The Role of the SLP and Assistive Technology in Life Care Planning
Roger O. Weed, Debra E. Berens in Life Care Planning and Case Management Handbook, 2018
Research has shown that biofeedback will help people with acquired apraxia of speech to improve their motor planning abilities. Acquired apraxia of speech is a motor speech disorder in which the messages from the brain to the mouth are disrupted and the person cannot move his or her lips or tongue to the right place to say sounds correctly, even though the muscles are not weak. The severity of apraxia depends on the nature of the brain damage, and apraxia can occur in conjunction with dysarthria (muscle weakness affecting speech production) or aphasia (language difficulties related to neurological damage). Apraxia is known as acquired apraxia of speech, verbal apraxia, and dyspraxia. Electropalatography (EPG) appears to be a promising treatment tool for people with this disorder (Kuruvilla et al., 2008).
Discussions (D)
Terence R. Anthoney in Neuroanatomy and the Neurologic Exam, 2017
An interesting variation is provided by Thornas and Dale, who are unique in not mentioning the term “motor aphasia” or a synonym even once in their entire discussion of “Language” (1981, p. 228–237). Apparently, they consider any problem with speech production which is secondary to a lesion in the cerebral cortex or underlying association fibers to be “apraxia of speech.” For example, on p. 237, they state that special difficulty with speech production, which they equate there with “apraxia of speech,” occurs with lesions “Around the central sulcus,” especially in “Broca’s area.” Though a patient’s cortical lesion cause her/him great difficulty in expressing her/himself orally, if it also causes even a slight problem with comprehending language, Thornas and Dale describe the abnormalities as follows: … a patient with mild aphasic impairment might have severe difficulty with the motor aspect of speech production, that is, aphasia with apraxia of speech” (p. 234). In other words, they have defined “motor aphasia” out of existence!
Rehabilitation of Apraxia in Adults and Children
Barbara A. Wilson, Jill Winegardner, Caroline M. van Heugten, Tamara Ownsworth in Neuropsychological Rehabilitation, 2017
In a review on treatment of acquired apraxia of speech Ballard et al. (2015) concluded that both articulatory-kinematic and rate/rhythm approaches to AOS treatment show the strongest effects. Earlier, Knollman-Porter (2008) also recommended the use of augmentative/alternative communication devices, intersystemic facilitation/reorganization, constraint-induced therapy and addressing functional communication in support groups outside the therapeutic environment. In a study with two individuals, constraint-induced aphasia therapy (CIAT) seemed to be effective in increasing word retrieval in patients with chronic aphasia with comorbid AOS (Kurland et al., 2012).
The role of music therapy in rehabilitation: improving aphasia and beyond
Published in International Journal of Neuroscience, 2018
Simona Leonardi, Alberto Cacciola, Rosaria De Luca, Bianca Aragona, Veronica Andronaco, Demetrio Milardi, Placido Bramanti, Rocco Salvatore Calabrò
Aphasia is often due to brain injuries such as stroke, head trauma, brain tumors or infections. Any brain lesion involving the encephalic regions responsible for speech elaboration and production (i.e. Wernicke and Broca areas) can cause aphasia. In recent years, stroke has become one of the leading causes of adult disability worldwide, with an estimated prevalence of 33 million stroke survivors [1]. Several post-stroke individuals may suffer from co-morbid motor speech problems, such as speech apraxia and dysarthria [2], beyond the deficit of several areas of communication, such as speaking, understanding spoken words, reading and writing. In particular, apraxia of speech is an acquired oral motor speech disorder affecting an individual's ability to translate conscious speech plans into motor plans, which results in limited and difficult speech ability. Apraxia of speech and Broca's aphasia are commonly mistaken as the same disorder mainly because they often occur together in patients. Although both disorders present with symptoms such as a difficulty producing sounds due to damage in the language parts of the brain, they are not the same. The main difference between these disorders lies in the ability to comprehend spoken language; patients with apraxia are able to comprehend speech, while patients with aphasia are not always fully able to do it [2].
Management of communication disability in the first 90 days after stroke: a scoping review
Published in Disability and Rehabilitation, 2022
Caroline Baker, Abby M. Foster, Sarah D’Souza, Erin Godecke, Ciara Shiggins, Edwina Lamborn, Lucette Lanyon, Ian Kneebone, Miranda L. Rose
This review aimed to include evidence that addressed all types of neurogenic communication disabilities as a consequence of stroke. However, the vast majority of eligible studies addressed either assessment, treatment, or management approaches of one specific communication disability after stroke: aphasia (103/129). Far fewer studies were identified that focused on the management of other neurogenic communication disabilities, such as dysarthria (3/129), cognitive-communication disability (8/129), and sensory loss post-stroke (4/129). Only one study focused on the management of the locked-in syndrome. Two studies focused on apraxia of speech. The variation of diagnostic criteria in apraxia of speech, and common co-morbidity with aphasia, is likely to contribute to the challenges of research and clinical practice management after stroke [167].
A tablet-based home practice program paired with telepractice promotes maintenance and learning of objects and actions in individuals with chronic aphasia
Published in Evidence-Based Communication Assessment and Intervention, 2019
Stephanie M. Grasso, Maya L. Henry
Participants: Because one of the main aims of the current study was to examine whether less decline was present in accuracy of recently treated nouns and verbs, only participants who completed an intensive treatment in a previous study (Kurland, Stanek, Stokes, Li, & Andrianopoulos, 2016) were eligible to participant in the current study. Of the original 24 participants, 2 participants did not elect to participate in the current study and 1 participant did not complete the testing protocols. The 21 participants ranged in age from 47 to 81 years of age, and 8 of the participants were female. All individuals presented with chronic aphasia and 18 individuals reported a medical history including a single unilateral left hemisphere middle cerebral artery stroke. Participants ranged from 6 to 142 months post-stroke. Most participants (n= 19) were right-handed and were monolingual English speakers. One participant reported a history of a reading disability. Participants varied in aphasia severity (mild to severe), and all individuals demonstrated some degree of word retrieval impairment. Eleven individuals presented with concomitant apraxia of speech.
Related Knowledge Centers
- Apraxia
- Communication Disorder
- Developmental Verbal Dyspraxia
- Volition
- Dementia
- Stroke
- Speech Sound Disorder
- Motor Planning
- Manner of Articulation
- Prosody