A Treatment Sequence for Phonological Alexia/Agraphia

Beeson, Pelagie and Rising, Kindle and Kim, Esther and Rapcsak, Steven (2008) A Treatment Sequence for Phonological Alexia/Agraphia. [Clinical Aphasiology Paper]

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Abstract

We present two individuals with persistent impairment of phonological processing following damage to left perisylvian cortex. A two-stage treatment protocol was administered that strengthened sound-letter correspondences (phonological treatment), and trained interactive use of lexical and sublexical information to maximize spelling performance (interactive treatment). Both participants improved phonological processing abilities and reading/spelling via the sublexical route. They also improved spelling of real words, and were able to detect and correct most residual errors using an electronic spelling aid. In sum, treatment strengthened cognitive processes supporting reading and spelling, and provided a functional compensatory strategy to overcome residual weaknesses.

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