SLPRCTJournal of neuroengineering and rehabilitation2020

Multisensory cueing facilitates naming in aphasia.

Klaudia Grechuta, Belén Rubio Ballester, Rosa Espín Munné and 6 others

PMID 32907594

WHAT IT FOUND

Naming accuracy improved over virtual therapy for ten people with chronic non-fluent aphasia.

Silent lip videos and object sounds were linked to faster interactions in early sessions.

Key findings

01Naming accuracy on the primary vocabulary test improved significantly from baseline at weeks 2, 4, 6, 8 and 16.

02Silent visuomotor and semantic auditory cues were associated with shorter interaction times than non-cued trials in early therapy sessions, but not late sessions.

03Interaction times decreased significantly over therapy for all stimuli, including cued and non-cued items.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

Ten participants is a small sample, and all had chronic, moderate-to-severe non-fluent aphasia after left-hemispheric stroke, so the results may not apply to milder aphasia or other language disorders. All participants received the same virtual-reality intensive language therapy, so the study cannot separate the contribution of cueing from the game, peer interaction, feedback, reinforcement, points and supervision. The cueing benefit was seen only in early sessions and not late sessions, so the effect may be temporary or masked by practice. Interaction time included both the requester's word retrieval and articulation and the partner's comprehension and motor response, so it is not a pure naming measure. The current design did not allow analysis of naming accuracy changes depending on whether cues were present.

Declared interests

The supplied metadata lists non-U.S. government research support, but the article text does not provide a funding or conflict-of-interest declaration.

The easy way to misread this

Do not conclude that silent videos or sounds alone improve aphasia naming. The cues were delivered inside a virtual-reality intensive language therapy with a peer-to-peer game, visual and auditory feedback, reinforcement, points and supervision, and the study did not show that either cue type caused the overall naming gain.

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