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![Page 1: Phonomotor treatment for anomia Phonomotor treatment for anomia Diane L. Kendall, PhD Associate Professor, Department of Speech and Hearing Sciences Research.](https://reader035.fdocuments.in/reader035/viewer/2022062519/5697bf741a28abf838c7fb0e/html5/thumbnails/1.jpg)
Phonomotor treatment
for anomia
Diane L. Kendall, PhD
Associate Professor, Department of Speech and Hearing Sciences
Research Scientist, VAMC Puget Sound
![Page 2: Phonomotor treatment for anomia Phonomotor treatment for anomia Diane L. Kendall, PhD Associate Professor, Department of Speech and Hearing Sciences Research.](https://reader035.fdocuments.in/reader035/viewer/2022062519/5697bf741a28abf838c7fb0e/html5/thumbnails/2.jpg)
TODAY• Describe study
• Treatment
• Results
• Future
![Page 3: Phonomotor treatment for anomia Phonomotor treatment for anomia Diane L. Kendall, PhD Associate Professor, Department of Speech and Hearing Sciences Research.](https://reader035.fdocuments.in/reader035/viewer/2022062519/5697bf741a28abf838c7fb0e/html5/thumbnails/3.jpg)
• Veterans Affairs (VA) grant
• 2010-2013
• $850,000
• Provide treatment to 30 individuals – aphasia and anomia
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• Currently, –Data collection finished!!!!!–November 2012
• Analysis of ALL data– Finish June 2013
![Page 5: Phonomotor treatment for anomia Phonomotor treatment for anomia Diane L. Kendall, PhD Associate Professor, Department of Speech and Hearing Sciences Research.](https://reader035.fdocuments.in/reader035/viewer/2022062519/5697bf741a28abf838c7fb0e/html5/thumbnails/5.jpg)
TODAY• Describe study
• Treatment
• Results
• Future
![Page 6: Phonomotor treatment for anomia Phonomotor treatment for anomia Diane L. Kendall, PhD Associate Professor, Department of Speech and Hearing Sciences Research.](https://reader035.fdocuments.in/reader035/viewer/2022062519/5697bf741a28abf838c7fb0e/html5/thumbnails/6.jpg)
Participants• N=28• Chronic aphasia
(>6mos)• Left CVA• 18 right-handed, 2
left-handed• 18 Monolingual
English• 2 Bilingual (English
dominant language since childhood)
• Included:– Aphasia – Word retrieval deficits – Impaired phonologic
processing
• Excluded– Significant (severe) speech
apraxia– Depression– Degenerative disease– Chronic medical illness
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N=28 Age (years)
Education Months post
stroke onset
AVE 56 16 47
Range 26-78 12-23 10-211
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Western Aphasia Battery(WAB-AQ)
(out of 100)
Boston Naming Test
(BNT) (spontaneous correct out
of 60)
Standardized Assessment of Phonology in Aphasia
(SAPA) (raw score out of 151)
AVE 79/100 36/60 96/151
General language test
![Page 9: Phonomotor treatment for anomia Phonomotor treatment for anomia Diane L. Kendall, PhD Associate Professor, Department of Speech and Hearing Sciences Research.](https://reader035.fdocuments.in/reader035/viewer/2022062519/5697bf741a28abf838c7fb0e/html5/thumbnails/9.jpg)
Western Aphasia Battery(WAB-AQ)
(out of 100)
Boston Naming Test
(BNT) (spontaneous correct out
of 60)
Standardized Assessment of Phonology in Aphasia
(SAPA) (raw score out of 151)
AVE 79/100 36/60 96/151
![Page 10: Phonomotor treatment for anomia Phonomotor treatment for anomia Diane L. Kendall, PhD Associate Professor, Department of Speech and Hearing Sciences Research.](https://reader035.fdocuments.in/reader035/viewer/2022062519/5697bf741a28abf838c7fb0e/html5/thumbnails/10.jpg)
Western Aphasia Battery(WAB-AQ)
(out of 100)
Boston Naming Test
(BNT) (spontaneous correct out
of 60)
Standardized Assessment of Phonology in Aphasia
(SAPA) (raw score out of 151)
AVE 79/100 36/60 96/151
Test of ‘sounds”
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Immediate treatment
Immediately post treatment
Testing
Pre-treatment
TestingTreatment
Phase
3-month post treatment testing
1-week 1-week1-week6-weeks 3-m
onth
s
Delayed treatment
Immediately post treatment testing
Pre-treatment
Testing
Usual care
control phase
3-months post treatment testing
1-week 1-week1-week6-weeks
Treatment
Phase
6-weeks
Post usual care testing
1-week 3-m
onth
s
N=14
N=14
1-year post testing
1-week1-ye
ar
1-ye
ar
1-week
1-year post testing
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TODAY• Describe study
• Treatment
• Results
• Future
![Page 13: Phonomotor treatment for anomia Phonomotor treatment for anomia Diane L. Kendall, PhD Associate Professor, Department of Speech and Hearing Sciences Research.](https://reader035.fdocuments.in/reader035/viewer/2022062519/5697bf741a28abf838c7fb0e/html5/thumbnails/13.jpg)
TWO PHASES OF TREATMENT
1) Phonemes in Isolation
2) Phoneme Sequences1-, 2- and 3-syllables
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How can you tell if treatment works?
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Research Questions
Measures
1. Acquire (learn) PhonologyNaming pictures
2. Does what you learn in therapy generalize to something else??
Naming picturesConversation
3. What about at 3 months and 1 year?
PhonologyNaming pictures
Conversation
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TODAY• Describe study
• Treatment
• Results
• Future
![Page 17: Phonomotor treatment for anomia Phonomotor treatment for anomia Diane L. Kendall, PhD Associate Professor, Department of Speech and Hearing Sciences Research.](https://reader035.fdocuments.in/reader035/viewer/2022062519/5697bf741a28abf838c7fb0e/html5/thumbnails/17.jpg)
Research aim Outcome measureAcquisition
(pre- vs imm post-)N=20
3-mo(pre- vs 3 mo)
N=16
1-yr(pre- vs 1-yr
N=8
LearnTrained nouns P=.000
Pre 64% (SD 26)Post 82% (SD 17)
P=.000Pre 66% (SD 25)Post 79% (SD 22)
P=.016Pre 70% (SD 18)Post 86% (SD 7)
Generalize to phonology
Standardized Assessment of Phonology in Aphasia P= .000
Pre 97 (25)Post 106 (24)
P=.000Pre 97 (25)
Post 106 (26)
P=.010Pre 100 (23)Post 115 (15)
Generalize to words not
seen in therapy
Untrained nouns P=.001Pre 64% (SD 25)Post 70% (SD 25)
P=.033Pre 66% (SD 25)Post 71% (SD 26)
P=.033Pre 68% (SD 20)Post 81% (SD 19)
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Nouns
Pre n=20 Imm n=20 3 mo n=16 1 year n=8 Pre n=20 Imm n=20 3 mo n=16 1 year n=8Real words Trained Real words Untrained
0
10
20
30
40
50
60
70
80
90
100
* *
*
**
*
Perc
ent a
ccur
acy
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Conversation n=3
• VIDEO
• Productivity (# of clauses, # verbal units, # words): – 2 of 3 more verbal output following therapy – twice the number of clauses, more verbal units, and more words when compared
with before treatment output.
• Grammar (% grammatical clauses): – 0 of 3
• Relevance (% of clauses containing new information, relevance of response to each prompt): – 2 of 3 improved
• Efficiency (self corrections, interjections, irrelevant words): – there was no change in the overall efficiency
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Discussion
• Results support our hypothesis
![Page 21: Phonomotor treatment for anomia Phonomotor treatment for anomia Diane L. Kendall, PhD Associate Professor, Department of Speech and Hearing Sciences Research.](https://reader035.fdocuments.in/reader035/viewer/2022062519/5697bf741a28abf838c7fb0e/html5/thumbnails/21.jpg)
word
“flower”
Idea!
sounds
F + L + OW + R
![Page 22: Phonomotor treatment for anomia Phonomotor treatment for anomia Diane L. Kendall, PhD Associate Professor, Department of Speech and Hearing Sciences Research.](https://reader035.fdocuments.in/reader035/viewer/2022062519/5697bf741a28abf838c7fb0e/html5/thumbnails/22.jpg)
TODAY• Describe study
• Treatment
• Results
• Future
![Page 23: Phonomotor treatment for anomia Phonomotor treatment for anomia Diane L. Kendall, PhD Associate Professor, Department of Speech and Hearing Sciences Research.](https://reader035.fdocuments.in/reader035/viewer/2022062519/5697bf741a28abf838c7fb0e/html5/thumbnails/23.jpg)
New Grant
N=40Phonomotor
treatment
N=40Traditional treatment
(standard of care)
VS.
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Acknowledgements• YOU!!!!!• VA RR&D Merit Review Grant
#C6572R• UW Aphasia Lab– Liz Brookshire, MA– Megan Oelke, MA– JoAnn Silkes, PhD– Irene Minkina, BS– Lauren Bislick, MA– Rebecca Pompon, PhC