Effect of word retrieval therapy on a patient with expressive aphasia: a case report
Efeito da terapia de recuperação de palavras em paciente com afasia expressiva: relato de caso
Arieli Bastos da Silveira; Karina Carlesso Pagliarin
Abstract
To verify the effect of word retrieval therapy on a patient with expressive aphasia. A forty-seven year-old, male, with 8 years of schooling, with complaints about not saying words after two ischemic stroke on the left hemisphere, participated in this study. The Montreal-Toulouse-Language Assessment Battery (MTL-BR), Brief Neuropsychological Assessment Instrument (NEUPSILIN-Af), Mini-Mental State Examination (MMSE) and Functional Assessment Communication Skills scale (ASHA-FACS) were used pre- and post-therapy. A baseline test with 50 words, 25 nouns and 25 verbs was applied to obtain data regarding naming ability. The sessions occurred twice a week, for 50 minutes. The intervention was based on a set of 25 images of nouns and verbs, in oral and written modalities during six sessions, for each category. On the three final sessions, 10 figures of nouns and 10 figures of verbs were added in sentences. In the post-therapy, the final baseline showed an increase in vocabulary of nouns and verbs. In the pos-intervention evaluation, the patient had an improvement in some tasks of MTL-BR battery, NEUPSILIN-Af tasks. Improvement in the social communication and daily planning aspects were reported in the ASHA-FACS. In conclusion, the word retrieval therapy was effective in this case, because there was an increase of the vocabulary and improvement in several linguistic, communicative and cognitive aspects.
Keywords
Resumo
Verificar o efeito da terapia de recuperação de palavras em um paciente com afasia expressiva. Participou deste estudo um sujeito com 47 anos de idade, sexo masculino, com 8 anos de escolaridade, com queixas de não dizer palavras após sofrer dois acidentes vasculares encefálicos isquêmicos no hemisfério esquerdo. Foram utilizados a Bateria Montreal-Toulouse de Avaliação da Linguagem (MTL-BR), o Instrumento de Avaliação Neuropsicológica Breve (NEUPSILIN-Af), o Mini-Exame do Estado Mental (MEEM) e a escala Functional Assessment Communication Skills (ASHA-FACS) pré e pós-terapia. Foi aplicado um teste de linha de base com 50 palavras, sendo 25 substantivos e 25 verbos, para obter dados sobre a capacidade de nomeação. As sessões ocorreram duas vezes por semana, com duração de 50 minutos. A intervenção baseou-se em um conjunto de 25 imagens de substantivos e verbos, nas modalidades oral e escrita durante seis sessões, para cada categoria. Nas três sessões finais, foram acrescentadas 10 figuras de substantivos e 10 figuras de verbos em sentenças. Na pós-terapia, a linha de base final apresentou aumento do vocabulário de substantivos e verbos. Na avaliação pós-intervenção, o paciente apresentou melhora em algumas tarefas da Bateria MTL-BR, tarefas do NEUPSILIN-Af. Foi relatada melhora nos aspectos de comunicação social e planejamento diário no ASHA-FACS. Em conclusão, a terapia de recuperação de palavras foi eficaz neste caso, pois houve aumento do vocabulário e melhora em diversos aspectos linguísticos, comunicativos e cognitivos.
Palavras-chave
Referencias
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Submitted date:
17/01/2019
Accepted date:
30/08/2019
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