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Article: Positive changes to written language following phonological treatment in logopenic variant primary progressive aphasia: Case report.

Nickels, Katlyn / Beeson, Pélagie M / Rising, Kindle / Jebahi, Fatima / Kielar, Aneta

2023 Volume 16, Page(s) 1006350

Abstract: Phonological impairment contributes to deficits in repetition and spoken naming in logopenic variant Primary Progressive Aphasia (lvPPA), but weakened phonology can also affect written language skills. In this experimental case report, we demonstrate ... ...

Abstract	Phonological impairment contributes to deficits in repetition and spoken naming in logopenic variant Primary Progressive Aphasia (lvPPA), but weakened phonology can also affect written language skills. In this experimental case report, we demonstrate phonological text agraphia in a 71-year-old woman in the early stages of lvPPA that undermined her ability to write meaningful, grammatical sentences. We investigated the therapeutic value of a rigorous treatment protocol to strengthen phonological manipulation skills coupled with transcranial direct current stimulation (tDCS). Intervention took place 5 days a week for 2 weeks with active tDCS, followed by a 2-month rest period, and then a second period of phonological treatment with sham tDCS. Over the course of treatment, our participant demonstrated improved phonological transcoding and manipulation skills as well as marked improvement in the proportion of grammatically well-formed, meaningful written narratives. Improvements in spelling and letter selection were also observed. Treatment gains were documented during phonological intervention in both active tDCS and sham treatment phases and were maintained 2 months after the conclusion of intervention. Importantly, improvements were observed in the context of a progressive disorder. These data present compelling evidence regarding the impairment-based approach that targets compromised phonological skills, presenting opportunity for improving functional written communication skills relevant to the everyday lives of individuals with lvPPA.
Language	English
Publishing date	2023-01-25
Publishing country	Switzerland
Document type	Case Reports
ZDB-ID	2425477-0
ISSN	1662-5161
ISSN	1662-5161
DOI	10.3389/fnhum.2022.1006350
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Common predictors of spoken and written language performance in aphasia, alexia, and agraphia.

Beeson, Pélagie M / Rising, Kindle / Sachs, Alyssa / Rapcsak, Steven Z

Frontiers in human neuroscience

2022 Volume 16, Page(s) 1025468

Abstract: Language performance requires support from central cognitive/linguistic abilities as well as the more peripheral sensorimotor skills to plan and implement spoken and written communication. Both output modalities are vulnerable to impairment following ... ...

Abstract	Language performance requires support from central cognitive/linguistic abilities as well as the more peripheral sensorimotor skills to plan and implement spoken and written communication. Both output modalities are vulnerable to impairment following damage to the language-dominant hemisphere, but much of the research to date has focused exclusively on spoken language. In this study we aimed to examine an integrated model of language processing that includes the common cognitive processes that support spoken and written language, as well as modality-specific skills. To do so, we evaluated spoken and written language performance from 87 individuals with acquired language impairment resulting from damage to left perisylvian cortical regions that collectively constitute the dorsal language pathway. Comprehensive behavioral assessment served to characterize the status of central and peripheral components of language processing in relation to neurotypical controls (
Language	English
Publishing date	2022-11-07
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2425477-0
ISSN	1662-5161
ISSN	1662-5161
DOI	10.3389/fnhum.2022.1025468
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Article ; Online: A Retrospective Study of Long-Term Improvement on the Boston Naming Test.

Sachs, Alyssa / Rising, Kindle / Beeson, Pélagie M

American journal of speech-language pathology

2019 Volume 29, Issue 1S, Page(s) 425–436

Abstract: Purpose Lexical retrieval impairment is a universal characteristic of aphasia and a common treatment focus. Although naming improvement is well documented, there is limited information to shape expectations regarding long-term recovery. This was the ... ...

Abstract	Purpose Lexical retrieval impairment is a universal characteristic of aphasia and a common treatment focus. Although naming improvement is well documented, there is limited information to shape expectations regarding long-term recovery. This was the motivation for a retrospective study of longitudinal data on the Boston Naming Test (BNT; Kaplan, Goodglass, & Weintraub, 1983, 2000). Method BNT scores were analyzed from a heterogeneous cohort of 42 individuals with anomia associated with a range of aphasia types. The data were collected over the course of 20 years from individuals who had participated in treatment and received at least 2 BNT administrations. A linear mixed model was implemented to evaluate effects of initial BNT score, time postonset, and demographic variables. For those over 55 years of age, BNT change was evaluated relative to data from the Mayo Clinic's Older Americans Normative Studies. Results There was a significant average improvement of +7.67 points on the BNT in individuals followed for an average of 2 years. Overall, the average rate of improvement was +5.84 points per year, in contrast to a decline of 0.23 points per year in a healthy adult cohort from the Mayo Clinic's Older Americans Normative Studies. Naming recovery was approximately linear, with significant main effects of initial BNT score (i.e., initial severity) and time postonset; the greatest changes were noted in those whose initial severity was moderate. Conclusions These findings indicate a positive prognosis for naming improvement over time regardless of demographic factors and provide estimates for clinical predictions for those who seek rehabilitation during the chronic phase.
MeSH term(s)	Aged ; Anomia/etiology ; Anomia/rehabilitation ; Aphasia/classification ; Aphasia/complications ; Aphasia/rehabilitation ; Case-Control Studies ; Female ; Humans ; Language Tests/statistics & numerical data ; Longitudinal Studies ; Male ; Middle Aged ; Retrospective Studies ; Severity of Illness Index ; Time Factors
Language	English
Publishing date	2019-08-16
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	1154406-5
ISSN	1558-9110 ; 1058-0360
ISSN (online)	1558-9110
ISSN	1058-0360
DOI	10.1044/2019_AJSLP-CAC48-18-0224
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Book: Communication and communication disorders

Plante, Elena / Beeson, Pelagie M

a clinical introduction

(Allyn & Bacon communication sciences and disorders series)

2013

Author's details	Elena Plante, Pélagie M. Beeson
Series title	Allyn & Bacon communication sciences and disorders series
MeSH term(s)	Communication Disorders ; Communication ; Speech-Language Pathology
Language	English
Size	xvii, 390 p. :, ill., ports. ;, 24 cm.
Edition	4th ed.
Publisher	Pearson
Publishing place	Boston
Document type	Book
ISBN	9780132658126 ; 0132658127
Database	Catalogue of the US National Library of Medicine (NLM)

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Article ; Online: Examining speech motor planning difficulties in apraxia of speech and aphasia via the sequential production of phonetically similar words.

Mailend, Marja-Liisa / Maas, Edwin / Beeson, Pélagie M / Story, Brad H / Forster, Kenneth I

Cognitive neuropsychology

2020 Volume 38, Issue 1, Page(s) 72–87

Abstract: This study investigated the underlying nature of apraxia of speech (AOS) by testing two competing hypotheses. ... ...

Abstract	This study investigated the underlying nature of apraxia of speech (AOS) by testing two competing hypotheses. The
MeSH term(s)	Adult ; Aged ; Aphasia/physiopathology ; Apraxias/physiopathology ; Female ; Humans ; Male ; Middle Aged ; Phonetics ; Reaction Time ; Speech ; Speech Disorders/physiopathology ; Speech Production Measurement/methods
Language	English
Publishing date	2020-11-29
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	226406-7
ISSN	1464-0627 ; 0264-3294
ISSN (online)	1464-0627
ISSN	0264-3294
DOI	10.1080/02643294.2020.1847059
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Article ; Online: Maximising recovery from aphasia with central and peripheral agraphia: The benefit of sequential treatments.

Beeson, Pélagie M / Bayley, Chelsea / Shultz, Christine / Rising, Kindle

Neuropsychological rehabilitation

2018 Volume 29, Issue 9, Page(s) 1399–1425

Abstract: Maximal recovery from acquired language impairment may require progression from one behavioural treatment protocol to the next in order to build upon residual and relearned cognitive-linguistic and sensory-motor processes. We present a five-stage ... ...

Abstract	Maximal recovery from acquired language impairment may require progression from one behavioural treatment protocol to the next in order to build upon residual and relearned cognitive-linguistic and sensory-motor processes. We present a five-stage treatment sequence that was initiated at one year post stroke in a woman with acquired impairments of spoken and written language. As is typical of individuals with left perisylvian damage, she demonstrated marked impairment of phonological retrieval and sublexical phonology, but she also faced additional challenges due to impaired letter shape knowledge and visual attention. The treatment sequence included (1) written spelling of targeted words, (2) retraining sublexical sound-to-letter correspondences and phonological manipulation skills, (3) training strategic approaches to maximise interactive use of lexical, phonological, and orthographic knowledge, (4) lexical retrieval of spoken words, and finally (5) sentence-level stimulation to improve grammatical form of written narratives. This Phase II clinical study documented positive direct treatment outcomes along with evidence of a significant reduction in the underlying deficits and generalisation to untrained items and language tasks. Improvements on a comprehensive assessment battery were realised as functional gains in everyday written and spoken communication, including improved lexical retrieval and grammatical complexity of written narratives. This case provides a valuable example of the cumulative therapeutic benefit of sequential application of theoretically motivated treatment protocols.
MeSH term(s)	Aged ; Agraphia/physiopathology ; Agraphia/rehabilitation ; Aphasia/physiopathology ; Aphasia/rehabilitation ; Cerebral Cortex/pathology ; Cerebral Cortex/physiopathology ; Female ; Functional Laterality/physiology ; Humans ; Language Therapy/methods ; Neurological Rehabilitation/methods
Language	English
Publishing date	2018-01-03
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	1080508-4
ISSN	1464-0694 ; 0960-2011
ISSN (online)	1464-0694
ISSN	0960-2011
DOI	10.1080/09602011.2017.1417873
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Article ; Online: Engaging Faculty in Shifting Toward Holistic Review: Changing Graduate Admissions Procedures at a Land-Grant, Hispanic-Serving Institution.

Wong, Aileen A / Marrone, Nicole L / Fabiano-Smith, Leah / Beeson, Pélagie M / Franco, Marla A / Subbian, Vignesh / Lozano, Guadalupe I

American journal of speech-language pathology

2021 Volume 30, Issue 5, Page(s) 1925–1939

Abstract: Purpose The aim of this tutorial is to share lessons learned from a speech, language, and hearing sciences department at a land-grant, Hispanic-serving institution (HSI) after revising the graduate admissions review process and subsequent discussions ... ...

Abstract	Purpose The aim of this tutorial is to share lessons learned from a speech, language, and hearing sciences department at a land-grant, Hispanic-serving institution (HSI) after revising the graduate admissions review process and subsequent discussions related to equity in assessment. This tutorial describes the department as a case example and includes guiding questions that may be helpful for other organizations. Method An adaptive case study approach was used and centered on supporting students at Hispanic-serving institutions. The approach was characterized by structured collaborative reflection throughout the process and engagement of relevant stakeholders at multiple levels. The adaptive method allowed for interim synthesis of stakeholder discussions to inform subsequent phases of the reflection process. Results This tutorial shares critical motivations, barriers, facilitators, and phases that were identified in moving toward holistic evaluation for graduate admissions. Targeted areas for continued improvement related to diversity, equity, and inclusion are described. Conclusions This tutorial outlines lessons learned from changing graduate admissions practices toward holistic review. Self-reflection prompts are provided for institutions and organizations considering changes to their review process. In order to best support diverse communities, increased workforce diversity is needed in the speech, language, and hearing sciences professions, and holistic review practices are recommended as one way to support increased diversity, equity, and inclusion.
MeSH term(s)	Faculty ; Hispanic Americans ; Humans ; Students
Language	English
Publishing date	2021-08-31
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	1154406-5
ISSN	1558-9110 ; 1058-0360
ISSN (online)	1558-9110
ISSN	1058-0360
DOI	10.1044/2021_AJSLP-20-00383
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Article ; Online: Auditory-Perceptual Rating of Connected Speech in Aphasia.

Casilio, Marianne / Rising, Kindle / Beeson, Pélagie M / Bunton, Kate / Wilson, Stephen M

American journal of speech-language pathology

2019 Volume 28, Issue 2, Page(s) 550–568

Abstract: Purpose Auditory-perceptual assessment, in which trained listeners rate a large number of perceptual features of speech samples, is the gold standard for the differential diagnosis of motor speech disorders. The goal of this study was to investigate the ... ...

Abstract	Purpose Auditory-perceptual assessment, in which trained listeners rate a large number of perceptual features of speech samples, is the gold standard for the differential diagnosis of motor speech disorders. The goal of this study was to investigate the feasibility of applying a similar, formalized auditory-perceptual approach to the assessment of language deficits in connected speech samples from individuals with aphasia. Method Twenty-seven common features of connected speech in aphasia were defined, each of which was rated on a 5-point scale. Three experienced researchers evaluated 24 connected speech samples from the AphasiaBank database, and 12 student clinicians evaluated subsets of 8 speech samples each. We calculated interrater reliability for each group of raters and investigated the validity of the auditory-perceptual approach by comparing feature ratings to related quantitative measures derived from transcripts and clinical measures, and by examining patterns of feature co-occurrence. Results Most features were rated with good-to-excellent interrater reliability by researchers and student clinicians. Most features demonstrated strong concurrent validity with respect to quantitative connected speech measures computed from AphasiaBank transcripts and/or clinical aphasia battery subscores. Factor analysis showed that 4 underlying factors, which we labeled Paraphasia, Logopenia, Agrammatism, and Motor Speech, accounted for 79% of the variance in connected speech profiles. Examination of individual patients' factor scores revealed striking diversity among individuals classified with a given aphasia type. Conclusion Auditory-perceptual rating of connected speech in aphasia shows potential to be a comprehensive, efficient, reliable, and valid approach for characterizing connected speech in aphasia.
MeSH term(s)	Aged ; Aphasia/diagnosis ; Aphasia/psychology ; Feasibility Studies ; Female ; Humans ; Judgment ; Male ; Middle Aged ; Observer Variation ; Predictive Value of Tests ; Reproducibility of Results ; Speech ; Speech Perception ; Speech Production Measurement ; Speech-Language Pathology/methods ; Voice Quality
Language	English
Publishing date	2019-04-04
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	1154406-5
ISSN	1558-9110 ; 1058-0360
ISSN (online)	1558-9110
ISSN	1058-0360
DOI	10.1044/2018_AJSLP-18-0192
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Book: Communication and communication disorders

Plante, Elena / Beeson, Pelagie M

a clinical introduction

2008

Author's details	Elena Plante, Pélagie M. Beeson
MeSH term(s)	Communication Disorders ; Communication ; Speech-Language Pathology
Language	English
Size	xv, 367 p. :, ill., ports.
Edition	3rd ed.
Publisher	Pearson/Allyn and Bacon
Publishing place	Boston
Document type	Book
ISBN	9780205532094 ; 0205532098
Database	Catalogue of the US National Library of Medicine (NLM)

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Article ; Online: Speech motor planning in the context of phonetically similar words: Evidence from apraxia of speech and aphasia.

Mailend, Marja-Liisa / Maas, Edwin / Beeson, Pélagie M / Story, Brad H / Forster, Kenneth I

Neuropsychologia

2019 Volume 127, Page(s) 171–184

Abstract: The purpose of this study was to test two competing hypotheses about the nature of the impairment in apraxia of speech (AOS). The Reduced Buffer Capacity Hypothesis argues that people with AOS can hold only one syllable at a time in the speech motor ... ...

Abstract	The purpose of this study was to test two competing hypotheses about the nature of the impairment in apraxia of speech (AOS). The Reduced Buffer Capacity Hypothesis argues that people with AOS can hold only one syllable at a time in the speech motor planning buffer. The Program Retrieval Deficit Hypothesis, states that people with AOS have difficulty accessing the intended motor program in the context where several motor programs are activated simultaneously. The participants included eight speakers with AOS, most of whom also had aphasia, nine speakers with aphasia without AOS, and 25 age-matched control speakers. The experimental paradigm prompted single word production following three types of primes. In most trials, prime and target were the same (e.g., bill-bill). On some trials, the initial consonant differed in one phonetic feature (e.g., bill-dill; Similar) or in all phonetic features (fill-bill; Different). The dependent measures were accuracy and reaction time. The results revealed a switch cost - longer reaction times in trials where the prime and target differed compared to trials where they were the same words - in all groups; however, the switch cost was significantly larger in the AOS group compared to the other two groups. These findings are in line with the prediction of the Program Retrieval Deficit Hypothesis and suggest that speakers with AOS have difficulty with selecting one program over another when several programs compete for selection.
MeSH term(s)	Adult ; Aged ; Anticipation, Psychological ; Aphasia/psychology ; Apraxias ; Female ; Humans ; Individuality ; Male ; Middle Aged ; Phonetics ; Psychomotor Performance ; Reaction Time ; Speech ; Speech Disorders/psychology
Language	English
Publishing date	2019-02-25
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	207151-4
ISSN	1873-3514 ; 0028-3932
ISSN (online)	1873-3514
ISSN	0028-3932
DOI	10.1016/j.neuropsychologia.2019.02.018
Database	MEDical Literature Analysis and Retrieval System OnLINE

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