Sentence production in rehabilitation of agrammatism: A case study

Silagi, Marcela Lima; Hirata, Fernanda Naito; Mendonça, Lúcia Iracema Zanotto de

doi:10.1590/S1980-57642014DN83000015

Abstracts

Agrammatism is characterized by morphosyntactic deficits in production of sentences. Studies dealing with the treatment of these deficits are scarce and their results controversial. The present study describes the rehabilitation of a case diagnosed as chronic Broca's aphasia, with agrammatism, using a method directed to sentence structural deficits. The method aims to expand the grammatical repertoire by training production of sentences with support from contexts that stimulate actions and dialogues. The patient showed positive results on all types of sentences trained and generalized the gains to spontaneous speech. However, these benefits were not sustained in the long term.

agrammatism; aphasia; rehabilitation

O agramatismo é marcado por déficits morfossintáticos na produção das sentenças. Estudos que abordam o tratamento destas dificuldades são escassos e controversos. O presente estudo descreveu a reabilitação de uma paciente com agramatismo associado à afasia de Broca em fase crônica, por meio de programa de estruturação de sentenças. Trata-se de método que visa à expansão do repertório gramatical através do treino com apoio de contextos que estimulam ações e diálogos. A paciente obteve resultados positivos em todos os tipos de frases treinadas, com ganhos generalizados para contextos de fala espontânea. No entanto, os benefícios não se mantiveram em longo termo.

agramatismo; afasia; reabilitação

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References

¹
Alexander MP. Aphasia: clinical and anatomic aspects. In: Feinberg TE, Farah MJ. Behavioral Neurology and Neuropsychology. New York; McGraw-Hill; 1997:133-149.
²
Ardila A. Major aphasic syndromes: Wernicke's aphasia and Broca's aphasia. In: Ardila A. Aphasia Handbook. E-book. Pdf; 2014: 60-75.
³
Goodlass H, Kaplan E, Barresi B. The assessment of aphasia and related disorders. 3 ed. Philadelphia. Lippincott Williams and Wilkins; 2001.
⁴
Caplan D, Waters G, Howard D. Slave systems in verbal short-term memory. Aphasiology 2012;26(3-4): doi:10.1080/02687038.2011.642795.
» https://doi.org/10.1080/02687038.2011.642795
⁵
Faroqi-Shah Y, Thompson CK. Approaches to treatment of agrammatism. In: Bastiaanse R, Thompson CK, editors. Perspectives on agrammatism. Hove. Psychology Press; 2012:158-191.
⁶
Wisenburn B, Donahue C, Sobrinski M. A meta-analysis of therapy efficacy for agrammatism due to aphasia. Presentation at American Speech-Language Hearing. Philadelphia, PA: Association Annual Convention; 2010.
⁷
Helm-Estabrooks N, Nicholas M. Sentence Production Program for Aphasia. 2ª ed. Pro-Ed.; 2000.
⁸
Goodglass H, Gleason JB, Bernholtz ND, Hyde MK. Some linguistic structures in the speech of a Broca's aphasic. Cortex 1972;8:191-212.
⁹
Thompson CK, Bastiaanse R. Introduction to agrammatism. In: Bastiaanse R, Thompson CK, editors. Perspectives on agrammatism. Hove. Psychology Press; 2012:1-16.
¹⁰
Coelho CA, Sinotte MP, Duffy JR. Schuell's stimulatin approach to rehabilitation. In: Chapey R (editor). Language Intervention Strategies in Aphasia and Related Neurogenic Communication Disorders. Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins; 2008:403-449.
¹¹
Bonifazi S, Tomaiuolo F, Altoè G, Ceravolo MG, Provinciali L, Marangolo P. Action observation as a useful approach for enhancing recovery of verb production: new evidence from aphasia. Eur J Phys Rehabil Med 2013;49:473-481.
¹²
Doyle PG, Goldstein H, Bourgeois MS. Experimental analysis of syntax training in Broca's aphasia: a generalization and social validation study. J Speech Hear Dis 1987; 52:143-155.
¹³
Fink R, Schwartz M, Rochon E, Myers J, Socolog G, Bluestone R. Syntax stimulation revisited: an analysis of generalization of treatment effects. Am J Speech Lang Pathol 1995;4:99-104.
¹⁴
Cherney LR, Patterson JP, Raymer A, Frymark T, Schooling T. Evidence-based systematic review: effects of intensity of treatment and constraint-induced language therapy for individuals with stroke-induced aphasia. J Speech Lang Hear Res, 2008; 51:1282-1299.
¹⁵
Allen L, Mehta S, McClure JA, Teasell R. Therapeutic interventions for aphasia iniciated more than six months post stroke: a review of the evidence. Top Stroke Rehabil 2012;19:523-535.
¹⁶
Kelly H, Brady MC, Enderby P. Speech and language therapy for aphasia following stroke. Cochrane Database Syst Rev (5):CD000425, 2010.
¹⁷
Teichmann M, Dupoux E, Kouider S, et al. The role of the striatum in rule application: the model of Huntington's disease at early stage. Brain 2005;128:1155-1167.
¹⁸
Teichmann M, Dupoux E, Cesaro P, Bachoud-Lévi AC. The role of the striatum in sentence processing: evidence from a priming study in early stages of Huntington's disease. Neuropsychologia 2008;46:174-185.
¹⁹
Thompson CK, den Ouden DB, Bonakdarpour B, Garibaldi K, Parrish TB. Neural plasticity and treatment-induced recovery of sentence processing in agrammatism. Neuropspychologia 2010;48:3211-3227.
²⁰
Thompson CK, Riley EA, den Ouden DB, Meltzer-Asscher A, Lukic S. Training verb argument structure production in agrammatic aphasia: Behavioral and neural recovery patterns. Cortex 2013;49:2358-2376.
²¹
Cicerone KD, Langenbahn DM, Braden C, et al. Evidence-Based Cognitive Rehabilitation: Updated Review of the Literature From 2003 Through 2008. Arch Phys Med Rehabil, 2011;92:519-530.

Publication Dates

Publication in this collection
Sept 2014

History

Received
08 Feb 2014
Accepted
20 June 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

[1] ¹
Alexander MP. Aphasia: clinical and anatomic aspects. In: Feinberg TE, Farah MJ. Behavioral Neurology and Neuropsychology. New York; McGraw-Hill; 1997:133-149.

[2] ²
Ardila A. Major aphasic syndromes: Wernicke's aphasia and Broca's aphasia. In: Ardila A. Aphasia Handbook. E-book. Pdf; 2014: 60-75.

[3] ³
Goodlass H, Kaplan E, Barresi B. The assessment of aphasia and related disorders. 3 ed. Philadelphia. Lippincott Williams and Wilkins; 2001.

[4] ⁴
Caplan D, Waters G, Howard D. Slave systems in verbal short-term memory. Aphasiology 2012;26(3-4): doi:10.1080/02687038.2011.642795.
» https://doi.org/10.1080/02687038.2011.642795

[5] ⁵
Faroqi-Shah Y, Thompson CK. Approaches to treatment of agrammatism. In: Bastiaanse R, Thompson CK, editors. Perspectives on agrammatism. Hove. Psychology Press; 2012:158-191.

[6] ⁶
Wisenburn B, Donahue C, Sobrinski M. A meta-analysis of therapy efficacy for agrammatism due to aphasia. Presentation at American Speech-Language Hearing. Philadelphia, PA: Association Annual Convention; 2010.

[7] ⁷
Helm-Estabrooks N, Nicholas M. Sentence Production Program for Aphasia. 2ª ed. Pro-Ed.; 2000.

[8] ⁸
Goodglass H, Gleason JB, Bernholtz ND, Hyde MK. Some linguistic structures in the speech of a Broca's aphasic. Cortex 1972;8:191-212.

[9] ⁹
Thompson CK, Bastiaanse R. Introduction to agrammatism. In: Bastiaanse R, Thompson CK, editors. Perspectives on agrammatism. Hove. Psychology Press; 2012:1-16.

[10] ¹⁰
Coelho CA, Sinotte MP, Duffy JR. Schuell's stimulatin approach to rehabilitation. In: Chapey R (editor). Language Intervention Strategies in Aphasia and Related Neurogenic Communication Disorders. Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins; 2008:403-449.

[11] ¹¹
Bonifazi S, Tomaiuolo F, Altoè G, Ceravolo MG, Provinciali L, Marangolo P. Action observation as a useful approach for enhancing recovery of verb production: new evidence from aphasia. Eur J Phys Rehabil Med 2013;49:473-481.

[12] ¹²
Doyle PG, Goldstein H, Bourgeois MS. Experimental analysis of syntax training in Broca's aphasia: a generalization and social validation study. J Speech Hear Dis 1987; 52:143-155.

[13] ¹³
Fink R, Schwartz M, Rochon E, Myers J, Socolog G, Bluestone R. Syntax stimulation revisited: an analysis of generalization of treatment effects. Am J Speech Lang Pathol 1995;4:99-104.

[14] ¹⁴
Cherney LR, Patterson JP, Raymer A, Frymark T, Schooling T. Evidence-based systematic review: effects of intensity of treatment and constraint-induced language therapy for individuals with stroke-induced aphasia. J Speech Lang Hear Res, 2008; 51:1282-1299.

[15] ¹⁵
Allen L, Mehta S, McClure JA, Teasell R. Therapeutic interventions for aphasia iniciated more than six months post stroke: a review of the evidence. Top Stroke Rehabil 2012;19:523-535.

[16] ¹⁶
Kelly H, Brady MC, Enderby P. Speech and language therapy for aphasia following stroke. Cochrane Database Syst Rev (5):CD000425, 2010.

[17] ¹⁷
Teichmann M, Dupoux E, Kouider S, et al. The role of the striatum in rule application: the model of Huntington's disease at early stage. Brain 2005;128:1155-1167.

[18] ¹⁸
Teichmann M, Dupoux E, Cesaro P, Bachoud-Lévi AC. The role of the striatum in sentence processing: evidence from a priming study in early stages of Huntington's disease. Neuropsychologia 2008;46:174-185.

[19] ¹⁹
Thompson CK, den Ouden DB, Bonakdarpour B, Garibaldi K, Parrish TB. Neural plasticity and treatment-induced recovery of sentence processing in agrammatism. Neuropspychologia 2010;48:3211-3227.

[20] ²⁰
Thompson CK, Riley EA, den Ouden DB, Meltzer-Asscher A, Lukic S. Training verb argument structure production in agrammatic aphasia: Behavioral and neural recovery patterns. Cortex 2013;49:2358-2376.

[21] ²¹
Cicerone KD, Langenbahn DM, Braden C, et al. Evidence-Based Cognitive Rehabilitation: Updated Review of the Literature From 2003 Through 2008. Arch Phys Med Rehabil, 2011;92:519-530.

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