The Relationship Between Baseline Volume in Temporal Areas and Post-Treatment Naming Accuracy in Primary Progressive Aphasia.
Aaron M Meyer, Andreia V Faria, Donna C Tippett and 2 others
PMID 29628604WHAT IT FOUND
Pre-treatment temporal lobe volume was not linked to naming accuracy after anomia treatment for trained words.
Both phonological and orthographic treatment produced better naming for practiced words than unpracticed words, but this study does not support using scan volume alone to guide treatment choice.
Key findings
01Practiced nouns were named more accurately after treatment than unpracticed nouns, in both phonological and orthographic conditions.
02In the primary analysis, the significant volume correlations involved untrained items, not treated items.
03The PPA group had lower baseline volume than controls in the left temporal pole and left inferior temporal gyrus.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The study included only 21 people with PPA, and only 10 had remediation items, so the findings may not apply to every subtype or to people with different baseline naming patterns. The authors did not analyse each PPA subtype separately because there were too few participants in each group for that analysis. The volume analysis focused only on regions that were already smaller than controls, so other temporal areas that may affect naming were not fully tested. The study did not measure whether brain volume changed during the treatment period or whether change predicted treatment response. The pattern differed across exemplar sets, and testing order may have influenced post-treatment retrieval practice, so the untrained-item correlations are not straightforward.
The easy way to misread this
Do not conclude that baseline temporal lobe volume predicts naming improvement after treatment. The significant correlations were for untrained items, not for treated items, and the study had too few participants to separate PPA subtypes.