SLPCohortAphasiology2019

Use of co-verbal gestures during word-finding difficulty among Cantonese speakers with fluent aphasia and unimpaired controls.

Anthony Pak-Hin Kong, Sam-Po Law, Charis Ka-Yan Cheung

PMID 30853744

WHAT IT FOUND

Co-verbal gestures did not improve word retrieval success in fluent aphasia or controls.

Object naming ability and overall language severity predicted word finding success. Gestures served communicative functions rather than assisting lexical retrieval.

Key findings

01Gesture use did not significantly affect the success rate of word retrieval in either people with aphasia or controls.

02Object naming scores and aphasia severity (CAB AQ) were the significant predictors of word retrieval success in people with aphasia.

03People with aphasia used gestures during word-finding difficulties more frequently than controls, but the majority of word-finding instances occurred without gestures.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The study focused exclusively on fluent aphasia, so findings may not apply to non-fluent aphasia syndromes. The broad definition of word-finding difficulty may have included word production errors, potentially masking specific relationships between gesture types and retrieval mechanisms. The narrative tasks used did not heavily involve spatial descriptions, which may have limited the opportunity for gestures that are theoretically more facilitative for lexical retrieval. The study is observational and cannot establish causality between gesture use and word retrieval.

Declared interests

The authors report no conflicts of interest.

The easy way to misread this

Do not interpret the higher frequency of gestures in people with aphasia as evidence that gestures are effective for word finding. The study found no significant difference in retrieval success when gestures were used compared to when they were not.

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