This is a behavioral speech therapy trial for individuals who have suffered a stroke on the left side of the brain and have difficulty speaking. The name of this disorder is called "aphasia." Individuals in this study will receive one of two treatments. The first is a phonological (sound level) treatment and the second is a semantic (word level) treatment. Individuals in both groups will receive 60 hours of therapy for free (2 hours/day, 5 days/week, 6 weeks).
Purpose: The ultimate goal of anomia treatment should be to achieve gains in exemplars trained in the therapy session as well as generalization to untrained exemplars and contexts. Phonomotor treatment (PMT) has shown such effects but has not yet been compared to a commonly used lexical/semantic based treatment (semantic feature analysis; SFA). Methods: In a between group randomized controlled trial, 58 persons with aphasia characterized by anomia and phonological dysfunction were randomized to receive 56-60 hours of intensively delivered treatment over 6 weeks with testing pre-, post- and three-months post treatment termination.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
58
Control therapy; current standard of care therapy
Experimental therapy.
VA Puget Sound Health Care System Seattle Division, Seattle, WA
Seattle, Washington, United States
Spoken Word Production (Confrontation Naming)
Reporting a change in percent correct scores pre-treatment versus 3-months post treatment. (0-100% scale)
Time frame: Pretreatment to 3 months following treatment termination change
Response Latency
Change in response latency of confrontation naming pre-treatment versus 3 months post treatment.
Time frame: Pretreatment to 3 months following treatment termination change
Verbs Correctly Named
Change in confrontation naming of verbs were scored for accuracy and percent correct (0% to 100%) was analyzed before versus 3 months post treatment.
Time frame: Pretreatment to 3 months following treatment termination change
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