title: Phoneme-based rehabilitation of anomia in aphasia.
abstract: This study investigated the effects of phonologic treatment for anomia in aphasia. We proposed that if treatment were directed at the level of the phonologic processor, opportunities for naming via a phonological route, as opposed to a strictly whole word route, would be enhanced, thereby improving naming. The participants, ten people with anomia and aphasia due to left hemisphere stroke, received 96 h of phoneme based treatment in 12 weeks. To learn if treatment improved naming, a single-subject, repeated probe design with replication was employed. The primary outcome measure was confrontation naming. Secondary outcome measures included phonologic production, nonword repetition and discourse production. Results suggest a positive treatment effect (confrontation naming), improvements in phonologic production and nonword repetition, and generalization to discourse production. When tested 3 months after the completion of treatment the effects appeared to be maintained.
authors.affiliation: VA RR&D Brain Rehabilitation Research Center, Malcom Randall DVA Medical Center University of Florida, Department of Communication Science and Disorders, University of Florida, Gainesville, FL 32608-1197, USA. dkendall@ufl.edu
authors.forename: Diane L
authors.initials: DL
authors.lastname: Kendall
authors.forename: John C
authors.initials: JC
authors.lastname: Rosenbek
authors.forename: Kenneth M
authors.initials: KM
authors.lastname: Heilman
authors.forename: Tim
authors.initials: T
authors.lastname: Conway
authors.forename: Karen
authors.initials: K
authors.lastname: Klenberg
authors.forename: Leslie J
authors.initials: LJ
authors.lastname: Gonzalez Rothi
authors.forename: Stephen E
authors.initials: SE
authors.lastname: Nadeau
mesh_terms: D000328:Adult; D000368:Aged; D000849:Anomia / Q000534:rehabilitation*; D001364:Awareness; D004292:Dominance, Cerebral; D005260:Female; D005500:Follow-Up Studies; D005793:Generalization, Psychological; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D016571:Neural Networks, Computer; D010699:Phonation; D010700:Phonetics; D020146:Putaminal Hemorrhage / Q000534:rehabilitation*