Intérêt d'un entraînement exécutif via le logiciel Cogniplus pour le langage de patients aphasiques non-fluents avec persévérations et stéréotypies

Abstract : Perseverations and speech automatisms are a major obstacle to language recovery in non-fluent aphasias. Executive dysfunctions are thought to be responsible for their persistence. Among those dysfunctions, a lack of inhibition may impair the language regulation capacity. We proposed a bimodal rehabilitation: speech and language therapy (focused on phonological aspects and naming) and neuropsychological therapy (executive training on Cogniplus software). Our objectives were to examine the training impacts on language recovery, perseverations and speech automatisms frequency and communication skills.
Two cases (6 weeks and 1 year post left ischemic stroke) were involved in this study. During 7 weeks, both underwent weekly 4 to 5 speech and language therapy sessions and 3 to 4 Cogniplus training sessions. Pre- and post-treatment evaluations included a standardized language assessment, a neuropsychological assessment and more specific measures regarding communication skills and perseverations and speech automatisms evolution.
Major results are: a decrease of perseverations and speech automatisms, and an improvement in different verbal language subtests (naming, repetition, verbal fluency and oral reading), for both patients. Non-verbal language subtests (comprehension) has improved for one patient. Moreover, a slight improvement in communication skills is being observed by patients’ relatives. Our work results suggest the benefits of a therapy that would both target the language and executive deficits of aphasic patients with perseverations and speech automatisms. Additional research is needed to confirm our results.
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Master Thesis
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Marie-Alix Ludmann-Olivier. Intérêt d'un entraînement exécutif via le logiciel Cogniplus pour le langage de patients aphasiques non-fluents avec persévérations et stéréotypies. Médecine humaine et pathologie. 2019. ⟨dumas-02180296⟩

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