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Treatment of naming in nonfluent aphasia through manipulation of intention and attention: A phase 1 comparison of two novel treatments

Published online by Cambridge University Press:  18 May 2007

BRUCE CROSSON ,
KATHERINE S. FABRIZIO ,
FLORIS SINGLETARY ,
M. ALLISON CATO ,
CHRISTINA E. WIERENGA ,
R. BRUCE PARKINSON ,
MEGAN E. SHEROD ,
ANNA BACON MOORE ,
MARIBEL CIAMPITTI  and
BETH HOLIWAY
...Show all authors
BRUCE CROSSON
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida
KATHERINE S. FABRIZIO
Affiliation:
Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida
FLORIS SINGLETARY
Affiliation:
Brooks Center for Rehabilitation Studies, University of Florida, Jacksonville, Florida
M. ALLISON CATO
Affiliation:
Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida
CHRISTINA E. WIERENGA
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida
R. BRUCE PARKINSON
Affiliation:
Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida
MEGAN E. SHEROD
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida
ANNA BACON MOORE
Affiliation:
Aging Veterans with Vision Loss Center, Atlanta VA Medical Center, Atlanta, Georgia Emory University, Department of Physical Medicine and Rehabilitation, Atlanta, Georgia
MARIBEL CIAMPITTI
Affiliation:
Department of Neurology, University of Florida Health Sciences Center, Jacksonville, Florida
BETH HOLIWAY
Affiliation:
Brooks Center for Rehabilitation Studies, University of Florida, Jacksonville, Florida
SUSAN LEON
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida
AMY RODRIGUEZ
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida
DIANE L. KENDALL
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida Department of Neurology, University of Florida, Department of Neurology, Gainesville, Florida
ILANA F. LEVY
Affiliation:
Department of Clinical & Health Psychology, University of Florida, Gainesville, Florida
LESLIE J. GONZALEZ ROTHI
Affiliation:
Brain Rehabilitation Research Center, Malcom Randall VA Medical Center, Gainesville, Florida Department of Neurology, University of Florida, Department of Neurology, Gainesville, Florida
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Abstract

Twenty-three chronic nonfluent aphasia patients with moderate or severe word-finding impairments and 11 with profound word-finding impairments received two novel picture-naming treatments. The intention treatment initiated picture-naming trials with a complex left-hand movement and was designed to enhance right frontal participation during word retrieval. The attention treatment required patients to view visual stimuli for picture-naming trials in their left hemispace and was designed to enhance right posterior perisylvian participation during word retrieval. Because the intention treatment addressed action mechanisms and nonfluent aphasia reflects difficulty initiating or maintaining action (i.e., language output), it was hypothesized that intention component of the treatment would enhance re-acquisition of picture naming more than the attention component. Patients with moderate and severe word-finding impairment showed gains with both treatments but greater incremental improvement from one treatment phase to the next with the intention than the attention treatment. Thus, the hypothesis that intention component would be a more active constituent than the attention component was confirmed for these patients. Patients with profound word-finding impairment showed some improvement with both treatments but no differential effects for the intention treatment. Almost all patients who showed treatment gains on either treatment also demonstrated generalization from trained to untrained items. (JINS, 2007, 13, 582–594.)

Keywords

IntentionAttentionRehabilitation of speech and language disordersLanguage therapyTreatment outcomeAphasia
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 13 , Issue 4 , July 2007 , pp. 582 - 594
Copyright
© 2007 The International Neuropsychological Society

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