Disclaimer: this resource is intended for speech and language therapists and students of this profession. If you require therapy for aphasia please contact a speech and language therapist.
Gestural Facilitation of Naming (GES)
Summary: An approach that seeks to facilitate verbal naming by modelling/training the use of corresponding gestures.
Example:
1) The therapist presents the client with an image of a target action or object.
2) The therapist models appropriate gesture and verbal form of target.
3) The client attempts the gesture (the therapist may need to manipulate and guide the client’s limb).
4) The client practises the verbal form of the target with additional modelling and cues from the therapist as necessary.
5) The client performs gesture and verbal target simultaneously 3 times.
6) After a delay, the therapist asks the client to perform the gesture with the verbal target once more.
Adapted from Raymer (2015).
1) The therapist presents the client with an image of a target action or object.
2) The therapist models appropriate gesture and verbal form of target.
3) The client attempts the gesture (the therapist may need to manipulate and guide the client’s limb).
4) The client practises the verbal form of the target with additional modelling and cues from the therapist as necessary.
5) The client performs gesture and verbal target simultaneously 3 times.
6) After a delay, the therapist asks the client to perform the gesture with the verbal target once more.
Adapted from Raymer (2015).
Evidence Base: In a study of 4 participants with word retrieval difficulties, Rodriguez et al. (2006) found a semantic-phonological word retrieval approach (i.e. semantic and phonological cues) to be more effective than gesture facilitation for verb retrieval.
Raymer et al. (2012) compared the effects of drill-based errorless naming therapy (see link to Errorless Learning at bottom of page) with gestural facilitation for word retrieval (8 participants). Results indicate that errorless naming therapy and gestural facilitation were equally effective. Both resulted in improvements in naming, ranging from small to large effect sizes. Some generalisation was noted for 3 of the participants whose anomia was phonologic in nature (i.e. not impairments of the central semantic system). All participants saw a significant increase in use of gesture for trained words. Results were mostly maintained one month post-therapy.
The majority of studies into the effects of gestural facilitation on word retrieval do not show generalisation to untrained words (Rodriguez et al., 2006).
Note: Use of gesture is typically more impaired in non-fluent aphasia (Le May et al., 1988). Additionally, the presence of apraxia is likely to complicate the use of gestural facilitation (Hogrefe et al., 2012) although there are reports of gestural approaches being used with clients who have severe limb apraxia (Raymer et al., 2006 cited in Raymer et al., 2012).
Raymer et al. (2012) compared the effects of drill-based errorless naming therapy (see link to Errorless Learning at bottom of page) with gestural facilitation for word retrieval (8 participants). Results indicate that errorless naming therapy and gestural facilitation were equally effective. Both resulted in improvements in naming, ranging from small to large effect sizes. Some generalisation was noted for 3 of the participants whose anomia was phonologic in nature (i.e. not impairments of the central semantic system). All participants saw a significant increase in use of gesture for trained words. Results were mostly maintained one month post-therapy.
The majority of studies into the effects of gestural facilitation on word retrieval do not show generalisation to untrained words (Rodriguez et al., 2006).
Note: Use of gesture is typically more impaired in non-fluent aphasia (Le May et al., 1988). Additionally, the presence of apraxia is likely to complicate the use of gestural facilitation (Hogrefe et al., 2012) although there are reports of gestural approaches being used with clients who have severe limb apraxia (Raymer et al., 2006 cited in Raymer et al., 2012).
References
Hogrefe K., Ziegler W., Weidinger N., & Goldenberg G., 2012. Non-verbal communication in severe aphasia: Influence of aphasia, apraxia, or semantic processing? Cortex, 48, 952–962
Le May, A., David, R., & Thomas, A.P., 1988. The use of spontaneous gesture by aphasic patients. Aphasiology, 2, 137-145
Raymer, A.M., 2015. Clinical diagnosis and treatment of naming disorders. In: Hillis, A.E. ed. The handbook of adult language disorders. 2nd ed. Hove: Psychology Press, 161-185
Raymer, A.M., McHose, B., Smith, K.G., Iman, L., Ambrose, A., & Casselton, C., 2012. Contrasting effects of errorless naming treatment and gestural facilitation for word retrieval in aphasia. Neuropsychological Rehabilitation, 22(2), 235-266
Rodriguez, A., Raymer, A., & Rothi, L.J.G., 2006. Effects of gesture+verbal and semantic‐phonologic treatments for verb retrieval in aphasia. Aphasiology, 20(2-4), 286-297
Hogrefe K., Ziegler W., Weidinger N., & Goldenberg G., 2012. Non-verbal communication in severe aphasia: Influence of aphasia, apraxia, or semantic processing? Cortex, 48, 952–962
Le May, A., David, R., & Thomas, A.P., 1988. The use of spontaneous gesture by aphasic patients. Aphasiology, 2, 137-145
Raymer, A.M., 2015. Clinical diagnosis and treatment of naming disorders. In: Hillis, A.E. ed. The handbook of adult language disorders. 2nd ed. Hove: Psychology Press, 161-185
Raymer, A.M., McHose, B., Smith, K.G., Iman, L., Ambrose, A., & Casselton, C., 2012. Contrasting effects of errorless naming treatment and gestural facilitation for word retrieval in aphasia. Neuropsychological Rehabilitation, 22(2), 235-266
Rodriguez, A., Raymer, A., & Rothi, L.J.G., 2006. Effects of gesture+verbal and semantic‐phonologic treatments for verb retrieval in aphasia. Aphasiology, 20(2-4), 286-297
|
|
