Spelling Intervention in Post-Stroke Aphasia and Primary Progressive Aphasia

Spelling–a core language skill–is commonly affected in neurological diseases such as stroke and Primary Progressive Aphasia (PPA). We present two case studies of the same spelling therapy (learning of phoneme-to-grapheme correspondences with help from key words) in two participants: one who had a st...

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Main Authors: Kyrana Tsapkini, Argye E. Hillis
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.3233/BEN-2012-110240
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author Kyrana Tsapkini
Argye E. Hillis
author_facet Kyrana Tsapkini
Argye E. Hillis
author_sort Kyrana Tsapkini
collection DOAJ
description Spelling–a core language skill–is commonly affected in neurological diseases such as stroke and Primary Progressive Aphasia (PPA). We present two case studies of the same spelling therapy (learning of phoneme-to-grapheme correspondences with help from key words) in two participants: one who had a stroke and one with PPA (logopenic variant). Our study highlights similarities and differences in the time course of each indivdual's therapy. The study evaluates the effectiveness and generalization of treatment in each case, i.e. whether the treatment affected the trained items and/or untrained items, and whether or not the treatment gains were maintained after the end of therapy. Both participants were able to learn associations between phonemes and graphemes as well as between phonemes and words. Reliable generalization to untrained words was shown only for the participant with post-stroke aphasia, but we were not able to test generalization to untrained words in the individual with PPA. The same spelling therapy followed a different time course in each case. The participant with post-stroke aphasia showed a lasting effect of improved spelling, but we were unable to assess maintenance of improvement in the participant with PPA. We discuss these differences in light of the underlying nature of each disease.
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spelling doaj-art-c486d620d9084d089b961054f2cdf7182025-08-20T03:23:06ZengWileyBehavioural Neurology0953-41801875-85842013-01-01261-2556610.3233/BEN-2012-110240Spelling Intervention in Post-Stroke Aphasia and Primary Progressive AphasiaKyrana Tsapkini0Argye E. Hillis1Departments of Neurology, Johns Hopkins Medicine, Baltimore, MD, USADepartments of Neurology, Johns Hopkins Medicine, Baltimore, MD, USASpelling–a core language skill–is commonly affected in neurological diseases such as stroke and Primary Progressive Aphasia (PPA). We present two case studies of the same spelling therapy (learning of phoneme-to-grapheme correspondences with help from key words) in two participants: one who had a stroke and one with PPA (logopenic variant). Our study highlights similarities and differences in the time course of each indivdual's therapy. The study evaluates the effectiveness and generalization of treatment in each case, i.e. whether the treatment affected the trained items and/or untrained items, and whether or not the treatment gains were maintained after the end of therapy. Both participants were able to learn associations between phonemes and graphemes as well as between phonemes and words. Reliable generalization to untrained words was shown only for the participant with post-stroke aphasia, but we were not able to test generalization to untrained words in the individual with PPA. The same spelling therapy followed a different time course in each case. The participant with post-stroke aphasia showed a lasting effect of improved spelling, but we were unable to assess maintenance of improvement in the participant with PPA. We discuss these differences in light of the underlying nature of each disease.http://dx.doi.org/10.3233/BEN-2012-110240
spellingShingle Kyrana Tsapkini
Argye E. Hillis
Spelling Intervention in Post-Stroke Aphasia and Primary Progressive Aphasia
Behavioural Neurology
title Spelling Intervention in Post-Stroke Aphasia and Primary Progressive Aphasia
title_full Spelling Intervention in Post-Stroke Aphasia and Primary Progressive Aphasia
title_fullStr Spelling Intervention in Post-Stroke Aphasia and Primary Progressive Aphasia
title_full_unstemmed Spelling Intervention in Post-Stroke Aphasia and Primary Progressive Aphasia
title_short Spelling Intervention in Post-Stroke Aphasia and Primary Progressive Aphasia
title_sort spelling intervention in post stroke aphasia and primary progressive aphasia
url http://dx.doi.org/10.3233/BEN-2012-110240
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