation:
Speech and Hearing Sciences Department, University of Arizona, Tucson, Arizona
LESLIE J. GONZALEZ ROTHI
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall Department of Veterans Affairs VA Medical Center, Gainesville, Florida Department of Neurology, University of Florida College of Medicine, Gainesville, Florida
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Abstract

This investigation reports the results of a pilot study concerning the application of principles of use-dependent learning developed in the motor rehabilitation literature as Constraint Induced Therapy to language rehabilitation in a group of individuals with chronic aphasia. We compared treatment that required forced use of the language modality, Constraint Induced Language Therapy, (CILT) to treatment allowing all modes of communication. Both treatments were administrated intensively in a massed practice paradigm, using the same therapeutic stimuli and tasks. Results suggest that whereas both interventions yielded positive outcomes, CILT participants showed more consistent improvement on standard aphasia measures and clinician judgments of narrative discourse. These findings suggest that CILT intervention may be a viable approach to aphasia rehabilitation. (JINS, 2006, 12, 843–852.)

Keywords

Aphasia therapyRehabilitationSpeech therapyStroke rehabilitationPACEIntensity
Type
SYMPOSIUM
Information
Journal of the International Neuropsychological Society , Volume 12 , Issue 6 , November 2006 , pp. 843 - 852
Copyright
© 2006 The International Neuropsychological Society

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References

REFERENCES

Aichner, F., Adelwohrer, C., & Haring, H.P. (2002). Rehabilitation approaches to stroke. Journal of Neural Transmission Suppl. 59–73.Google Scholar
Basso, A., Capitani, E., & Vignolo, L.A. (1979). Influence of rehabilitation on language skills in aphasic patients. A controlled study. Archives of Neurology, 36, 190–196.CrossRefGoogle Scholar
Berndt, R.S., Wayland, S., Rochon, E., Saffran, E., & Schwartz, M. (2000). Quantitative Production Analysis. Austin, TX: Pro-Ed.
Bhogal, S.K., Teasell, R., & Speechley, M. (2003). Intensity of aphasia therapy, impact on recovery. Stroke, 34, 987–993.Google Scholar
Blanton, S. & Wolf, S.L. (1999). An application of upper-extremity constraint-induced movement therapy in a patient with subacute stroke. Physical Therapy, 79, 847–853.Google Scholar
Broida, H. (1977). Language therapy effects in long term aphasia. Archives of Physical Medicine and Rehabilitation, 58, 248–253.Google Scholar
Carlomagno, S. (1994). Pragmatic Approaches to Aphasia Therapy. London: Whurr Publishers, LTD.
Chin Li, E., Kitselman, K., Dusatko, D., & Spinelli, C. (1988). The efficacy of PACE in the remediation of naming deficits. Journal of Communication Disorders, 21, 491–503.Google Scholar
Dabul, B. (2000). Apraxia Battery for Adults-2. Austin, TX: Pro-Ed.
Davis, G. & Wilcox, M. (1985). Adult aphasia rehabilitation: Applied pragmatics. San Diego: College Hill Press.
Dettmers, C., Teske, U., Hamzei, F., Uswatte, G., Taub, E., & Weiller, C. (2005). Distributed form of constraint-induced movement therapy improves functional outcome and quality of life after stroke. Archives of Physical Medicine and Rehabilitation, 86, 204–209.CrossRefGoogle Scholar
Dromerick, A.W., Edwards, D.F., & Hahn, M. (2000). Does the application of constraint-induced movement therapy during acute rehabilitation reduce arm impairment after ischemic stroke? Stroke, 31, 2984–2988.Google Scholar
Elman, R.J. & Bernstein-Ellis, E. (1999). The efficacy of group communication treatment in adults with chronic aphasia. Journal of Speech Language and Hearing Research, 42, 411–419.Google Scholar
Ferro, J.M., Mariano, G., & Madureira, S. (1999). Recovery from aphasia and neglect. Cerebrovascular Diseases, 9 Suppl 5, 6–22.CrossRefGoogle Scholar
Francis, W. & Kucera, H. (1982). Frequency analysis of English usage: Lexicon and grammar. Boston: Houghton Mifflin.
Glindemann, R. & Springer, L. (1995). An assessment of PACE therapy. In C. Code & D.J. Muller (Eds.), The Treatment of Aphasia: From Theory to Practice (pp. 90–107). San Diego: Singular Publishing Group.
Greener, J., Enderby, P., Whurr, R., & Grant, A. (1998). Treatment for aphasia following stroke: Evidence for effectiveness. International Journal of Language and Communication Disorders, 33 Suppl, 158–161.Google Scholar
Hinckley, J.J. & Craig, H.K. (1998). Influence of rate of treatment on naming abilities of adults with chronic aphasia. Aphasiology, 12, 989–1006.Google Scholar
Holland, A.L., Fromm, D.S., DeRuyter, F., & Stein, M. (1996). Treatment efficacy: Aphasia. Journal of Speech and Hearing Research, 39, S27–S36.CrossRefGoogle Scholar
Kaplan, E., Goodglass, H., & Weintraub, S. (2000). The Boston Naming Test. Philadelphia: Lee & Febiger.
Karbe, H., Thiel, A., Weber-Luxenburger, G., Herholz, K., Kessler, J., & Heiss, W.D. (1998). Brain plasticity in poststroke aphasia: What is the contribution of the right hemisphere? Brain and Language, 64, 215–230.Google Scholar
Kertesz, A. (1982). Western Aphasia Battery. San Antonio: The Psychological Corp.
Kertesz, A. (1984). Neurobiological aspects of recovery from aphasia in stroke. International Rehabilitation Medicine, 6, 122–127.Google Scholar
Kertesz, A. & McCabe, P. (1977). Recovery patterns and prognosis in aphasia. Brain, 100 Pt 1, 1–18.Google Scholar
Kopp, B., Kunkel, A., Muhlnickel, W., Villringer, K., Taub, E., & Flor, H. (1999). Plasticity in the motor system related to therapy-induced improvement of movement after stroke. Neuroreport, 10, 807–810.CrossRefGoogle Scholar
Kunkel, A., Kopp, B., Muller, G., Villringer, K., Villringer, A., Taub, E., & Flor, H. (1999). Constraint-induced movement therapy for motor recovery in chronic stroke patients. Archives of Physical Medicine and Rehabilitation, 80, 624–628.Google Scholar
Levine, P. & Page, S.J. (2004). Modified constraint-induced therapy: A promising restorative outpatient therapy. Topics in Stroke Rehabilitation, 11, 1–10.Google Scholar
Liepert, J., Bauder, H., Wolfgang, H.R., Miltner, W.H., Taub, E., & Weiller, C. (2000). Treatment-induced cortical reorganization after stroke in humans. Stroke, 31, 1210–1216.Google Scholar
Liepert, J., Miltner, W.H., Bauder, H., Sommer, M., Dettmers, C., Taub, E., & Weiller, C. (1998). Motor cortex plasticity during constraint-induced movement therapy in stroke patients. Neuroscience Letters, 250, 5–8.CrossRefGoogle Scholar
Mackenzie, C. (1991). An aphasia group intensive efficacy study. The British Journal of Disorders of Communication, 26, 275–291.CrossRefGoogle Scholar
Meinzer, M., Djundja, D., Barthel, G., Elbert, T., & Rockstroh, B. (2005). Long-term stability of improved language functions in chronic aphasia after constraint-induced aphasia therapy. Stroke, 36, 1462–1466.CrossRefGoogle Scholar
Meinzer, M., Elbert, T., Wienbruch, C., Djundja, D., Barthel, G., & Rockstroh, B. (2004). Intensive language training enhances brain plasticity in chronic aphasia. BCM Biology [On-line]. Available: http://www.biomedcentral.com/1741-7007/2/20Google Scholar
Miltner, W.H., Bauder, H., Sommer, M., Dettmers, C., & Taub, E. (1999). Effects of constraint-induced movement therapy on patients with chronic motor deficits after stroke: A replication. Stroke, 30, 586–592.Google Scholar
Musso, M., Weiller, C., Kiebel, S., Muller, S.P., Bulau, P., & Rijntjes, M. (1999). Training-induced brain plasticity in aphasia. Brain, 122 (Pt. 9), 1781–1790.CrossRefGoogle Scholar
Nicholas, M., Obler, L., Albert, M., & Goodglass, H. (1985). Lexical retrieval in healthy aging. Cortex, 21, 595–606.CrossRefGoogle Scholar
Nudo, R.J., Wise, B.M., SiFuentes, F., & Milliken, G.W. (1996). Neural substrates for the effects of rehabilitative training on motor recovery after ischemic infarct. Science, 272, 1791–1794.CrossRefGoogle Scholar
Odell, K.H., Bair, S., Flynn, M., Workinger, M., Osborne, D., & Chial, M. (1997). Retrospective study of treatment outcome for individuals with aphasia. Aphasiology, 11, 415–432.CrossRefGoogle Scholar
Page, S.J., Sisto, S.A., Levine, P., Johnston, M.V., & Hughes, M. (2001). Modified constraint induced therapy: A randomized feasibility and efficacy study. Journal of Rehabilitation Research and Development, 38, 583–590.Google Scholar
Page, S.J., Sisto, S., Levine, P., & McGrath, R.E. (2004). Efficacy of modified constraint-induced movement therapy in chronic stroke: A single-blinded randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 85, 14–18.CrossRefGoogle Scholar
Poeck, K., Huber, W., & Willmes, K. (1989). Outcome of intensive language treatment in aphasia. The Journal of Speech Hearing Disorders, 54, 471–479.CrossRefGoogle Scholar
Post-stroke rehabilitation Guideline Panel. (1996). Post-stroke rehabilitation: Clinical Practice Guideline. Gaithersburg, MD: Aspen Publications. Ref Type: Pamphlet
Pulvermüller, F., Neininger, B., Elbert, T.R., Mohr, B., Rockstroh, B., Koebbel, P., & Taub, E. (2001). Constraint-induced therapy of chronic aphasia after stroke. Stroke, 32, 1621–1626.CrossRefGoogle Scholar
Robey, R.R. (1994). The efficacy of treatment for aphasic persons: A meta-analysis. Brain and Language, 47, 582–608.CrossRefGoogle Scholar
Robey, R.R. (1998). A meta-analysis of clinical outcomes in the treatment of aphasia. Journal of Speech Language and Hearing Research, 41, 172–187.CrossRefGoogle Scholar
Robey, R.R. (1999). Single-subject clinical-outcome research: Designs, data, effect sizes and analyses. Aphasiology, 13, 445–473.CrossRefGoogle Scholar
Shewan, C.M. & Donner, A.P. (1988). A comparison of three methods to evaluate change in the spontaneous language of aphasic individuals. Journal of Communication Disorders, 21, 171–176.Google Scholar
Siegel, G. (1987). The limits of science in communication disorders. The Journal of Speech and Hearing Disorders, 52, 306–312.CrossRefGoogle Scholar
Sterr, A., Elbert, T., Berthold, I., Kolbel, S., Rockstroh, B., & Taub, E. (2002). Longer versus shorter daily constraint-induced movement therapy of chronic hemiparesis: An exploratory study. Archives of Physical Medicine and Rehabilitation, 83, 1374–1377.CrossRefGoogle Scholar
Taub, E. (2000). Constraint-induced movement therapy and massed practice. Stroke, 31, 986–988.CrossRefGoogle Scholar
Taub, E. (2004). Harnessing brain plasticity through behavioral techniques to produce new treatments in neurorehabilitation. The American Psychologist, 59, 692–704.CrossRefGoogle Scholar
Taub, E., Crago, J.E., Burgio, L.D., Groomes, T.E., Cook, E.W., III, DeLuca, S.C., & Miller, N.E. (1994). An operant approach to rehabilitation medicine: Overcoming learned nonuse by shaping. Journal of Experimental Analysis Behavior, 61, 281–293.Google Scholar
Taub, E., Uswatte, G., & Pidikiti, R. (1999). Constraint-Induced Movement Therapy: A new family of techniques with broad application to physical rehabilitation—a clinical review. Journal of Rehabilitation Research and Development, 36, 237–251.Google Scholar
Warburton, E., Price, C.J., Swinburn, K., & Wise, R.J. (1999). Mechanisms of recovery from aphasia: Evidence from positron emission tomography studies. Journal of Neurology, Neurosurgery, and Psychiatry, 66, 155–161.Google Scholar
Weiller, C., Isensee, C., Rijntjes, M., Huber, W., Muller, S., Bier, D., Dutschka, K., Woods, R.P., Noth, J., & Diener, H.C. (1995). Recovery from Wernicke's aphasia: A positron emission tomographic study. Annals of Neurology, 37, 723–732.Google Scholar
Wertz, R.T., Weiss, D.G., Aten, J.L., Brookshire, R.H., Garcia-Bunuel, L., Holland, A.L., Kurtzke, J.F., LaPointe, L.L., Milianti, F.J., & Brannegan, R. (1986). Comparison of clinic, home, and deferred language treatment for aphasia. A Veterans Administration Cooperative Study. Archives of Neurology, 43, 653–658.Google Scholar
Yesavage, J.A. (1988). Geriatric Depression Scale. Psychopharmacology Bulletin, 24, 709–711.Google Scholar
Yesavage, J.A., Brink, T.L., Rose, T.L., Lum, O., Huang, V., Adey, M., & Leirer, V.O. (1982). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17, 37–49.CrossRefGoogle Scholar