PMID- 20379961 OWN - NLM STAT- MEDLINE DCOM- 20100714 LR - 20220311 IS - 1098-9056 (Electronic) IS - 0734-0478 (Linking) VI - 31 IP - 1 DP - 2010 Feb TI - Oral reading for language in aphasia: impact of aphasia severity on cross-modal outcomes in chronic nonfluent aphasia. PG - 42-51 LID - 10.1055/s-0029-1244952 [doi] AB - This study examined the efficacy of a treatment, Oral Reading for Language in Aphasia (ORLA), for individuals with chronic nonfluent aphasia of varying severity levels. With ORLA, the person with aphasia systematically and repeatedly reads sentences aloud, first in unison with the clinician and then independently. Following a period of no treatment, 25 individuals with chronic nonfluent aphasia received 24 sessions of ORLA, 1 to 3 times per week. A small, but significant mean change in the Western Aphasia Battery (WAB) Aphasia Quotient (AQ) was obtained from pre- to post-treatment. When subjects were divided by severity, medium effect sizes were obtained for all severity levels from pre- to post-treatment for the WAB AQ. Medium effect sizes were obtained for the severe aphasia group on the WAB reading subtests only, for the moderate aphasia group on the discourse measures only, and for the mild to moderate aphasia group on both the discourse and WAB writing subtests. Although more intensive therapy is preferred, individuals with chronic nonfluent aphasia may improve their language skills with low-intensity ORLA treatment, and differences in modality-specific outcomes may be anticipated based on the severity of the aphasia. CI - Thieme Medical Publishers. FAU - Cherney, Leora R AU - Cherney LR AD - Center for Aphasia Research and Treatment, Rehabilitation Institute of Chicago, USA. Lcherney@ric.org LA - eng PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20100408 PL - United States TA - Semin Speech Lang JT - Seminars in speech and language JID - 8405117 SB - IM MH - Adult MH - Aged MH - Aphasia, Broca/diagnosis/*therapy MH - Chronic Disease MH - *Comprehension MH - Female MH - Follow-Up Studies MH - Humans MH - Language Tests MH - *Language Therapy MH - Male MH - Middle Aged MH - Phonetics MH - Practice, Psychological MH - *Reading MH - *Speech Perception MH - Speech Production Measurement MH - Stroke/complications MH - *Verbal Behavior EDAT- 2010/04/10 06:00 MHDA- 2010/07/16 06:00 CRDT- 2010/04/10 06:00 PHST- 2010/04/10 06:00 [entrez] PHST- 2010/04/10 06:00 [pubmed] PHST- 2010/07/16 06:00 [medline] AID - 10.1055/s-0029-1244952 [doi] PST - ppublish SO - Semin Speech Lang. 2010 Feb;31(1):42-51. doi: 10.1055/s-0029-1244952. Epub 2010 Apr 8.