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A Comparison of Intention and Pantomime Gesture Treatment for Noun Retrieval in People With Aphasia

Ferguson, Neina F and Evans, Kelli and Raymer, Anastasia M
A Comparison of Intention and Pantomime Gesture Treatment for Noun Retrieval in People With Aphasia. American Journal of Speech-Language Pathology, 21(Suppl.), May, 2012, pages S126-S139.

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Purpose: The effects of intention gesture treatment (IGT) and pantomime gesture treatment (PGT) on word retrieval were compared in people with aphasia.

Method: Four individuals with aphasia and word retrieval impairments subsequent to left-hemisphere stroke participated in a single-participant crossover treatment design. Each participant viewed target nouns on a computer screen in 2 counterbalanced training phases. Training included paired verbal + gesture treatment strategies to elicit verbal and/or gestural productions of target nouns. Treatment effects were measured using daily picture-naming probes for verbal naming and gesture productions for trained and untrained words as well as pre-/posttreatment standardized aphasia tests.

Outcomes and Results: IGT resulted in immediate effects on the verbal productions of 2 participants but lacked carryover to untrained words. PGT resulted in improved verbal production for 2 participants and immediate effects on the gesture productions of 3 participants, with carryover of gesture production to untrained words in 1 participant. Improvements on standardized aphasia tests were evident in 2 participants.

Conclusion: IGT and PGT had positive treatment effects, but for contrasting communication modalities. Two individuals with mild–moderate aphasia improved verbal production with both IGT and PGT, and 2 individuals with severe aphasia improved gesture use with PGT.

EPrint Type:Journal (Paginated)
Keywords:aphasia, gestural communication, treatment
ID Code:2347
Conference:Clinical Aphasiology Conference: Clinical Aphasiology Conference (2011 : 41st : Fort Lauderdale, FL : May 31-June 4, 2011)
Publication:American Journal of Speech-Language Pathology
Alternative Locations:
DOI or Unique Handle:10.1044/1058-0360(2012/11-0076)
Additional Information:This article is based on a paper originally presented at the CAC2011 Conference. Permission to view the full-text articles is subject to the publisher’s access restrictions.

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