Base de dados : MEDLINE
Pesquisa : C10.597.606.150.500.090 [Categoria DeCS]
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[PMID]:28171741
[Au] Autor:Lavoie M; Macoir J; Bier N
[Ad] Endereço:Département de Réadaptation, Université Laval, Québec, QC, Canada; Centre de Recherche, Institut Universitaire en santé mentale de Québec, Québec, QC, Canada. Electronic address: monica.lavoie.1@ulaval.ca.
[Ti] Título:Effectiveness of technologies in the treatment of post-stroke anomia: A systematic review.
[So] Source:J Commun Disord;65:43-53, 2017 Jan - Feb.
[Is] ISSN:1873-7994
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Technologies are becoming increasingly popular in the treatment of language disorders and offer numerous possibilities, but little is known about their effectiveness and limitations. AIM: The aim of this systematic review was to investigate the effectiveness of treatments delivered by technology in the management of post-stroke anomia. METHODS: As a guideline for conducting this review, we used the PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions. We conducted a systematic search of publications in PubMed, PsycInfo and Current Contents. We also consulted Google Scholar. Without any limitations as to publication date, we selected studies designed to assess the effectiveness of an intervention delivered by a technology, namely computer or smart tablet, to specifically improve anomia in post-stroke participants. The main outcomes studied were improvement in naming skills and generalisation to untreated items and daily communication. RESULTS: We examined 23 studies in this review. To date, computers constitute the most popular technology by far; only a few studies explored the effectiveness of smart tablets. In some studies, technology was used as a therapy tool in a clinical setting, in the presence of the clinician, while in others, therapy with technology was self-administered at home, without the clinician. All studies confirmed the effectiveness of therapy provided by technology to improve naming of trained items. However, generalisation to untrained items is unclear and assessment of generalisation to daily communication is rare. DISCUSSION: The results of this systematic review confirm that technology is an efficient approach in the management of post-stroke anomia. In future studies, ecological tasks aimed at evaluating therapy's effectiveness with word retrieval in real-life situations should be added since the ultimate goal of improving anomia is to increase the ability to retrieve words more easily in everyday life.
[Mh] Termos MeSH primário: Anomia/terapia
Computadores de Mão/utilização
Acidente Vascular Cerebral/complicações
[Mh] Termos MeSH secundário: Afasia/terapia
Seres Humanos
Terapia da Linguagem/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170208
[St] Status:MEDLINE


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[PMID]:27875715
[Au] Autor:Leyton CE; Hodges JR; Piguet O; Ballard KJ
[Ad] Endereço:Faculty of Health Sciences, The University of Sydney, Lidcombe, NSW, Australia; Neuroscience Research Australia, Randwick, NSW, Australia; ARC Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, NSW, Australia. Electronic address: cristian.leyton@sydney.edu.au.
[Ti] Título:Common and divergent neural correlates of anomia in amnestic and logopenic presentations of Alzheimer's disease.
[So] Source:Cortex;86:45-54, 2017 Jan.
[Is] ISSN:1973-8102
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:The majority of logopenic variant primary progressive aphasia (lv-PPA) cases harbour Alzheimer pathology, suggesting that lv-PPA constitutes an atypical presentation of Alzheimer's disease (AD). However, even if caused by Alzheimer pathology, the clinical manifestations of lv-PPA differ from those observed in the typical or amnestic AD presentation: in lv-PPA, aphasia is the main feature while amnestic AD is characterised by impaired episodic memory. Anomia or impaired naming, however, is present in both AD presentations. Whether these presentations share anatomical and mechanistic processes of anomia has not been fully investigated. Accordingly, we studied naming performance and its relationship with regions of brain atrophy in 23 amnestic AD and 22 lv-PPA cases with presumed underlying Alzheimer pathology. Both AD groups displayed some degree of anomia and impaired word comprehension but these were particularly severe in lv-PPA and accompanied by a range of linguistic deficits, comprising phonological substitutions, superordinate semantic paraphasias and abnormal single-word repetition. Analysis of cortical thickness revealed that anomia was correlated with thinning in left superior temporal gyrus in both groups. In amnestic AD, however, anomia was also associated with thinning in right inferior temporal regions. Single-word comprehension (SWC), by contrast, was associated with cortical thinning involving bilateral fusiform gyri in both groups. These findings suggest that anomia in both amnestic AD and lv-PPA results from the involvement at multiple steps of word processing, in particular, semantic and lexical retrieval; in addition lv-PPA patients display a more marked involvement of phonological processing.
[Mh] Termos MeSH primário: Doença de Alzheimer/patologia
Amnésia/patologia
Anomia/patologia
Afasia Primária Progressiva/patologia
Córtex Cerebral/patologia
Fala/fisiologia
[Mh] Termos MeSH secundário: Idoso
Doença de Alzheimer/diagnóstico por imagem
Doença de Alzheimer/psicologia
Amnésia/diagnóstico por imagem
Amnésia/psicologia
Anomia/diagnóstico por imagem
Anomia/psicologia
Afasia Primária Progressiva/diagnóstico por imagem
Afasia Primária Progressiva/psicologia
Atrofia/diagnóstico por imagem
Atrofia/patologia
Atrofia/psicologia
Córtex Cerebral/diagnóstico por imagem
Compreensão
Feminino
Seres Humanos
Testes de Linguagem
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Testes Neuropsicológicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171009
[Lr] Data última revisão:
171009
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161123
[St] Status:MEDLINE


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[PMID]:27732041
[Au] Autor:Friedman RB; Sullivan KL; Snider SF; Luta G; Jones KT
[Ad] Endereço:Department of Neurology, Center for Aphasia Research and Rehabilitation, Georgetown University Medical Center.
[Ti] Título:Leveraging the test effect to improve maintenance of the gains achieved through cognitive rehabilitation.
[So] Source:Neuropsychology;31(2):220-228, 2017 Feb.
[Is] ISSN:1931-1559
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: An important aspect of the rehabilitation of cognitive and linguistic function subsequent to brain injury is the maintenance of learning beyond the time of initial treatment. Such maintenance is often not satisfactorily achieved. Additional practice, or overtraining, may play a key role in long-term maintenance. In particular, the literature on learning in cognitively intact persons has suggested that it is testing, and not studying, that contributes to maintenance of learning. The present study investigates the hypothesis that continuing to test relearned words in persons with anomia will lead to significantly greater maintenance compared with continuing to study relearned words. METHOD: The current study combines overtraining with the variable of test versus study in examining the effects of overtesting and overstudying on maintenance of word finding in 3 persons with aphasia. First, treatment successfully reestablished the connections between known items and their names. Once the connections were reestablished (i.e., items could be named successfully), each item was placed into 1 of 4 overtraining conditions: test and study, only test, only study, or no longer test or study. Maintenance was probed at 1 month and 4 months following the end of overtraining. RESULTS: The results are consistent with an advantage of testing compared with studying. All 3 participants showed significantly greater maintenance for words that were overtested than for words that were overstudied. This testing benefit persisted at 1 month and 4 months after completion of the treatment. In fact, there was no clear evidence for any benefit of overstudying. CONCLUSIONS: The present study demonstrates that overtesting, but not overstudying, leads to lasting maintenance of language rehabilitation gains in patients with anomia. The implications for the design of other treatment protocols are immense. (PsycINFO Database Record
[Mh] Termos MeSH primário: Anomia/diagnóstico
Anomia/reabilitação
Transtornos Cognitivos/reabilitação
Sobreaprendizagem
Prática (Psicologia)
Testes Psicológicos
Retenção (Psicologia)
Aprendizagem Verbal
[Mh] Termos MeSH secundário: Idoso
Anomia/psicologia
Transtornos Cognitivos/diagnóstico
Transtornos Cognitivos/psicologia
Feminino
Seguimentos
Seres Humanos
Meia-Idade
Testes Neuropsicológicos
Reconhecimento Visual de Modelos
Vocabulário
[Pt] Tipo de publicação:JOURNAL ARTICLE; WEBCASTS
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161013
[St] Status:MEDLINE
[do] DOI:10.1037/neu0000318


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[PMID]:27694017
[Au] Autor:Fama ME; Hayward W; Snider SF; Friedman RB; Turkeltaub PE
[Ad] Endereço:Department of Neurology, Georgetown University, Washington, DC, United States. Electronic address: mef231@georgetown.edu.
[Ti] Título:Subjective experience of inner speech in aphasia: Preliminary behavioral relationships and neural correlates.
[So] Source:Brain Lang;164:32-42, 2017 Jan.
[Is] ISSN:1090-2155
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Many individuals with aphasia describe anomia with comments like "I know it but I can't say it." The exact meaning of such phrases is unclear. We hypothesize that at least two discrete experiences exist: the sense of (1) knowing a concept, but failing to find the right word, and (2) saying the correct word internally but not aloud (successful inner speech, sIS). We propose that sIS reflects successful lexical access; subsequent overt anomia indicates post-lexical output deficits. In this pilot study, we probed the subjective experience of anomia in 37 persons with aphasia. Self-reported sIS related to aphasia severity and phonological output deficits. In multivariate lesion-symptom mapping, sIS was associated with dorsal stream lesions, particularly in ventral sensorimotor cortex. These preliminary results suggest that people with aphasia can often provide meaningful insights about their experience of anomia and that reports of sIS relate to specific lesion locations and language deficits.
[Mh] Termos MeSH primário: Anomia/fisiopatologia
Anomia/psicologia
Afasia/fisiopatologia
Afasia/psicologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Anomia/complicações
Anomia/patologia
Afasia/complicações
Afasia/patologia
Feminino
Seres Humanos
Testes de Linguagem
Masculino
Meia-Idade
Projetos Piloto
Autorrelato
Córtex Sensório-Motor/patologia
Córtex Sensório-Motor/fisiopatologia
Fala
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161004
[St] Status:MEDLINE


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[PMID]:26526282
[Au] Autor:Zannino GD; Barban F; Caltagirone C; Carlesimo GA
[Ad] Endereço:I.R.C.C.S. Fondazione Santa Lucia, Rome, Italy.
[Ti] Título:Exploring classical conditioning for strengthening the links between semantic and lexical representations in pure anomia: Preliminary findings from a single case study.
[So] Source:J Neuropsychol;11(1):91-107, 2017 Mar.
[Is] ISSN:1748-6653
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The same language symptom might arise at different functional loci in people with aphasia. Therefore, it is plausible that different therapeutic interventions should be adopted to approach the same difficulties in different patients. Although this point of view is still widely accepted, recently the focus has shifted from the functional locus of a rehabilitative intervention to the mechanisms of action underlying the relearning process. We maintain that both aspects should be taken into account when programming a rehabilitative intervention; furthermore, investigating relearning mechanisms might shed new light on the functional architecture of the disrupted processes. Here, we investigated, in a single case study, whether classical conditioning was a suitable relearning paradigm for targeting word-finding difficulties in pure anomia, that is in a patient with an impairment in accessing intact output lexical representations from a spared semantic system. Using a word-repetition task on picture presentation, we contrasted a condition in which the stimulus onset asynchrony between word and picture stimuli was well suited to produce classical conditioning with a condition in which repetition training could not benefit from this learning mechanism. Only classical conditioning training exerted a significant, long-lasting effect on our patient's naming skill. Tentative implications of our results for the functional architecture of single-word processing are discussed.
[Mh] Termos MeSH primário: Anomia/complicações
Condicionamento Clássico/fisiologia
Transtornos de Aprendizagem/etiologia
Semântica
[Mh] Termos MeSH secundário: Atenção/fisiologia
Feminino
Seres Humanos
Testes de Linguagem
Transtornos de Aprendizagem/diagnóstico
Masculino
Memória/fisiologia
Testes Neuropsicológicos
Vocabulário
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151104
[St] Status:MEDLINE
[do] DOI:10.1111/jnp.12088


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[PMID]:26366476
[Au] Autor:Choe YK; Foster T; Asselin A; LeVander M; Baird J
[Ad] Endereço:a Department of Communication Disorders , University of Massachusetts Amherst , Amherst , MA , USA.
[Ti] Título:Cognitive-linguistic effort in multidisciplinary stroke rehabilitation: Decreasing vs. increasing cues for word retrieval.
[So] Source:Neuropsychol Rehabil;27(3):318-348, 2017 Apr.
[Is] ISSN:1464-0694
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Approximately 24% of stroke survivors experience co-occurring aphasia and hemiparesis. These individuals typically attend back-to-back therapy sessions. However, sequentially scheduled therapy may trigger physical and mental fatigue and have an adverse impact on treatment outcomes. The current study tested a hypothesis that exerting less effort during a therapy session would reduce overall fatigue and enhance functional recovery. Two stroke survivors chronically challenged by non-fluent aphasia and right hemiparesis sequentially completed verbal naming and upper-limb tasks on their home computers. The level of cognitive-linguistic effort in speech/language practice was manipulated by presenting verbal naming tasks in two conditions: Decreasing cues (i.e., most-to-least support for word retrieval), and Increasing cues (i.e., least-to-most support). The participants completed the same upper-limb exercises throughout the study periods. Both individuals showed a statistically significant advantage of decreasing cues over increasing cues in word retrieval during the practice period, but not at the end of the practice period or thereafter. The participant with moderate aphasia and hemiparesis achieved clinically meaningful gains in upper-limb functions following the decreasing cues condition, but not after the increasing cues condition. Preliminary findings from the current study suggest a positive impact of decreasing cues in the context of multidisciplinary stroke rehabilitation.
[Mh] Termos MeSH primário: Anomia/reabilitação
Afasia/reabilitação
Cognição
Sinais (Psicologia)
Linguagem
Rememoração Mental
Reabilitação do Acidente Vascular Cerebral/métodos
Acidente Vascular Cerebral/psicologia
[Mh] Termos MeSH secundário: Idoso
Anomia/psicologia
Afasia/psicologia
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170206
[Lr] Data última revisão:
170206
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150915
[St] Status:MEDLINE
[do] DOI:10.1080/09602011.2015.1078820


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[PMID]:27469037
[Au] Autor:Hayward W; Snider SF; Luta G; Friedman RB; Turkeltaub PE
[Ad] Endereço:a Department of Neurology , Georgetown University , Washington , DC , USA.
[Ti] Título:Objective support for subjective reports of successful inner speech in two people with aphasia.
[So] Source:Cogn Neuropsychol;33(5-6):299-314, 2016 Jul-Sep.
[Is] ISSN:1464-0627
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:People with aphasia frequently report being able to say a word correctly in their heads, even if they are unable to say that word aloud. It is difficult to know what is meant by these reports of "successful inner speech". We probe the experience of successful inner speech in two people with aphasia. We show that these reports are associated with correct overt speech and phonologically related nonword errors, that they relate to word characteristics associated with ease of lexical access but not ease of production, and that they predict whether or not individual words are relearned during anomia treatment. These findings suggest that reports of successful inner speech are meaningful and may be useful to study self-monitoring in aphasia, to better understand anomia, and to predict treatment outcomes. Ultimately, the study of inner speech in people with aphasia could provide critical insights that inform our understanding of normal language.
[Mh] Termos MeSH primário: Afasia/fisiopatologia
Afasia/psicologia
Fonética
Autorrelato
Fala
[Mh] Termos MeSH secundário: Idoso
Anomia/fisiopatologia
Anomia/psicologia
Anomia/terapia
Compreensão
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170729
[Lr] Data última revisão:
170729
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160730
[St] Status:MEDLINE
[do] DOI:10.1080/02643294.2016.1192998


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[PMID]:27363214
[Au] Autor:Nekoui A; Tresierra del CE; Abdolmohammadi S; Charbonneau S; Blaise G
[Ti] Título:Recovery of brain function after cardiac arrest, case report and review.
[So] Source:Acta Anaesthesiol Belg;67(1):43-7, 2016.
[Is] ISSN:0001-5164
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:Cerebral hypoxia during cardiac arrest is the leading cause of mortality and morbidity in survival victims. To reduce cerebral damage, studies focus on finding effective treatments during the resuscitation period. Our report focuses on a 36-year-old police officer who had had two cardiac arrests (one at home and one at the hospital). After acute treatment, his cardiac and brain functions recovered impressively. Neuropsychological results were normal except for mild anomia. He also reported some retrograde memory loss. Surprisingly, he also reported an improvement in a very specific capacity, his episodic memory. We here review the possible causes and mechanisms that may have affected his memory abilities.
[Mh] Termos MeSH primário: Encéfalo/fisiopatologia
Parada Cardíaca/complicações
Hipóxia Encefálica/reabilitação
[Mh] Termos MeSH secundário: Adulto
Amnésia Retrógrada/etiologia
Anomia/etiologia
Parada Cardíaca/reabilitação
Seres Humanos
Hipóxia Encefálica/complicações
Masculino
Recuperação de Função Fisiológica
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160701
[Lr] Data última revisão:
160701
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160702
[St] Status:MEDLINE


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Texto completo
[PMID]:27352419
[Au] Autor:Obeidat A
[Ad] Endereço:Resident in Neurology at the University of Cincinnati in Ohio. ahmed.obeidat@uc.edu.
[Ti] Título:Disconnection.
[So] Source:Perm J;20(3):111, 2016.
[Is] ISSN:1552-5775
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Agnosia/diagnóstico
Anomia/etiologia
Dislexia/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Percepção de Cores
Feminino
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170303
[Lr] Data última revisão:
170303
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160629
[St] Status:MEDLINE
[do] DOI:10.7812/TPP/15-165


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[PMID]:27008248
[Au] Autor:Flanagan KJ; Copland DA; van Hees S; Byrne GJ; Angwin AJ
[Ad] Endereço:*School of Allied Health, Australian Catholic University, Brisbane, Queensland, Australia †School of Health and Rehabilitation Sciences ‡Language Neuroscience Laboratory, Centre for Clinical Research §School of Medicine, University of Queensland, Brisbane, Queensland, Australia.
[Ti] Título:Semantic Feature Training for the Treatment of Anomia in Alzheimer Disease: A Preliminary Investigation.
[So] Source:Cogn Behav Neurol;29(1):32-43, 2016 Mar.
[Is] ISSN:1543-3641
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This is a preliminary investigation into the effectiveness of semantic feature training for the treatment of anomia in Alzheimer disease (AD). BACKGROUND: Anomia is a common clinical characteristic of AD. It is widely held that anomia in AD is caused by the combination of cognitive deficits and progressive loss of semantic feature information. Therapy that aims to help participants relearn or retain semantic features should, therefore, help treat anomia in AD. METHODS: Two men with AD and one man with progressive nonfluent aphasia received 10 treatment sessions focused on relearning the names of 20 animals and 20 fruits. Within each category, half of the items were of high and half were of low typicality. We individualized treatment items to each participant, using items that each had not named correctly at baseline. Treatment sessions consisted of naming, category sorting, and semantic feature verification tasks. RESULTS: Both participants with AD showed post-treatment improvements in naming, and one maintained the treatment effects at 6-week follow-up. The semantic category of the treatment items influenced post-treatment outcomes, but typicality did not. In contrast to the participants with AD, the man with progressive nonfluent aphasia had no improvement in naming ability. CONCLUSIONS: Our results suggest the potential viability of semantic feature training to treat anomia in AD and, therefore, the need for further research.
[Mh] Termos MeSH primário: Doença de Alzheimer/reabilitação
Anomia/reabilitação
Afasia Primária Progressiva não Fluente/reabilitação
Fonoterapia/métodos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Doença de Alzheimer/complicações
Anomia/etiologia
Seres Humanos
Masculino
Memória
Afasia Primária Progressiva não Fluente/complicações
Semântica
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1611
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160324
[St] Status:MEDLINE
[do] DOI:10.1097/WNN.0000000000000088



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