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

作者：Ferguson Neina F^*; Evans Kelli; Raymer Anastasia M

来源：American Journal of Speech-Language Pathology, 2012, 21(2): S126-S139.

DOI：10.1044/1058-0360(2012/11-0076)

• aphasia
• gestural communication
• treatment

Purpose: The effects of intention gesture treatment (IGT) and pantomime gesture treatment (PGT) on word retrieval were compared in people with aphasia. %26lt;br%26gt;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. %26lt;br%26gt;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. %26lt;br%26gt;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.

• 出版日期2012-5-1