Archways: Aphasia Rehabilitation Services PLLC, 1425 Broadway #513, Seattle, WA (2025)

08/04/2025

Aphasia Research Highlights 📊 🔍 ⁣
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𝗝𝘂𝗻𝗲/𝗝𝘂𝗹𝘆 𝟮𝟬𝟮𝟱⁣
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𝗗𝗜𝗦𝗖𝗢𝗨𝗥𝗦𝗘 𝗔𝗡𝗔𝗟𝗬𝗦𝗜𝗦 𝗧𝗨𝗧𝗢𝗥𝗜𝗔𝗟⁣
This tutorial from the FOQUSAphasia Writing Group emphasizes the importance of spoken discourse analysis in aphasia assessment and treatment. Despite its value, barriers like limited time, training, and resources have prevented widespread clinical use. The tutorial addresses these challenges by providing comprehensive guidance for clinicians, including recommended discourse tasks, outcome measures, psychometric properties, and implementation strategies.⁣
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𝗚𝗟𝗢𝗕𝗔𝗟 𝗔𝗣𝗛𝗔𝗦𝗜𝗔 𝗜𝗡𝗧𝗘𝗥𝗩𝗘𝗡𝗧𝗜𝗢𝗡𝗦⁣
This systematic review synthesized findings from 10 studies involving 166 people with global aphasia (a patient population underrepresented in the research literature).⁣
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𝗕𝗘𝗛𝗔𝗩𝗜𝗢𝗥𝗔𝗟 𝗔𝗖𝗧𝗜𝗩𝗔𝗧𝗜𝗢𝗡 𝗙𝗢𝗥 𝗔𝗣𝗛𝗔𝗦𝗜𝗔⁣
This pilot study evaluated the feasibility and preliminary benefits of an SLP-delivered psychosocial intervention centered on behavioral activation (BA): a cognitive-behavioral strategy that increases engagement in meaningful, enjoyable activities to improve mood.⁣
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𝗨𝗧𝗜𝗟𝗜𝗦𝗘 𝗦𝗘𝗡𝗧𝗘𝗡𝗖𝗘-𝗟𝗘𝗩𝗘𝗟 𝗧𝗥𝗘𝗔𝗧𝗠𝗘𝗡𝗧⁣
This randomized controlled trial evaluated a novel, usage-based sentence therapy for aphasia called UTILISE (Unification Therapy Integrating Lexicon and SEntences).⁣
Unlike traditional aphasia therapies that primarily target single-word production, UTILISE draws on Usage-Based Construction Grammar, emphasizing the use and extension of high-frequency sentence constructions (e.g., “I like it”) to support sentence-level processing.⁣
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07/14/2025

𝗠𝗲𝗮𝘀𝘂𝗿𝗶𝗻𝗴 𝗪𝗵𝗮𝘁 𝗠𝗮𝘁𝘁𝗲𝗿𝘀 𝗶𝗻 𝗔𝗹𝗲𝘅𝗶𝗮 𝗮𝗻𝗱 𝗔𝗴𝗿𝗮𝗽𝗵𝗶𝗮 📖 ✍🏼 ⌨️ ⁣
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Standardized assessments are helpful in uncovering the literacy strengths and weaknesses of our clients with alexia snd agraphia, but these tests often miss the real world impact of reading and writing challenges.⁣
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Encouragingly, new Patient-Reported Outcome Measures (PROMs) have been developed specifically for alexia and agraphia that can be used as part of evaluations and progress monitoring.⁣
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These PROMs are quick to administer, psychometrically sound, and give voice to what standardized tests might overlook.⁣
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Have you tried any of these PROMs in your clinical practice? What tools are you using to capture meaningful outcomes in written language?⁣
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06/30/2025

Aphasia Research Highlights 📊 🔍 ⁣
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𝗠𝗮𝘆/𝗝𝘂𝗻𝗲 𝟮𝟬𝟮𝟱⁣
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𝗔𝗖𝗤𝗨𝗜𝗥𝗘𝗗 𝗖𝗥𝗢𝗪𝗗𝗜𝗡𝗚 𝗗𝗬𝗦𝗟𝗘𝗫𝗜𝗔⁣
This study introduces a new acquired alexia classification known as Acquired Crowding Dyslexia and highlights how it is distinct from Neglect Dyslexia in individuals with right-hemisphere damage.⁣
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𝗧𝗜𝗖-𝗧𝗔𝗖 𝗠𝗘𝗧𝗛𝗢𝗗 𝗣𝗔𝗥𝗧𝗡𝗘𝗥 𝗧𝗥𝗔𝗜𝗡𝗜𝗡𝗚⁣
The TIC-TAC method is a structured communication partner training program designed to improve how caregivers interact with people with aphasia. This observational study assessed the impact of TIC-TAC on⁣
39 PWA-caregiver dyads using the Caregiver Communication Assessment in Aphasia-Checklist (ACCA-cl), which measures verbal, para-verbal, and non-verbal communication skills.⁣
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𝗠𝗢𝗗𝗘𝗟-𝗕𝗔𝗦𝗘𝗗 𝗔𝗦𝗦𝗘𝗦𝗦𝗠𝗘𝗡𝗧 𝗔𝗣𝗣𝗥𝗢𝗔𝗖𝗛⁣
The cognitive neuropsychological approach to aphasia emphasizes identifying deficits in underlying linguistic processes, rather than focusing solely on overt symptoms. This narrative review synthesizes evidence from 68 peer-reviewed articles (2013-2023), updating the Whitworth et al. (2014) framework by introducing 17 new indicators to identify word-level linguistic impairments in adults with post-stroke aphasia.⁣
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𝗟𝗢𝗡𝗚𝗜𝗧𝗨𝗗𝗜𝗡𝗔𝗟 𝗔𝗨𝗗𝗜𝗧𝗢𝗥𝗬 𝗖𝗢𝗠𝗣 𝗥𝗘𝗖𝗢𝗩𝗘𝗥𝗬⁣
This longitudinal study investigated how auditory comprehension changes from the acute (0-72 hr) to chronic (6-12 months) phases in Laurentian French speakers with aphasia after a first left MCA stroke. It also identified neural correlates of comprehension impairments using lesion-symptom mapping (LSM).⁣
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06/16/2025

𝗧𝘆𝗽𝗼-𝘁𝗵𝗲𝘁𝗶𝗰𝗮𝗹 𝗘𝗿𝗿𝗼𝗿𝘀: 𝗔𝘀𝘀𝗲𝘀𝘀𝗶𝗻𝗴 𝗧𝗲𝘅𝘁𝗶𝗻𝗴 𝗮𝗻𝗱 𝗞𝗲𝘆𝗯𝗼𝗮𝗿𝗱 𝗧𝘆𝗽𝗶𝗻𝗴 𝗶𝗻 𝗔𝗽𝗵𝗮𝘀𝗶𝗮 ⌨️ 📱 ⁣
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With the increasing use of technology for written communication, typing and texting are becoming areas that our clients want to work on in treatment sessions. ⁣
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𝗔𝘀𝘀𝗲𝘀𝘀𝗺𝗲𝗻𝘁 𝗧𝗼𝗼𝗹𝘀 𝗳𝗼𝗿 𝗧𝘆𝗽𝗶𝗻𝗴 𝗮𝗻𝗱 𝗧𝗲𝘅𝘁𝗶𝗻𝗴⁣
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𝗧𝗲𝗰𝗵𝗻𝗼𝗹𝗼𝗴𝘆 𝗦𝘂𝗿𝘃𝗲𝘆 𝗳𝗿𝗼𝗺 𝗞𝗶𝗻𝘀𝗲𝘆 𝗲𝘁 𝗮𝗹. (𝟮𝟬𝟮𝟮)⁣
Examines device(s) used, function and frequency of use, confidence, motivation, and communication tech partners⁣
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𝗗𝗶𝗴𝗶𝘁𝗶𝘀𝗲𝗱 𝗔𝘀𝘀𝗲𝘀𝘀𝗺𝗲𝗻𝘁 𝗳𝗼𝗿 𝗔𝗽𝗵𝗮𝘀𝗶𝗮 𝗼𝗳 𝗪𝗿𝗶𝘁𝗶𝗡𝗴 (𝗗𝗔𝗔𝗪𝗡)⁣
* Single word picture naming task⁣
* Copying task (words and non-words)⁣
* Free text generation task (choice of stimulus prompts: phrase/sentence/narrative)⁣
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𝗧𝗲𝘅𝘁𝗶𝗻𝗴 𝗧𝗿𝗮𝗻𝘀𝗮𝗰𝘁𝗶𝗼𝗻𝗮𝗹 𝗦𝘂𝗰𝗰𝗲𝘀𝘀 𝗦𝗰𝗮𝗹𝗲⁣
Rating scale of texting transactional success in aphasia⁣
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06/02/2025

Aphasia Research Highlights 📊 🔍 ⁣
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𝗔𝗽𝗿𝗶𝗹/𝗠𝗮𝘆 𝟮𝟬𝟮𝟱⁣
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𝗗𝗘𝗧𝗘𝗖𝗧𝗜𝗡𝗚 𝗠𝗜𝗟𝗗 𝗔𝗣𝗛𝗔𝗦𝗜𝗔⁣
This study aimed to identify efficient tools for detecting very mild aphasia in individuals who score within normal limits on the Western Aphasia Battery-Revised (WAB-R). While 20 tests showed significant group differences, only letter fluency and two-letter fluency tasks demonstrated both high sensitivity and specificity (≥ 70) for identifying mild aphasia.⁣
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𝗔𝗣𝗛𝗔𝗦𝗜𝗔 𝗧𝗛𝗘𝗥𝗔𝗣𝗬 𝗙𝗜𝗡𝗗𝗘𝗥⁣
The Aphasia Therapy Finder (ATF) is a free, web-based tool designed to help speech-language pathologists access and apply evidence-based aphasia therapies more easily in clinical practice.⁣
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𝗗𝗜𝗚𝗜𝗧𝗔𝗟 𝗣𝗘𝗘𝗥 𝗦𝗨𝗣𝗣𝗢𝗥𝗧: 𝗣𝗘𝗘𝗥𝗣𝗔𝗟 𝗔𝗣𝗣⁣
Aphasia can negatively impact quality of life, increase risk of depression, and reduce social participation. Peer support helps, but often requires professional facilitation. This study evaluated PeerPAL, a mobile app designed specifically for PwA to promote independent peer interaction.⁣
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𝗔𝗦𝗦𝗘𝗦𝗦𝗜𝗡𝗚 𝗙𝗨𝗡𝗖𝗧𝗜𝗢𝗡𝗔𝗟 𝗖𝗢𝗠𝗠𝗨𝗡𝗜𝗖𝗔𝗧𝗜𝗢𝗡⁣
Functional communication-the ability of PwA to communicate effectively in everyday situations—is a crucial aspect of assessment, but is inconsistently defined and measured across different tools. This scoping review identified 32 functional communication assessments, divided into formal (standardized) and informal (non-standardized) tools.⁣
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05/21/2025

🧠📚 Upcoming Webinar Alert! 📚🧠⁣
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Join me for a dynamic and informative session where we’ll explore alexia assessment and treatment—a frequently overlooked, yet critical area of aphasia management.⁣
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🔍 What’s in store:⁣
✅ Comprehensive assessment tools ⁣
✅ Evidence-based treatment approaches⁣
✅ Incorporating Patient-Reported Outcome Measures (PROMS) and Assistive Technology⁣
✅ Practical strategies to deliver therapy through a Life Participation Approach to Aphasia (LPAA)⁣
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Whether you’re a seasoned clinician or new to alexia management, this webinar will equip you with tools to make therapy more meaningful, person-centered, and impactful.📚💬⁣
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🗓️ Thursday, May 29 @ 6:00 PM EST⁣
🔗 www.medbridge.com/webinars⁣
📍Hosted by ⁣
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05/06/2025

Aphasia Research Highlights 📊 🔍 ⁣
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𝗠𝗮𝗿𝗰𝗵/𝗔𝗽𝗿𝗶𝗹 𝟮𝟬𝟮𝟱⁣
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𝗙𝗔𝗧𝗜𝗚𝗨𝗘 𝗦𝗖𝗔𝗟𝗘 𝗙𝗢𝗥 𝗔𝗣𝗛𝗔𝗦𝗜𝗔⁣
Poststroke fatigue is a common and debilitating issue that significantly impacts recovery and daily function, yet it is often underrecognized in people with aphasia. This study introduced the Fatigue Interference and Severity Scale for Aphasia (FISS-A)—a modified, aphasia-friendly version of the widely used Fatigue Severity Scale (FSS).⁣
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𝗖𝗢𝗠𝗠𝗨𝗡𝗜𝗖𝗔𝗧𝗜𝗢𝗡 𝗕𝗥𝗜𝗗𝗚𝗘-𝟮 𝗙𝗢𝗥 𝗣𝗣𝗔⁣
This study presents findings from Communication Bridge-2 (CB2), a Phase 2 randomized controlled trial evaluating a telehealth-based intervention for individuals with primary progressive aphasia (PPA).⁣
The trial included 95 participant-care partner dyads recruited internationally, comparing two intervention arms delivered via video chat over approximately 12 months.⁣
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𝗣𝗔𝗜𝗟-𝗥𝗖𝗔: 𝗔𝗔𝗖 𝗧𝗥𝗘𝗔𝗧𝗠𝗘𝗡𝗧 𝗧𝗨𝗧𝗢𝗥𝗜𝗔𝗟⁣
This tutorial presents Promoting AAC-Induced Language-Recovery in Chronic Aphasia (PAIL-RcA), a structured treatment designed to use AAC as a dual-purpose tool-supporting both spoken language recovery and compensation during communication breakdowns in people with aphasia. Grounded in principles of neuroplasticity and intersystemic reorganization, PAIL-RcA promotes a multimodal communication approach, emphasizing the integration of speech attempts with AAC use.⁣
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𝗥𝗨𝗡𝗡𝗜𝗡𝗚 𝗦𝗨𝗖𝗖𝗘𝗦𝗦𝗙𝗨𝗟 𝗔𝗣𝗛𝗔𝗦𝗜𝗔 𝗖𝗔𝗠𝗣𝗦⁣
Aphasia camps provide social and recreational activities for PWA and their families, typically lasting 3 days. Most are organized by universities or associations and rely on community grants with no government funding. This article explores the key components to consider for implementing a successful aphasia camp.
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04/22/2025

Propositional Language and Dynamic Aphasia: A Case Example 🧠 👤

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03/31/2025

Aphasia Research Highlights 📊 🔍 ⁣
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𝗙𝗲𝗯𝗿𝘂𝗮𝗿𝘆/𝗠𝗮𝗿𝗰𝗵 𝟮𝟬𝟮𝟱⁣
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𝗜𝗗𝗘𝗡𝗧𝗜𝗧𝗬 𝗖𝗛𝗔𝗡𝗚𝗘𝗦 𝗜𝗡 𝗔𝗣𝗛𝗔𝗦𝗜𝗔⁣
This scoping review explored how identity is shaped and changes in people with aphasia. The review analyzed 20 studies and found that identity can be understood as a social construct, with storytelling playing a crucial role in identity development. Given that language and communication are central to identity formation, clinicians should consider integrating identity-focused approaches into rehabilitation.⁣
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𝗩𝗜𝗥𝗧𝗨𝗔𝗟 𝗘𝗡𝗛𝗔𝗡𝗖𝗘𝗗 𝗦𝗙𝗔 (𝗩𝗘𝗦𝗙𝗔)⁣
This study describes the development of Virtual Elaborated Semantic Feature Analysis (VESFA)-an intervention designed to improve word-finding, functional communication, and wellbeing in people with aphasia. VESFA is delivered in EVA Park (a virtual world tailored for people with aphasia) and targets both individual word retrieval and conversation-based communication.⁣
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𝗩𝗜𝗥𝗧𝗨𝗔𝗟 𝗔𝗗𝗔𝗣𝗧𝗘𝗗 𝗬𝗢𝗚𝗔 𝗙𝗢𝗥 𝗔𝗣𝗛𝗔𝗦𝗜𝗔⁣
This study examined the effects of a virtual and aphasia-friendly yoga program on individuals with moderate-severe aphasia. Using a delayed cohort design, 14 participants engaged in an 8-week adapted yoga intervention. Outcome measures included self-reported stress, resilience, sleep disturbance, pain management, and aphasia impact.⁣
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⁣𝗦𝗘𝗠𝗔𝗡𝗧𝗜𝗖 𝗩𝗦 𝗣𝗛𝗢𝗡𝗢𝗟𝗢𝗚𝗜𝗖𝗔𝗟 𝗧𝗥𝗘𝗔𝗧𝗠𝗘𝗡𝗧⁣
This study examined how phonological and semantic treatments influence therapy-related improvements in naming for people with chronic post-stroke aphasia. Specifically, it compared gains in trained items (acquisition) versus improvements in untrained items (response generalization).⁣
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03/17/2025

𝗧𝗥𝗘𝗔𝗧𝗠𝗘𝗡𝗧 𝗖𝗢𝗡𝗦𝗜𝗗𝗘𝗥𝗔𝗧𝗜𝗢𝗡𝗦 𝗙𝗢𝗥 𝗗𝗬𝗡𝗔𝗠𝗜𝗖 𝗔𝗣𝗛𝗔𝗦𝗜𝗔⁣
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Dynamic aphasia can arise from any of the following impairments in the conceptualization stage:⁣
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𝟭. 𝗜𝗱𝗲𝗮 𝗚𝗲𝗻𝗲𝗿𝗮𝘁𝗶𝗼𝗻 𝗗𝗲𝗳𝗶𝗰𝗶𝘁: too few conceptual ideas are generated⁣
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𝟮. 𝗦𝗲𝗹𝗲𝗰𝘁𝗶𝗼𝗻 𝗗𝗲𝗳𝗶𝗰𝗶𝘁: difficulty selecting one idea from other competing ideas⁣
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𝟯. 𝗦𝗲𝗾𝘂𝗲𝗻𝗰𝗶𝗻𝗴 𝗗𝗲𝗳𝗶𝗰𝗶𝘁: ideas become stuck and repeated⁣
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A thorough evaluation can help determine what deficits exist in the idea formulation/conceptualization stage, resulting in more individualized treatment.⁣
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𝗧𝗥𝗘𝗔𝗧𝗠𝗘𝗡𝗧 𝗔𝗣𝗣𝗥𝗢𝗔𝗖𝗛𝗘𝗦 𝗙𝗢𝗥 𝗗𝗬𝗡𝗔𝗠𝗜𝗖 𝗔𝗣𝗛𝗔𝗦𝗜𝗔⁣
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🔹External supports like prompts and graphic organizers (Law et al., 2015)⁣
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🔹Executive attentional strategies (Barker et al., 2020)⁣
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🔹Linguistic Underpinnings of Narrative in Aphasia (LUNA; Dipper et al., 2021)⁣
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03/03/2025

Aphasia Research Highlights 📊 🔍 ⁣
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𝗝𝗮𝗻𝘂𝗮𝗿𝘆/𝗙𝗲𝗯𝗿𝘂𝗮𝗿𝘆 𝟮𝟬𝟮𝟱⁣
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𝗚𝗔𝗠𝗜𝗙𝗜𝗘𝗗 𝗔𝗣𝗛𝗔𝗦𝗜𝗔 𝗜𝗡𝗧𝗘𝗥𝗩𝗘𝗡𝗧𝗜𝗢𝗡⁣
Aphasia groups often include board and card games for social engagement, but their language benefits are unclear. The Gamified Aphasia INtervention based on Playing social games in Teams (GAIN-PT) described in this article gives insight into the language benefits that can result when games are designed specifically for people with aphasia and incorporate principles of language therapy into the gameplay.⁣
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𝗣𝗢𝗦𝗧𝗧𝗥𝗔𝗨𝗠𝗔𝗧𝗜𝗖 𝗚𝗥𝗢𝗪𝗧𝗛 𝗜𝗡 𝗔𝗣𝗛𝗔𝗦𝗜𝗔⁣
This study sought to explore posttraumatic growth (PTG) in aphasia by analyzing interviews from 23 people with aphasia and examining three different pillars of PTG: changed perception of self, changed relationship with others, and changed general philosophy of life.⁣
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𝗣𝗔𝗜𝗡 𝗔𝗦𝗦𝗘𝗦𝗦𝗠𝗘𝗡𝗧 𝗦𝗖𝗔𝗟𝗘 𝗙𝗢𝗥 𝗔𝗣𝗛𝗔𝗦𝗜𝗔⁣
This pilot study evaluated the Pain Assessment in Impaired Cognition (PAIC15) scale for its usability and effectiveness for people with aphasia. Thirteen individuals who used the PAIC15 to observe persons with aphasia during rest and transfer completed a questionnaire on its user-friendliness.⁣
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⁣𝗖𝗢𝗟𝗟𝗔𝗕𝗢𝗥𝗔𝗧𝗜𝗩𝗘 𝗥𝗘𝗙𝗘𝗥𝗘𝗡𝗖𝗜𝗡𝗚 𝗜𝗡𝗧𝗘𝗥𝗩𝗘𝗡𝗧𝗜𝗢𝗡⁣
This Phase Il study examined the effects of Collaborative Referencing Intervention⁣
(CRI) in people with aphasia. CRI is a structured intervention grounded in distributed communication theory that utilizes a photo-matching game and incorporates the following principles:⁣
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🔹Targeting trained words through a joint activity⁣
🔹Creating a rich communicative environment⁣
🔹Repeated engagement of target words in conversation between client and clinician⁣
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02/17/2025

𝗕𝗥𝗜𝗘𝗙 𝗘𝗫𝗘𝗖𝗨𝗧𝗜𝗩𝗘 𝗟𝗔𝗡𝗚𝗨𝗔𝗚𝗘 𝗦𝗖𝗥𝗘𝗘𝗡 (𝗕𝗘𝗟𝗦)⁣
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The BELS is a cognitive-linguistic screening tool that probes the following areas:⁣
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🔹 Core/Nominal Language Skills⁣
(e.g., Naming, Repetition, Auditory Comp)⁣
🔹 Oral Apraxia⁣
🔹 Propositional Language/Spontaneous Speech⁣
🔹 Verbal Memory⁣
🔹 Executive Functions Involved in Conceptualization⁣
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Tasks that comprise the BELS Propositional Language and Executive Function subsection:⁣
⁣
🔸 Spontaneous Speech Scene Descriptions⁣
🔸 Phonemic and Semantic Verbal Fluency⁣
🔸 Sentence Completion (Initiation and Inhibition)⁣
🔸 Motor Go No-Go/Luria Rhythm Tapping Task⁣
⁣
⁣
These tasks give insight into pivotal executive functions used in spontaneous speech:⁣
⁣
🔹 Initiation⁣
🔹 Selection⁣
🔹 Inhibition⁣
🔹 Strategy use⁣
⁣
⁣
𝗪𝗵𝘆 𝗔𝗱𝗺𝗶𝗻𝗶𝘀𝘁𝗲𝗿 𝘁𝗵𝗲 𝗕𝗘𝗟𝗦?⁣
⁣
Dynamic aphasia can arise from any of the following impairments in the conceptualization stage:⁣
⁣
𝟭. 𝗜𝗱𝗲𝗮 𝗚𝗲𝗻𝗲𝗿𝗮𝘁𝗶𝗼𝗻 𝗗𝗲𝗳𝗶𝗰𝗶𝘁: too few conceptual ideas are generated⁣
⁣
𝟮. 𝗦𝗲𝗹𝗲𝗰𝘁𝗶𝗼𝗻 𝗗𝗲𝗳𝗶𝗰𝗶𝘁: difficulty selecting one idea from other competing ideas⁣
⁣
𝟯. 𝗦𝗲𝗾𝘂𝗲𝗻𝗰𝗶𝗻𝗴 𝗗𝗲𝗳𝗶𝗰𝗶𝘁: ideas become stuck and repeated⁣
⁣
Given these potential deficits, the BELS probes idea formulation skills as it relates to initiation, selection, and inhibition.⁣
⁣
⁣ ⁣
⁣

Archways: Aphasia Rehabilitation Services PLLC

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