Training flexible conceptual retrieval in post-stroke aphasia.
Sara Stampacchia, Glyn P Hallam, Hannah E Thompson and 5 others
PMID 33715583WHAT IT FOUND
Eleven people with post-stroke aphasia improved on association items they practised with feedback over six sessions.
Gains were weak or absent for novel items, and individual responses varied.
Key findings
01Over six training sessions, repeatedly trained association trials improved, while novel trials did not.
02In the pre-to-post association task without feedback, trained items improved significantly, but untrained items did not.
03Individual responses were inconsistent: three patients improved significantly on repeated training trials, and no patient showed significant overall pre-to-post improvement on trained or untrained association trials.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
There was no control group, and randomisation or blinding are not reported, so practice, time, and other factors cannot be ruled out. The sample was small, with eleven patients, and the sample size was set by the maximum number available, so group effects may be unstable. Training was brief, six sessions over two to three weeks, and follow-up was immediate, so durability is unknown. Individual analyses had substantially reduced statistical power, and patient responses varied. The supplied text does not report the numerical results for the untrained semantic tasks, so generalisation beyond the training task is unclear. Patients were selected for semantic control deficits and left inferior frontal gyrus damage, so findings may not apply to other aphasia profiles. One patient was using a computerised naming therapy concurrently, but had used it regularly for many years. No part of the study procedures or analyses was pre-registered.
Declared interests
No funding source is stated in the supplied text. The authors declared no competing interests or financial interests.
The easy way to misread this
Do not conclude that this two-week training improves everyday comprehension or untrained associations. The group improved mainly on repeatedly trained items, while novel and untrained items did not show reliable improvement, and individual results were inconsistent.