Rehabilitación de la anomia desde una perspectiva pragmática-funcional

  1. Vicent Rosell Clari
  2. Carlos Hernández Sacristán
Revista:
Revista de Investigación en Logopedia

ISSN: 2174-5218

Any de publicació: 2017

Volum: 7

Número: 1

Pàgines: 47-70

Tipus: Article

Altres publicacions en: Revista de Investigación en Logopedia

Resum

The aim of this paper is to examine the effects of a therapeutic programme based on a pragmatic functional paradigm. Elements of the therapeutic programme have been selected from the heuristic plan established in this paradigm by taking into consideration the particular profile of the individual case under study: a case of anomic aphasia. The phases of the therapeutic programme, administration criteria and the intensity of the therapy have been illustrated and reasoned for this particular case. Two tests have been selected to assess linguistic abilities, administered before and after the therapeutic intervention. One of them is the well-known BDAE (Boston Diagnostic Aphasia Examination) in its Spanish version (Goodglass & Kaplan, 1998), which enables a conventional, standardised assessment of linguistic skills to be carried out. The other is the MetAphAs (Metalanguage in Aphasia Assessment) test (Hernández-Sacristán, Rosell-Clari, Serra-Alegre & Quiles-Climent, 2012; Rosell-Clari & Hernández- Sacristán, 2014), which has been designed to assess natural metalinguistic abilities as representative of the metacognitive dimension of verbal behaviour. After treatment, the patient made progress in all language areas, although retaining mild anomia. The diagnosis changed from motor-mixed aphasia to anomic aphasia according BDAE after 8 months of treatment. The patient also demonstrated meaningful advances in performing different kinds of metalinguistic tasks as measured with the MetAphAs test. The patient’s own reports and reports from family members confirm recovery of a practically autonomous way of life after treatment

Referències bibliogràfiques

  • Ansaldo, A., Marcotte, K., Vitali, P. & Delgado, A. (2006). La terapia por integración de rasgos semánticos en la anomia crónica: perspectiva comportamental y neurobiológica en un caso de afasia severa. Revista de Neuropsicología, 1 (1), 4- 8.
  • Boyle, M. & Coehlo, C. A. (1995). Application of semantic feature analysis as a treatment for aphasic dysnomia. American Journal of Speech-Language Pathology, 4 (4), 94–98.
  • Boyle, M. (2004). Semantic feature analysis treatment for anomia in two fluent aphasia syndromes. American Journal of Speech-Language Pathology, 13, 236–249.
  • Carter, A., Connor, L. & Dromerick, A. (2010). Rehabilitation after stroke: Current state of science. Current Neurology and Neuroscience Reports, 10, 158–166.
  • Crofts, B., Nickels, N., Makin, K., Taylor, C. & Moses, M. (2004). A Comparison of the Effectiveness of ‘Semantic’ and ‘Phonological’ Tasks in the Facilitation of Word Production in Aphasia. Resource document from the 26th World Congress of the International Association of Logopedics and Phoniatrics. http://citeseerx.ist.psu.edu/viewdoc/downloa?doi=10.1.1.543.7794&rep=rep 1&type=pdf. Accessed 20 June 2015.
  • Cuetos, F., González-Nosti, M., SánchezCortés, N., Griffith, H., Cabeza, C., García, P. & Sánchez-Alemanys, N. (2010). Tipos de trastornos anómicos en las afasias. Revista de Logopedia, Foniatría y Audiología, 30 (1), 16-22.
  • Francis, D. R., Clark, N. & Humphrey, G. W. (2002). Circumlocution-induced naming. A treatment for effecting generalisation in anomia? Aphasiology, 16 (3), 234-259.
  • Frankel, T. & Penn, C. (2007). Perseveration and conversation in TBI: Response to pharmacological intervention. Aphasiology, 21, 1039-1078.
  • Frankel, T., Penn, C. & Ormond-Brown, D. (2007). Executive dysfunction as an explanatory basis for conversation symptoms of aphasia: A pilot study. Aphasiology, 21, 814-828.
  • Freed, D. B., Celery, K. & Marshall, R. C. (2004). Effectiveness of personalized and phonological cueing on long-term naming performance by aphasic subjects: A clinical investigation. Aphasiology, 18, 743–757.
  • Fridriksson, J., Holland, A., Beeson, P. & Morrow, L. (2005). Spaced retrieval treatment of anomia. Aphasiology, 19 (2), 99-109.
  • Goodglass, H. & Kaplan, E. (1983). Boston Diagnostic Aphasia Examination. Philadelphia, PA: Lea & Febiger.
  • Goodglass, H. & Kaplan, E. (1998). Evaluación de la afasia y de los trastornos relacionados. Madrid: Panamericana.
  • Hernández-Sacristán, C., Rosell-Clari, V., Serra-Alegre, E. & Quiles-Climent, J. (2012). On natural metalinguistic abilities in aphasia. A preliminary study. Aphasiology, 26 (2), 199-219.
  • Holland, A. (1991). Pragmatic aspects of intervention in aphasia. Journal of Neurolinguistics, 6, 197-211.
  • Johnson, M.L., Taub, E., Harper, L.H., Wade, J.T., Bowman, M.H., Bishop-McKay, S., Haddad, M.M., Mark, V.W. & Uswatte, G. (2014). An Enhanced Protocol for Constraint-Induced Aphasia Therapy II: A Case Series. American Journal of Speech-Language Pathology, 23(1), 60-72.
  • Kagan, A. (1998). Supported conversation for adults with aphasia: methods and resources for training conversational partners. Aphasiology, 12 (9), 816-830.
  • Kagan, A., Black, S. E., Duchan, J. F., Simmons-Mackie, N. & Square, P. (2001). Training volunteers as conversation partners using “Supported conversation for adults with aphasia (SCA): A controlled study. Journal of Speech, Language, and Hearing Research, 44, 624–638.
  • Kelly, H., Brady, M. C. & Enderby, P. (2010). Speech and language therapy for aphasia following stroke. Cochrane Database of Systematic Reviews. DOI: 10.1002/14651858.CD000425.pub2.
  • Kiran, S. (2007). Complexity in the treatment of naming deficits. American Journal of Speech-Language Pathology, 16 (1), 18–29.
  • Kiran, S. & Johnson, L. (2008). Semantic complexity in treatment of naming deficits in aphasia: Evidence from well-defined categories. American Journal of SpeechLanguage Pathology, 17, 389–400.
  • Le Dorze, G. & Pitts, C. (1995). A case study evaluation of the effects of different techniques for the treatment of anomia. Neuropsychological Rehabilitation, 5, 51-65.
  • León-Carrión, J. & Viñals, F. (1999). Evaluación de la Recuperación de un paciente cerebrovascular con afasia anómica. Revista de Logopedia, Foniatría y Audiología, 2 (4), 31-39.
  • Leonard, C., Rochon, E. & Laird, L. (2008). Treating naming impairments in aphasia: Findings from a phonological components analysis treatment. Aphasiology, 22, 923-947.
  • Lowell, S., Beeson, P. M. & Holland, A. L. (1995). The efficacy of semantic cueing procedure on naming performance of adults with aphasia. American Journal of Speech-Language Pathology, 4 (4), 109–114.
  • Macoir, J., Routhier, S., Simard, A. & Picard, J. (2012). Maintenance and Generalization Effects of Semantic and Phonological Treatments of Anomia: A Case Study. Hammill Institute on Disabilities, 33 (2), 119–128.
  • Marsall, R.C. & Freed, D. B. (2006). The personalized cueing method: from the laboratory to the clinic. American Journal of Speech-Language Pathology, 15, 103–111.
  • Mather, L. & Raymer, A. (2004). Management of anomia. Top Stroke Rehabilitation, 11 (1), 10–21.
  • McKelvey, M.L., Hux, K., Dietz, A. & Beukelman, D. R. (2010). Impact of personal relevance and contextualization on word-picture matching by people with aphasia. American Journal of Speech-Language Pathology, 19 (1), 22–33.
  • Miceli, G., Amitrano, A., Capasso, R. & Caramazza, A. (1996). The treatment of anomia resulting from output lexical damage: analysis of two cases. Brain and Language, 52, 150–174.
  • Penn, C., Frankel, T., Watermeyer, J. & Russell, N. (2010). Executive function and conversational strategies in bilingual aphasia. Aphasiology, 24 (2), 288-308.
  • Raymer, A., Thompson, C.K., Jacobs, C. & Le Grand, H.R. (1993). Phonological treatment of naming deficits in aphasia: model-based generalization analysis. Aphasiology, 7, 27-53.
  • Raymer, A. & Koehn, F. (2006). Word-retrieval treatment in aphasia: Effects of sentence context. Journal of Rehabilitation Research and Development, 43 (3), 367–378.
  • Raymer, A., McHose , B., Smith, K., Iman, L., Ambrose, A. & Casselton, C. (2012). Contrasting effects of errorless naming treatment and gestural facilitation for word retrieval in aphasia. Neuropsychological Rehabilitation, 22 (2), 235–266.
  • Rose, M. (2006). The utility of arm and hand gestures in the treatment of aphasia. Advances in Speech Language Pathology, 8, 92-109.
  • Rosell-Clari, V. & Hernández-Sacristán, C. (Coords.) (2014). MetAphAs. Protocolo de Exploración de Habilidades Metalingüísticas en la Afasia. Valencia: Nau Llibres.
  • Salazar, S., Fernández, E., García, E., Rodríguez, D., Bringas, M. L. & Torres, O. (2012). La neurorrehabilitación del deterioro del lenguaje. La Habana: eCIMED.
  • Simmons-Mackie, N., Raymer, A., Armstrong, E., Holland, A. & Cherney, L.R. (2010). Communication partner training in aphasia: A systematic review. Archives of Physical Medicine and Rehabilitation, 91, 1814-1837.
  • Wilkinson, R., & Wielaert, S. (2012). Rehabilitation targeted at everyday communication: Can we change the talk of people with aphasia and their significant others within conversation? Archives of Physical Medicine and Rehabilitation, 93 (1), 70-76