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Logo for the Journal of Rehab R&D
Volume 43 Number 3, May/June 2006
Pages 409 — 418


Abstract - Influence of intensive phonomotor rehabilitation on apraxia of speech

Diane L. Kendall, PhD;1-3* Amy D. Rodriguez, MA, CCC-SLP;1 John C. Rosenbek, PhD;1,4 Tim Conway, PhD;1,5 Leslie J. Gonzalez Rothi, PhD1-2,6

1Department of Veterans Affairs (VA) Rehabilitation Research and Development Brain Rehabilitation Research Center, Malcom Randall VA Medical Center (VAMC), Gainesville, FL; 2Department of Neurology, 3McKnight Brain Institute, and Departments of 4Communicative Disorders and 5Clinical and Health Psychology, University of Florida, Gainesville, FL, 6Geriatric Research, Education, and Clinical Center, Malcom Randall VAMC, Gainesville, FL
Abstract — In this phase I rehabilitation study, we investigated the effects of an intensive phonomotor rehabilitation program on verbal production in a 73-year-old male, 11 years postonset a left-hemisphere stroke, who exhibited apraxia of speech and aphasia. In the context of a single-subject design, we studied whether treatment would improve phoneme production and generalize to repetition of multisyllabic words, words of increasing length, discourse, and measures of self-report. We predicted that a predominant motor impairment would respond to intensive phonomotor rehabilitation. While able to learn to produce individual sounds, the subject did not exhibit generalization to other aspects of motor production. Discourse production was judged perceptually slower in rate and less effortful, but also less natural. Finally, self-report indicated less apprehension toward speaking with unfamiliar people, increased telephone use, and increased ease of communication.
Key words: aphasia, apraxia of speech, discourse production, mental practice, multisyllabic words, phoneme production, phonomotor rehabilitation, repetition, verbal production, words of increasing length.

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