Barbier, E.

Pradat-Diehl, P.

Tessier, C.

Weill-Chounlamountry, A.

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therapy with multimodal procedure using a reduction learning method on trained
words, its generalization on untrained words. We claim that the multimodal
procedure that we proposed was critical for making the naming therapy efficient.
doi:10.1016/j.rehab.2011.07.297250 Abstracts / Annals of Physical and Reh
O43-007–EN
reliminary survey in the validation of a new language
ssessment in acute stage stroke
. Joyeux ∗, M. Oriano
UNADREO, Lurco-ERU22, 11, avenue Joël-Le-Theule, BP 70145, 72303
able sur Sarthe cedex, France
Corresponding author.
eywords: Aphasia; Assessment; Speech therapy; Stroke
bjectives.– The French health authorities recommend that stroke patients
hould receive care from therapists as soon as possible. As part of the “Pro-
rammes Pilotes Impact Clinique Accident Vasculaire Cérébral”, a survey was
onducted during the first term of 2011 and we ask French speech therapists
bout the tools they were using to assess aphasia in the acute stage. We offer to
arry out a study of the tests listed by the survey, comparing them with the data
xtracted from scientific literature about the acute stage and about the metrologi-
al conditions a test must fulfill in order to determine whether a new assessment
ool should be proposed.
ethods.– A form was sent to speech therapists working with patients in the
cute stage of a stroke. It collected information about the type of hospital depart-
ent the speech therapist works with, the post-onset time for speech therapy
ntervention, and the tool uses to assess aphasia in the acute stage.
esults.– We collected 90 replies from all over France. Aphasia batteries such
s MT-86 (Montréal Toulouse, 1986) or BDAE (Boston diagnostic aphasia exa-
ination, 1982) were mentioned by a majority of the repliers. Most of the time,
ests needed adaptations and they were often linked with an assessment of spe-
ific aspects of language such as naming (DO80) or functional communication
TLC). A wide variety of tools were identified. Almost half of the speech thera-
ists were not satisfied with the tests they were using, most of them complaining
bout their length and complexity, which were not suitable with the conditions
f the patients.
iscussion.– It appears that French speech therapists assess aphasic patients in
he acute stage, but do not have suitable tools adapted to both their expectations
nd scientific literature’s recommendations. Speech therapists should be offered
new tool adapted to the acute stage.
oi:10.1016/j.rehab.2011.07.296
O43-008–EN
ultimodal computer-assisted therapy with error
eduction learning in a case of word-ﬁnding disorder
. Weill-Chounlamountry a,∗, C. Tessier a, E. Barbier a, P. Pradat-Diehl b
Service de MPR du professeur Pradat-Diehl, hôpital de la Salpétrière, 47,
oulevard de l’hôpital, 75013 Paris, France
Er-6-UPMC, Paris, Franceation Medicine 54S (2011) e245–e250
Corresponding author.
eywords: Aphasia; Word finding disorder; Computer-assisted therapy; Error
eduction learning
ackground.– Naming disorders are common to all aphasia types and their nature
an be explained by current theoretical models of naming. They can arise either
rom incorrect or incomplete activation of semantic or phonologic processes. If
he deficit is located beyond the semantic system, the naming disorder may be
ue to a failure to the access into the phonological output lexicon; this results in
phonological retrieval deficit or anomia. Phonological facilitation are effective
ut used alone, they have a short retention time.
ims.– The aim of this study was to assess the efficacy, maintenance and gene-
alization of a multimodal procedural computerized therapy for naming deficits
n a patient showing a word finding disorder.
utcomes.– An experimental computer-assisted therapy was administered to a
3-year-old patient with non-fluent aphasia one year after stroke. This patient
uffered word-finding difficulties. We designed a procedure involved multimo-
ality cues. We used an error reduction learning method. This multimodality
herapy of naming disorders contained both spoken and written treatment of
ords. We hypothesized that the mediation of written language would channel
he lexical process. The therapy contained 89 failed words in naming pictures
nd those were divided into three sets for each treatment step following a pro-
ression in the length of the trained words: monosyllabic words (R1), bisyllabic
ords (R2), and trisyllabic words (R3). The patient performed the therapy three
imes per week. We tested the efficacy, generalization to untrained words, and
ts stability.
esults.– After therapy, naming of the 89 trained words (P < 0.001) and untrained
ords (P < 0.001) were improved. This demonstrated a global generalization
ffect for untrained words. Improvements were maintained after five weeks
ithout therapy.
onclusion.– This study demonstrates the efficacy of a computer assisted-


Multimodal computer-assisted therapy with error reduction learning in a case of word-finding disorder 

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Multimodal computer-assisted therapy with error reduction learning in a case of word-finding disorder

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