Madden Elizabeth Brookshire, Robinson Reva M, Kendall Diane L
School of Communication Science and Disorders, Florida State University, Tallahassee, Florida.
Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington.
Semin Speech Lang. 2017 Feb;38(1):62-74. doi: 10.1055/s-0036-1597258. Epub 2017 Feb 15.
This article provides an overview of phonological treatment approaches for anomia in individuals with aphasia. The role of phonology in language processing, as well as the impact of phonological impairment on communication is initially discussed. Then, traditional phonologically based treatment approaches, including phonological, orthographic, indirect, guided, and mixed cueing methods, are described. Collectively, these cueing treatment approaches aim to facilitate word retrieval by stimulating residual phonological abilities. An alternative treatment approach, phonomotor treatment, is also examined. Phonomotor treatment aims to rebuild sublexical, phonological sequence knowledge and phonological awareness as a means to strengthen lexical processing and whole-word naming. This treatment is supported by a parallel-distributed processing model of phonology and therefore promotes multimodal training of individual phonemes and phoneme sequences in an effort to enhance the neural connectivity supporting underlying phonological processing mechanisms. The article concludes with suggestions for clinical application and implementation.
本文概述了失语症患者命名障碍的语音治疗方法。首先讨论了语音在语言处理中的作用，以及语音障碍对交流的影响。然后，描述了传统的基于语音的治疗方法，包括语音、正字法、间接、引导和混合提示方法。总体而言，这些提示治疗方法旨在通过刺激残余语音能力来促进词汇检索。还研究了一种替代治疗方法——语音运动治疗。语音运动治疗旨在重建次词汇、语音序列知识和语音意识，以此加强词汇处理和整词命名。这种治疗得到了语音的并行分布式处理模型的支持，因此促进了单个音素和音素序列的多模态训练，以增强支持潜在语音处理机制的神经连接。文章最后给出了临床应用和实施的建议。
