The Relationship of Aphasia Type and Gesture Production in People With Aphasia Purpose For many individuals with aphasia, gestures form a vital component of message transfer and are the target of speech-language pathology intervention. What remains unclear are the participant variables that predict successful outcomes from gesture treatments. The authors examined the gesture production of a large number of individuals with aphasia—in ... Research Article
Research Article  |   November 01, 2013
The Relationship of Aphasia Type and Gesture Production in People With Aphasia
 
Author Affiliations & Notes
  • Kazuki Sekine
    University of Birmingham, West Midlands, United Kingdom
    Japan Society for the Promotion of Science, Tokyo, Japan
  • Miranda L. Rose
    La Trobe University, Melbourne, Australia
    Centre for Clinical Research Excellence in Aphasia Rehabilitation, Brisbane, Queensland, Australia
  • Correspondence to Kazuki Sekine: kazuki@tkc.att.ne.jp
  • Editor: Carol Scheffner Hammer
    Editor: Carol Scheffner Hammer×
  • Associate Editor: Heather Wright
    Associate Editor: Heather Wright×
Article Information
Language Disorders / Aphasia / Research Articles
Research Article   |   November 01, 2013
The Relationship of Aphasia Type and Gesture Production in People With Aphasia
American Journal of Speech-Language Pathology, November 2013, Vol. 22, 662-672. doi:10.1044/1058-0360(2013/12-0030)
History: Received March 28, 2012 , Revised July 30, 2012 , Accepted May 19, 2013
 
American Journal of Speech-Language Pathology, November 2013, Vol. 22, 662-672. doi:10.1044/1058-0360(2013/12-0030)
History: Received March 28, 2012; Revised July 30, 2012; Accepted May 19, 2013
Web of Science® Times Cited: 6

Purpose For many individuals with aphasia, gestures form a vital component of message transfer and are the target of speech-language pathology intervention. What remains unclear are the participant variables that predict successful outcomes from gesture treatments. The authors examined the gesture production of a large number of individuals with aphasia—in a consistent discourse sampling condition and with a detailed gesture coding system—to determine patterns of gesture production associated with specific types of aphasia.

Method The authors analyzed story retell samples from AphasiaBank (TalkBank, n.d.), gathered from 98 individuals with aphasia resulting from stroke and 64 typical controls. Twelve gesture types were coded. Descriptive statistics were used to describe the patterns of gesture production. Possible significant differences in production patterns according to aphasia type were examined using a series of chi-square, Fisher exact, and logistic regression statistics.

Results A significantly higher proportion of individuals with aphasia gestured as compared to typical controls, and for many individuals with aphasia, this gesture was iconic and was capable of communicative load. Aphasia type impacted significantly on gesture type in specific identified patterns, detailed here.

Conclusion These type-specific patterns suggest the opportunity for gestures as targets of aphasia therapy.

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