Releasing the Constraints on Aphasia Therapy: The Positive Impact of Gesture and Multimodality Treatments Purpose There is a 40-year history of interest in the use of arm and hand gestures in treatments that target the reduction of aphasic linguistic impairment and compensatory methods of communication (Rose, 2006). Arguments for constraining aphasia treatment to the verbal modality have arisen from proponents of constraint-induced aphasia therapy ... Supplement Article
Supplement Article  |   May 01, 2013
Releasing the Constraints on Aphasia Therapy: The Positive Impact of Gesture and Multimodality Treatments
 
Author Affiliations & Notes
  • Miranda L. Rose
    La Trobe University, Bundoora, Victoria, Australia
  • Correspondence to Miranda L. Rose: m.rose@latrobe.edu.au
  • Editor: Swathi Kiran
    Editor: Swathi Kiran×
  • Associate Editor: Anastasia Raymer
    Associate Editor: Anastasia Raymer×
Article Information
Language Disorders / Aphasia / Supplement: Select Papers From the 42nd Clinical Aphasiology Conference
Supplement Article   |   May 01, 2013
Releasing the Constraints on Aphasia Therapy: The Positive Impact of Gesture and Multimodality Treatments
American Journal of Speech-Language Pathology, May 2013, Vol. 22, S227-S239. doi:10.1044/1058-0360(2012/12-0091)
History: Received July 30, 2012 , Revised September 16, 2012 , Accepted September 25, 2012
 
American Journal of Speech-Language Pathology, May 2013, Vol. 22, S227-S239. doi:10.1044/1058-0360(2012/12-0091)
History: Received July 30, 2012; Revised September 16, 2012; Accepted September 25, 2012
Web of Science® Times Cited: 12

Purpose There is a 40-year history of interest in the use of arm and hand gestures in treatments that target the reduction of aphasic linguistic impairment and compensatory methods of communication (Rose, 2006). Arguments for constraining aphasia treatment to the verbal modality have arisen from proponents of constraint-induced aphasia therapy (Pulvermüller et al., 2001). Confusion exists concerning the role of nonverbal treatments in treating people with aphasia. The central argument of this paper is that given the state of the empirical evidence and the strong theoretical accounts of modality interactions in human communication, gesture-based and multimodality aphasia treatments are at least as legitimate an option as constraint-based aphasia treatment.

Method Theoretical accounts of modality interactions in human communication and the gesture production abilities of individuals with aphasia that are harnessed in treatments are reviewed. The negative effects on word retrieval of restricting gesture production are also reviewed, and an overview of the neurological architecture subserving language processing is provided as rationale for multimodality treatments. The evidence for constrained and unconstrained treatments is critically reviewed.

Conclusion Together, these data suggest that constraint treatments and multimodality treatments are equally efficacious, and there is limited support for constraining client responses to the spoken modality.

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