title: Multimodal therapy of word retrieval disorder due to phonological encoding dysfunction.
abstract: OBJECTIVE
  To determine whether phonological multimodal therapy can improve naming and communication in a patient showing a lexical phonological naming disorder. This study employed oral and written learning tasks, using an error reduction procedure.
  
  
  METHODS
  A single-case design computer-assisted treatment was used with a 52 year-old woman with fluent aphasia consecutive to a cerebral infarction. The cognitive analysis of her word retrieval disorder exhibited a phonological encoding dysfunction. Thus, a phonological procedure was designed addressing the output phonological lexicon using computer analysis of spoken and written words. The effects were tested for trained words, generalization to untrained words, maintenance and specificity. Transfer of improvement to daily life was also assessed.
  
  
  RESULTS
  After therapy, the verbal naming of both trained and untrained words was improved at p < 0.001. The improvement was still maintained after 3 months without therapy. This treatment was specific since the word dictation task did not change. Communication in daily life was improved at p < 0.05.
  
  
  CONCLUSIONS
  This study of a patient with word retrieval disorder due to phonological encoding dysfunction demonstrated the effectiveness of a phonological and multimodal therapeutic treatment.
authors.affiliation: AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Service de Médecine Physique et de Réadaptation, Paris, France. agnes.weill@psl.aphp.fr
authors.forename: Agnès
authors.initials: A
authors.lastname: Weill-Chounlamountry
authors.forename: Nathalie
authors.initials: N
authors.lastname: Capelle
authors.forename: Catherine
authors.initials: C
authors.lastname: Tessier
authors.forename: Pascale
authors.initials: P
authors.lastname: Pradat-Diehl
mesh_terms: D001037:Aphasia / Q000209:etiology / Q000503:physiopathology* / Q000523:psychology / Q000628:therapy*; D004192:Discrimination, Psychological; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D007807:Language Tests; D008875:Middle Aged; D009483:Neuropsychological Tests; D010775:Photic Stimulation; D013060:Speech; D020521:Stroke / Q000150:complications / Q000503:physiopathology* / Q000523:psychology