Computers in the Treatment of Chronic Aphasia

ABSTRACT

Computers and related technology can increase the amount of treatment received by adults with chronic aphasia. Computers used in treatment, however, are only valuable to the patient if the intervention is efficacious. Real and potential applications of computer technology are discussed in the context of three roles of computerized aphasia treatment for adults with chronic aphasia. Pertinent studies regarding Phases 1 and 2 are briefly described. The only Phase 3 study of efficacy of computerized aphasia treatment is more fully described and its implications discussed.

Aphasia - computer - treatment - computerized treatment - computerized therapy

REFERENCES

• 1 Seron X, Deloche G, Moulard G, Rousselle M. A computer-based therapy for the treatment of aphasic subjects with writing disorders.  J Speech Hear Disord. 1980;  45(1) 45-58
• 2 Katz R C, Nagy V T. A computerized treatment system for chronic aphasic adults. In: Brookshire RH Clinical Aphasiology: Conference Proceedings. Minneapolis, MN; BRK Publishers 1982: 153-160
• 3 Mills R H. Microcomputerized auditory comprehension training. In: Brookshire RH Clinical Aphasiology: Conference Proceedings. Minneapolis, MN; BRK Publishers 1982: 147-152
• 4 Robertson I. Does computerized cognitive rehabilitation work? A review.  Aphasiology. 1990;  4 381-405
• 5 Robey R R. The efficacy of treatment for aphasic persons: a meta-analysis.  Brain Lang. 1994;  47(4) 582-608
• 6 Robey R R. A meta-analysis of clinical outcomes in the treatment of aphasia.  J Speech Lang Hear Res. 1998;  41(1) 172-187
• 7 Code C. Multifactorial processes in recovery from aphasia: developing the foundations for a multileveled framework.  Brain Lang. 2001;  77(1) 25-44
• 8 Kertesz A. Recovery of language disorders: homologous contralateral or connected ipsilateral compensation?. In: Finger S, LeVere TE, Almli CR, Stein DG Brain Recovery: Theoretical and Controversial Issues. New York, NY; Plenum 1988: 307-321
• 9 Mimura M, Kato M, Kato M et al.. Prospective and retrospective studies of recovery in aphasia. Changes in cerebral blood flow and language functions.  Brain. 1998;  121(Pt 11) 2083-2094
• 10 Basso A. Prognostic factors in aphasia.  Aphasiology. 1992;  6 337-348
• 11 Culton G L. Spontaneous recovery from aphasia.  J Speech Hear Res. 1969;  12(4) 825-832
• 12 Hanson W R, Metter E J, Riege W H. The course of chronic aphasia.  Aphasiology. 1989;  3 19-29
• 13 Katz R C, Hallowell B, Code C et al.. A multinational comparison of aphasia management practices.  Int J Lang Commun Disord. 2000;  35(2) 303-314
• 14 Wertz R T, Katz R C. Outcomes for computer-provided treatment for aphasia.  Aphasiology. 2004;  18 229-244
• 15 Colby K M, Christinaz D, Parkison R C, Graham S, Karpf C. A word-finding computer program with a dynamic lexical-semantic memory for patients with anomia using an intelligent speech prosthesis.  Brain Lang. 1981;  14(2) 272-281
• 16 Steele R D, Weinrich M, Kleczewska M K, Wertz R T, Carlson G S. Evaluating performance of severely aphasic patients on a computer-aided visual communication system. In: Brookshire RH Clinical Aphasiology: Conference Proceedings. Minneapolis, MN; BRK Publishers 1987: 46-54
• 17 Steele R D, Weinrich M, Wertz R T, Kleczewska M K, Carlson G S. Computer-based visual communication in aphasia.  Neuropsychologia. 1989;  27(4) 409-426
• 18 van de Sandt-Koenderman W ME, Wiegers J, Wielaert S M, Duivenvoorden H J, Ribbers G M. High-tech AAC and severe aphasia: candidacy for TouchSpeak (TS).  Aphasiology. 2007;  21 459-474
• 19 Bartlett M R, Fink R B, Schwartz M F, Linebarger M. Informativeness ratings of messages created on an AAC processing prosthesis.  Aphasiology. 2007;  21(5) 475-498
• 20 Aftonomos L B, Steele R D, Wertz R T. Promoting recovery in chronic aphasia with an interactive technology.  Arch Phys Med Rehabil. 1997;  78(8) 841-846
• 21 Fink R B, Bartlett M R, Lowery J S, Linebarger M C, Schwartz M F. Aphasic speech with and without SentenceShaper: two methods for assessing informativeness.  Aphasiology. 2008;  22(7-8) 679-690
• 22 Mortley J, Enderby P, Petheram B. Using a computer to improve functional writing in a patient with severe dysgraphia.  Aphasiology. 2001;  15 443-461
• 23 van de Sandt-Koenderman W ME. Multicue, a computer program for word finding in aphasia. 1994 1. International Congress Language-Therapy-Computers; Graz, Austria, University of Graz
• 24 Loverso F L, Prescott T E, Selinger M. Microcomputer treatment applications in aphasiology.  Aphasiology. 1992;  6 155-163
• 25 Katz R C, Nagy V T. An intelligent computer-based task for chronic aphasic patients. In: Brookshire RH Clinical Aphasiology: Conference Proceedings. Minneapolis, MN; BRK Publishers 1994: 159-165
• 26 Katz R C, Nagy V T. A self-modifying computerized reading program for severely impaired aphasic adults. In: Brookshire RH Clinical Aphasiology: Conference Proceedings. Minneapolis, MN; BRK Publishers 1985: 184-188
• 27 Mortley J, Wade J, Enderby P, Hughes A. Effectiveness of computerised rehabilitation for long-term aphasia: a case series study.  Br J Gen Pract. 2004;  54(508) 856-857
• 28 Cherney L R, Halper A S, Holland A L, Cole R. Computerized script training for aphasia: preliminary results.  Am J Speech Lang Pathol. 2008;  17(1) 19-34
• 29 Mortley J, Enderby P, Petheram B. Using a computer to improve functional writing in a patient with severe dysgraphia.  Aphasiology. 2001;  15 443-461
• 30 Crerar M A, Ellis A W. Computer-based therapy for aphasia: towards second generation clinical tools. In: Code C, Müller D Treatment of Aphasia: From Theory to Practice. London, United Kingdom; Whurr 1995: 223-250
• 31 Crerar M A, Ellis A W, Dean E C. Remediation of sentence processing deficits in aphasia using a computer-based microworld.  Brain Lang. 1996;  52(1) 229-275
• 32 Katz R C, Nagy V T. A computerized approach for improving word recognition in chronic aphasic patients. In: Brookshire RH Clinical Aphasiology: Conference Proceedings. Minneapolis, MN; BRK Publishers 1983: 65-72
• 33 Ross K B, Wertz R T. Quality of life with and without aphasia.  Aphasiology. 2003;  17 355-364
• 34 Code C, Herrmann M. The relevance of emotional and psychosocial factors in aphasia to rehabilitation.  Neuropsychol Rehabil. 2003;  13 109-132
• 35 Seligman M. Helplessness: On Depression, Development and Death. San Francisco, CA; Freeman 1975
• 36 Coelho G V, Hamburg D A, Adams J E. Coping and Adaptation. New York, NY; Basic Books 1974
• 37 Bengston V L. Self-determination: A social psychologic perspective on helping the aged.  Geriatrics. 1973;  28 118-130
• 38 Langer E J, Rodin J. The effects of choice and enhanced personal responsibility for the aged: a field experiment in an institutional setting.  J Pers Soc Psychol. 1976;  34(2) 191-198
• 39 Schulz R. Effects of control and predictability on the physical and psychological well-being of the institutionalized aged.  J Pers Soc Psychol. 1976;  33(5) 563-573
• 40 Renwick R, Brown I. The Centre for Health Promotion's approach to quality of life: being, belonging, and becoming. In: Renwick R, Brown I, Nagler M Quality of Life in Health Promotion and Rehabilitation: Conceptual Approaches, Issues, and Applications. Thousand Oaks, CA; Sage 1996: 65-86
• 41 Ross K B, Wertz R T. Relationships between language-based disability and quality of life in chronically aphasic adults.  Aphasiology. 2002;  16 791-800
• 42 Wertz R T. Aphasia management: the speech pathologist's role.  Semin Speech Lang. 1981;  2 315-331
• 43 Wertz R T, Irwin W H. Darley and the efficacy of language rehabilitation in aphasia.  Aphasiology. 2001;  15 231-247
• 44 Robey R R, Schultz M C. A model for conducting clinical-outcome research: adaptation of the standard protocol for use in aphasiology.  Aphasiology. 1998;  12 787-810
• 45 Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology . Assessment: melodic intonation therapy.  Neurology. 1994;  44(3 Pt 1) 566-568
• 46 Cicerone K D, Dahlberg C, Kalmar K et al.. Evidence-based cognitive rehabilitation: recommendations for clinical practice.  Arch Phys Med Rehabil. 2000;  81(12) 1596-1615
• 47 Cicerone K D, Dahlberg C, Malec J F et al.. Evidence-based cognitive rehabilitation: updated review of the literature from 1998 through 2002.  Arch Phys Med Rehabil. 2005;  86(8) 1681-1692
• 48 Katz R C, Wertz R T. The efficacy of computer-provided reading treatment for chronic aphasic adults.  J Speech Lang Hear Res. 1997;  40(3) 493-507
• 49 Schuell H. Aphasia Theory and Therapy: Selected Lectures and Papers of Hildred Schuell. Baltimore, MD; Park Press 1974
• 50 Coelho C A, Sinotte M P, Duffy J R. Schuell's stimulation approach to rehabilitation. In: Chapey, R Language Intervention Strategies in Aphasia and Related Neurogenic Communication Disorders. 5th ed. New York, NY; Lippincott Williams & Wilkins 2008: 403-449
• 51 Porch B E. The Porch Index of Communicative Ability: administration, scoring and interpretation. 3rd ed. Palo Alto, CA; Consulting Psychologists Press 1981
• 52 Kertesz A. Western Aphasia Battery. New York, NY; Grune & Stratton 1982
• 53 Hinckley J, Carr T. Comparing the outcomes of intensive and nonintensive aphasia treatment.  Aphasiology. 2005;  19 965-974
• 54 Maher L M, Kendall D, Swearengin J A et al.. A pilot study of use-dependent learning in the context of Constraint Induced Language Therapy.  J Int Neuropsychol Soc. 2006;  12(6) 843-852
• 55 Gonzalez Rothi L J, Musson N, Rosenbek J C, Sapienza C M. Neuroplasticity and rehabilitation research for speech, language, and swallowing disorders.  J Speech Lang Hear Res. 2008;  51(1) S222-S224
• 56 Mortley J, Wade J, Enderby P. Superhighway to promoting a client-therapist partnership? Using the Internet to deliver word-retrieval computer therapy, monitored remotely with minimal speech and language therapy input.  Aphasiology. 2004;  18 193-211
• 57 Katz R C, Ross K B. An Internet-based automated auditory stimulation treatment for aphasic adults.  Acta Neuropsychologica. 2004;  2 25-34