Enhancement of naming in nonfluent aphasia through gesture
Autor: | Louis J. Gerstman, Jason W. Brown, Robert E. Hanlon |
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Rok vydání: | 1990 |
Předmět: |
Male
Linguistics and Language medicine.medical_specialty Cognitive Neuroscience Anomia Hemiplegia Experimental and Cognitive Psychology Neuropsychological Tests Audiology Functional Laterality Language and Linguistics Nonfluent aphasia Speech and Hearing Aphasia Wernicke Kinesics Aphasia Motor system medicine Humans Vocal articulation Dominance Cerebral Aged Aged 80 and over Aphasia Broca Gestures Cerebral Infarction Middle Aged Facilitation Female medicine.symptom Psychology Cognitive psychology Gesture |
Zdroj: | Brain and Language. 38:298-314 |
ISSN: | 0093-934X |
DOI: | 10.1016/0093-934x(90)90116-x |
Popis: | In a number of studies that have examined the gestural disturbance in aphasia and the utility of gestural interventions in aphasia therapy, a variable degree of facilitation of verbalization during gestural activity has been reported. The present study examined the effect of different unilateral gestural movements on simultaneous oral-verbal expression, specifically naming to confrontation. It was hypothesized that activation of the phylogenetically older proximal motor system of the hemiplegic right arm in the execution of a communicative but nonrepresentational pointing gesture would have a facilitatory effect on naming ability. Twenty-four aphasic patients, representing five aphasic subtypes, including Broca's, Transcortical Motor, Anomic, Global, and Wernicke's aphasics were assessed under three gesture/naming conditions. The findings indicated that gestures produced through activation of the proximal (shoulder) musculature of the right paralytic limb differentially facilitated naming performance in the nonfluent subgroup, but not in the Wernicke's aphasics. These findings may be explained on the view that functional activation of the archaic proximal motor system of the hemiplegic limb, in the execution of a communicative gesture, permits access to preliminary stages in the formative process of the anterior action microgeny, which ultimately emerges in vocal articulation. |
Databáze: | OpenAIRE |
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