Cortical and Behavioral Correlates of Alexia in Primary Progressive Aphasia and Alzheimer's Disease.

The underlying causes of reading impairment in neurodegenerative disease are not well understood. The current study seeks to determine the causes of surface alexia and phonological alexia in primary progressive aphasia (PPA) and typical (amnestic) Alzheimer's disease (AD). Participants included 24 with the logopenic variant (lvPPA), 17 with the nonfluent/agrammatic variant (nfvPPA), 12 with the semantic variant (svPPA), 19 with unclassifiable PPA (uPPA), and 16 with AD.

An international core outcome set for primary progressive aphasia (COS-PPA): Consensus-based recommendations for communication interventions across research and clinical settings.

Introduction: Interventions to treat speech-language difficulties in primary progressive aphasia (PPA) often use word accuracy as a highly comparable outcome. However, there are more constructs of importance to people with PPA that have received less attention.

Methods: Following Core Outcome Set Standards for Development Recommendations (COSSTAD), this study comprised: Stage 1 - systematic review to identify measures; Stage 2 - consensus groups to identify important outcome constructs for people with PPA (n = 82) and care partners (n = 91); Stage 3 - e-Delphi consensus with 57 researchers.

Baseline Conceptual-Semantic Impairment Predicts Longitudinal Treatment Effects for Anomia in Primary Progressive Aphasia and Alzheimer's Disease.

Background: An individual's diagnostic subtype may fail to predict the efficacy of a given type of treatment for anomia. Classification by conceptual-semantic impairment may be more informative.

Aims: This study examined the effects of conceptual-semantic impairment and diagnostic subtype on anomia treatment effects in primary progressive aphasia (PPA) and Alzheimer's disease (AD).

Grammatical Ability Predicts Relative Action Naming Impairment in Primary Progressive Aphasia.

Background: Findings from several studies have indicated that participants with nfvPPA and participants with svPPA exhibit different patterns on action and object naming tasks, while other recent studies have found that neither participants with nfvPPA nor participants with svPPA show a significant difference in accuracy between object naming and action naming.

Aims: The goal of this study was to test the hypothesis that relative action naming impairment is associated with grammatical ability in PPA, rather than a specific subtype of PPA.

Methods & Procedures: Thirty-four participants with PPA completed the Boston Naming Test, the Action Naming subtest of the Boston Diagnostic Aphasia Examination, and the Northwestern Anagram Test, which was used to measure grammatical ability.

Long-Term maintenance of anomia treatment effects in primary progressive aphasia.

This study examined the maintenance of anomia treatment effects in primary progressive aphasia (PPA). Following baseline testing, a phonological treatment and an orthographic treatment were administered over the course of six months. The treatment stimuli consisted of nouns that were consistently named correctly at baseline (Prophylaxis items) and/or nouns that were consistently named incorrectly at baseline (Remediation items).

The Relationship Between Baseline Volume in Temporal Areas and Post-Treatment Naming Accuracy in Primary Progressive Aphasia.

Background: Structural imaging has not been used previously to predict the effect of treatment in primary progressive aphasia (PPA).

Aims: This study examined relationships between baseline brain volume and the effects of phonological and orthographic treatments for anomia in PPA. It was predicted that lower baseline volume would be associated with lower post-treatment naming accuracy for treated items and smaller generalization effects.

Telerehabilitation of Anomia in Primary Progressive Aphasia.

Background: The efficacy of telerehabilitation-based treatment for anomia has been demonstrated in post-stroke aphasia, but the efficacy of this method of anomia treatment delivery has not been established within the context of degenerative illness.

Aims: The current study evaluated the feasibility and efficacy of a telerehabilitation-based approach to anomia treatment within the three subtypes of primary progressive aphasia (PPA).

Methods & Procedures: Each of the three telerehabilitation participants represented a distinct subtype of PPA.

Prophylaxis and remediation of anomia in the semantic and logopenic variants of primary progressive aphasia.

This study evaluated the efficacy of phonological and orthographic treatments for anomia in the semantic and logopenic variants of primary progressive aphasia (svPPA and lvPPA, respectively). Both treatments were administered for 6 months. The treatment stimuli consisted of nouns that were consistently named correctly at baseline (prophylaxis items) and/or nouns that were consistently named incorrectly at baseline (remediation items).

Prophylactic Treatments for Anomia in the Logopenic Variant of Primary Progressive Aphasia: Cross-Language Transfer.

Background: Treatment studies for anomia in PPA have rarely compared multiple treatments in the same individual, and few anomia treatment studies have included participants with the logopenic variant of PPA (lvPPA).

Aims: The goals of this study were to evaluate two types of treatment for anomia in a bilingual participant (ND) with lvPPA, and to examine possible cross-language transfer of treatment effects.

Methods & Procedures: ND is a Norwegian-English bilingual woman with lvPPA who began this study at the age of 69.

Phonological short-term memory in logopenic variant primary progressive aphasia and mild Alzheimer's disease.

It has been argued that individuals with logopenic variant primary progressive aphasia (lvPPA) have an impairment of the phonological loop, which is a component of the short-term memory (STM) system. In contrast, this type of impairment is not thought to be present in mild typical Alzheimer's disease (AD). Thus, one would predict that people with lvPPA would score significantly lower than a matched AD group on tasks that require phonological STM.

A "concrete view" of aging: event related potentials reveal age-related changes in basic integrative processes in language.

Normal aging is accompanied by changes in both structural and functional cerebral organization. Although verbal knowledge seems to be relatively stable across the lifespan, there are age-related changes in the rapid use of that knowledge during on-line language processing. In particular, aging has been linked to reduce effectiveness in preparing for upcoming words and building an integrated sentence-level representation.

Tracking Passive Sentence Comprehension in Agrammatic Aphasia.

People with agrammatic aphasia often experience greater difficulty comprehending passive compared to active sentences. The Trace Deletion Hypothesis (TDH; Grodzinsky, 2000) proposes that aphasic individuals cannot generate accurate syntactic representations of passive sentences and, hence, use an agent-first processing strategy which leads to at-chance performance. We tested this claim using the eyetracking-while-listening paradigm in order to reveal online processing routines.

Event-related potentials reveal the effects of aging on meaning selection and revision.

ERPs were recorded as older adults decided if a target word was related to a lateralized ambiguous or unambiguous prime; prime-target pairs were preceded by a related or unrelated context word. In an unrelated context, N400 facilitation effects differed from those seen in young adults, with older adults showing priming for the dominant meaning (e.g.

The divided visual world paradigm: eye tracking reveals hemispheric asymmetries in lexical ambiguity resolution.

Eye tracking was combined with the visual half-field procedure to examine hemispheric asymmetries in meaning selection and revision. In two experiments, gaze was monitored as participants searched a four-word array for a target that was semantically related to a lateralized ambiguous or unambiguous prime. Primes were preceded by a related or unrelated centrally-presented context word.

What's "right" in language comprehension: ERPs reveal right hemisphere language capabilities.

Although the term "nonverbal" is often applied to the right cerebral hemisphere (RH), a growing body of work indicates that the RH can comprehend language and, indeed, that it makes critical contributions to normal language functions. Reviewed here are studies that have examined RH language capabilities by combining visual half-field presentation methods with event-related potential (ERP) measures. Because they afford temporal and functional specificity and can be obtained as participants simply process language for meaning, ERPs provide especially valuable insights into RH language functions.

The effects of context, meaning frequency, and associative strength on semantic selection: distinct contributions from each cerebral hemisphere.

The visual half-field procedure was used to examine hemispheric asymmetries in meaning selection. Event-related potentials were recorded as participants decided if a lateralized ambiguous or unambiguous prime was related in meaning to a centrally presented target. Prime-target pairs were preceded by a related or unrelated centrally presented context word.