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Effects of gesture+verbal treatment for noun and verb retrieval in aphasia

Published online by Cambridge University Press:  25 October 2006

ANASTASIA M. RAYMER ,
FLORIS SINGLETARY ,
AMY RODRIGUEZ ,
MARIBEL CIAMPITTI ,
KENNETH M. HEILMAN  and
LESLIE J. GONZALEZ ROTHI
ANASTASIA M. RAYMER
Affiliation:
Department of ESSE, Old Dominion University, Norfolk, Virginia Brain Rehabilitation Research Center, VAMC, Gainesville, Florida
FLORIS SINGLETARY
Affiliation:
Brooks Center for Rehabilitation Studies, Jacksonville, Florida
AMY RODRIGUEZ
Affiliation:
Brain Rehabilitation Research Center, VAMC, Gainesville, Florida Department of Neurology, University of Florida, Gainesville, Florida
MARIBEL CIAMPITTI
Affiliation:
Department of Neurology, University of Florida Shands Hospital, Jacksonville, Florida
KENNETH M. HEILMAN
Affiliation:
Brain Rehabilitation Research Center, VAMC, Gainesville, Florida Department of Neurology, University of Florida, Gainesville, Florida
LESLIE J. GONZALEZ ROTHI
Affiliation:
Brain Rehabilitation Research Center, VAMC, Gainesville, Florida Department of Neurology, University of Florida, Gainesville, Florida
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Abstract

Links between verbs and gesture knowledge suggest that verb retrieval may be particularly amenable to gesture+verbal training (GVT) in aphasia compared to noun retrieval. This study examines effects of GVT for noun and verb retrieval in nine individuals with aphasia subsequent to left hemisphere stroke. Participants presented an array of noun and verb retrieval deficits, including impairments of semantic and/or phonologic processing. In a single-participant experimental design, we investigated effects of GVT for noun and verb retrieval in two counterbalanced treatment phases. Effects were evaluated in spoken naming and gesture production to pictured objects and actions. Spoken naming improvements associated with large effect sizes were noted for trained nouns (5/9) and verbs (5/9); no improvements were evident for untrained words. Gesture production improved for trained nouns (8/9) and verbs (6/9), and for untrained nouns (2/9) and verbs (2/9). No significant differences were evident between nouns and verbs in spoken naming or gesture production. Improvements were evident across individuals with varied sources of word retrieval impairments. GVT has the potential to improve communication by increasing spoken word retrieval of trained nouns and verbs and by promoting use of gesture as a means to communicate when word retrieval fails. (JINS, 2006, 12, 867–882.)

Keywords

RehabilitationStrokeAnomiaSpeech pathologyLimb apraxiaAphasia
Type
SYMPOSIUM
Information
Journal of the International Neuropsychological Society , Volume 12 , Issue 6 , November 2006 , pp. 867 - 882
Copyright
© 2006 The International Neuropsychological Society

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