Abstract | PURPOSE: Damage to left ventral occipito-temporal cortex can give rise to written language impairment characterized by pure alexia/letter-by-letter (LBL) reading, as well as surface alexia and agraphia. The purpose of this study was to examine the therapeutic effects of a combined treatment approach to address concurrent LBL reading with surface alexia/ agraphia. METHOD: Simultaneous treatment to address slow reading and errorful spelling was administered to 3 individuals with reading and spelling impairments after left ventral occipito-temporal damage due to posterior cerebral artery stroke. Single-word reading/spelling accuracy, reading latencies, and text reading were monitored as outcome measures for the combined effects of multiple oral re-reading treatment and interactive spelling treatment. RESULTS:
After treatment, participants demonstrated faster and more accurate single-word reading and improved text-reading rates. Spelling accuracy also improved, particularly for untrained irregular words, demonstrating generalization of the trained interactive spelling strategy. CONCLUSION: This case series characterizes concomitant LBL with surface alexia/ agraphia and demonstrates a successful treatment approach to address both the reading and spelling impairment.
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Authors | Esther S Kim, Kindle Rising, Steven Z Rapcsak, Pélagie M Beeson |
Journal | Journal of speech, language, and hearing research : JSLHR
(J Speech Lang Hear Res)
Vol. 58
Issue 5
Pg. 1521-37
(Oct 2015)
ISSN: 1558-9102 [Electronic] United States |
PMID | 26110814
(Publication Type: Case Reports, Journal Article, Research Support, N.I.H., Extramural)
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Topics |
- Aged
- Aged, 80 and over
- Agraphia
(etiology, therapy)
- Alexia, Pure
(etiology, therapy)
- Case-Control Studies
- Female
- Humans
- Infarction, Posterior Cerebral Artery
(complications)
- Language Therapy
(methods)
- Male
- Patient Satisfaction
- Reading
- Temporal Lobe
- Time Factors
- Treatment Outcome
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