Predicting the outcome of anomia therapy for people with aphasia post CVA: both language and cognitive status are key predictors.

TitlePredicting the outcome of anomia therapy for people with aphasia post CVA: both language and cognitive status are key predictors.
Publication TypeJournal Article
Year of Publication2010
AuthorsRalph, MALambon, Snell, C, Fillingham, JK, Conroy, P, Sage, KE
JournalNeuropsychol Rehabil
Volume20
Issue2
Date Published2010 Apr
Abstract

The aim of this study was to determine whether it was possible to predict therapy gain from participants' performance on background tests of language and cognitive ability. To do this, we amalgamated the assessment and therapy results from 33 people with aphasia following cerebral vascular accident (CVA), all of whom had received the same anomia therapy (based on progressive phonemic and orthographic cueing). Previous studies with smaller numbers of participants had found a possible relationship between anomia therapy performance and some language and cognitive assessments. Because this study had access to a larger data set than previous studies, we were able to replicate the previous findings and also to verify two overarching factors which were predictive of therapy gain: a cognitive factor and a phonological factor. The status of these two domains was able to predict both immediate and longer-term therapy gain. Pre-treatment naming ability also predicted gain after the anomia therapy. When combined, both cognitive and language (naming or phonological) skills were found to be independent predictors of therapy outcome.

ISSN Number1464-0694
KeywordsAdult, Aged, Aged, 80 and over, Anomia, Cognition, Cohort Studies, Female, Humans, Language, Language Tests, Language Therapy, Male, Middle Aged, Names, Neuropsychological Tests, Prognosis, Stroke, Time Factors, Treatment Outcome
URLhttp://www.ncbi.nlm.nih.gov/pubmed/20077315?dopt=Abstract
DOI10.1080/09602010903237875
Alternate JournalNeuropsychol Rehabil
PubMed ID20077315
Grant ListG0501632 / / Medical Research Council / United Kingdom
/ / Medical Research Council / United Kingdom