Folia Phoniatrica et Logopaedica最新文献

{"title":"Syntactic Scrambling in Broca's Aphasia: Turkish Sample.","authors":"Berkay Arslan, Müge Müzeyyen Çiyiltepe, Müzeyyen Karaman","doi":"10.1159/000543595","DOIUrl":"https://doi.org/10.1159/000543595","url":null,"abstract":"<p><strong>Introduction: </strong>Broca's Aphasia (BA) is a language disorder that causes grammatical errors in the language production skills of patients. Contemporary studies revealed the fact that BA patients also have difficulty in analyzing the meaning of phrases and sentences and comprehending the real meaning of the discourse produced by the speaker. The purpose of this study is to investigate possible effect of syntactic movement by changing the word positions in the sentence with morphological markers in order to produce clauses without changing the meaning on the phrasal comprehension skills of Turkish speaking patients with BA.</p><p><strong>Method: </strong>A total of 300 participants were divided as study (n= 150) and control (n= 150) groups between ages of 27 - 89. A test that included 20 relative clauses and 9 noun clauses (in total 29 phrases) was assigned to the BA patients and control group. Relative clause phrases originated from simple sentences by adding suffixes to the verb as a function of Turkish morphology. Each suffix indicated a specific noun, object or subject, and each figure in the test was related to one of them. A researcher asked participants to match the demanded clause with the 6 possiblly related pictures for relative clause and 3 for noun clauses.</p><p><strong>Results: </strong>Findings indicated that BA patients in our study had a lack of comprehending relative clauses due to the syntactic movement of words in the object and subject positions. Compared to the responses of the control group, participants with BA had significantly lower scores when the object and subject positions have moved from their original positions. BA patients also obtained significantly lower scores in object type questions Conclusion: Our findings support the fact that comprehension processing in BA should be investigated profoundly to be able to understand the nature of the disorder in different languages. In Turkish, syntactic movement of words to form a relative clause caused the BA patients to have significant problems to assign the semantic roles to the words in the existance of movement or change in their original positions.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"1-20"},"PeriodicalIF":1.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Word count matters: Features of written language production in progressive apraxia of speech with and without agrammatism.","authors":"Katerina A Tetzloff, Gabriela Meade, Joseph R Duffy, Heather M Clark, Hugo Botha, Keith A Josephs, Jennifer L Whitwell, Rene L Utianski","doi":"10.1159/000543607","DOIUrl":"https://doi.org/10.1159/000543607","url":null,"abstract":"<p><strong>Introduction: </strong>Apraxia of speech (AOS) is a motor speech disorder characterized by sound distortions, substitutions, deletions, and additions; slow speech rate; abnormal prosody; and/or segmentation between words and syllables. AOS can result from neurodegeneration, in which case it can be accompanied by the primary agrammatic aphasia (PAA), which when presenting together are called AOS+PAA. AOS can also be the sole manifestation of neurodegeneration, termed primary progressive AOS (PPAOS). Together these form the agrammatic-apractic spectrum disorders. Recent work has shown that agrammatic-apractic spectrum patients show reduced quantity of written language production on a picture description task versus controls. However, no study to date has investigated if there are differences in quantity (amount of writing) and quality (grammaticality) in the written language production between PPAOS and AOS+PAA patients, which was the aim of this study.</p><p><strong>Methods: </strong>Twenty-four AOS+PAA patients, 24 PPAOS patients, and 24 typical controls performed the Western Aphasia Battery (WAB) written picture description task. The total number of words and sentences, as well as the type-token frequency, mean length of utterance, proportion of nouns and function words, and overall sentence grammaticality were compared among groups.</p><p><strong>Results: </strong>The PPAOS group showed significantly reduced number of words (ß=-44.2, p <.0001) and sentences (ß=-4.04, p<.0001) compared to typical controls, and the AOS+PAA group showed significantly reduced number of words compared to both PPAOS patients (ß=-17.0, p=.02) and controls (ß=-61.20, p<.0001), as well as reduced number of sentences compared to controls (ß=-4.33, p<.0001). AOS+PAA patients also showed grammatical deficits consistent with their concomitant aphasia diagnosis.</p><p><strong>Conclusions: </strong>This study provides novel quantitative data showing that agrammatic-apractic spectrum disorder patients show decreased written language output on a written picture description task compared to controls, even when there is no overt evidence of aphasia (i.e., PPAOS). Furthermore, these data show that controls, PPAOS patients, and AOS+PAA patients can all be distinguished based on the quantity of information and grammatical errors in a written picture description task. Future studies will explore sources beyond language, such as motoric impairment, that may result in reduced written quantity in agrammatic-apractic spectrum disorders.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"1-12"},"PeriodicalIF":1.1,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of AAC Intervention on School Readiness Skills from Young Children with Intellectual and Developmental Disabilities.","authors":"Brenna Griffen, Elizabeth Lorah, Nicolette Sammarco Caldwell, Christine Holyfield","doi":"10.1159/000543628","DOIUrl":"https://doi.org/10.1159/000543628","url":null,"abstract":"<p><p>Introduction Young children with intellectual and developmental disabilities (IDD) who have limited speech and language require access to augmentative and alternative communication (AAC) intervention, including technology and instruction. While research shows that AAC intervention can effectively support communication from children with IDD, research on its impact on school readiness skills is limited. Methods Two preschool aged children with IDD participated in this study. Using a single case, multiple baseline across responses design for each participant, this study evaluated the effectiveness of an AAC intervention, including a high-tech AAC with a personalized color photo visual scene display with modeling, time delay, prompting, and social praise. The targeted responses were three questions from the participants' state kindergarten readiness standards, including: \"What is your first name?\"; \"What is your last name?\"; and \"How old are you?\". Results In baseline, both participants demonstrated little success communicating answers to questions. During intervention, both participants mastered the school readiness skill of responding accurately and independently to the targeted questions. Conclusion The current study shows that with early access to AAC intervention, children with IDD may begin to build communication skills that align with school readiness standards, providing them increased opportunity to participate fully and meaningfully in general education curricula, upon entering kindergarten. Keywords: school readiness, augmentative and alternative communication, intellectual and developmental disability.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"1-19"},"PeriodicalIF":1.1,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and Reliability of the M.D. Anderson Dysphagia Inventory in Turkish Patients with Neurological Disease.","authors":"Muserrefe Nur Keles, Ozgu Inal Ozun, Tulin Gesoglu Demir, Serife Gizem Sarioglu Ermumcu, Nihat Sengeze","doi":"10.1159/000543534","DOIUrl":"https://doi.org/10.1159/000543534","url":null,"abstract":"<p><strong>Introduction: </strong>Dysphagia is a prevalent symptom of various neurological diseases and is associated with decreased quality of life. The M.D. Anderson Dysphagia Inventory (MDADI) is globally utilized tool to assess the impact of dysphagia on quality of life. However, a Turkish version of the scale is not yet available. This study aimed to translate, culturally adapt, and evaluate the validity and reliability of the Turkish version of the MDADI.</p><p><strong>Methods: </strong>One hundred twenty-four patients who were diagnosed with definite neurological disease completed the study. The cross-cultural adaptation and translation process of the MDADI adhered to the World Health Organization's guidelines using the forward-backward translation method. The feasibility and the floor and ceiling effects were evaluated. Cronbach's alpha was used to assess internal consistency. The Bland and Altman method and Interclass Correlation Coefficient (ICC) were used to evaluate test-retest reliability. Absolute reliability was determined using the standard error of the measurement (SEM) and minimal detectable change (MDC). Construct validity was assessed using Pearson's correlation coefficient between the MDADI and the Turkish Swallowing Quality of Life (T-SWAL-QOL) questionnaire.</p><p><strong>Results: </strong>Our study had a feasibility rate of 100%. No floor or ceiling effects were determined for any subscale or composite scores of the T-MDADI. The T-MDADI demonstrated excellent reliability, with Cronbach's alpha coefficients ranging from 0.89 to 0.96 and ICC values from 0.81 to 0.95, confirming strong internal consistency and test-retest reliability. Measurement precision was supported by a SEM of 3.96 and an MDC of 10.97 for the composite score. In terms of validity, significant correlations were observed between T-MDADI subdomains and T-SWAL-QOL subdomains (r = 0.61-0.80 for food selection, mental health, and social functioning; r = 0.41-0.60 for eating duration and communication; p < 0.01), demonstrating good to very good convergent validity.</p><p><strong>Conclusion: </strong>The T-MDADI demonstrates validity and reliability as a questionnaire for assessing dysphagia-related quality of life in Turkish patients with neurological diseases.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"1-14"},"PeriodicalIF":1.1,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intrinsic vowel fundamental frequency in children with and without hearing impairment.","authors":"Jérémy Genette, Steven Gillis, Jo Verhoeven","doi":"10.1159/000543426","DOIUrl":"https://doi.org/10.1159/000543426","url":null,"abstract":"<p><p>Introduction It is well-established that high vowels tend to have a higher F0 than low vowels, a phenomenon known as Intrinsic Vowel F0 (IF0). However, the underlying cause of IF0 remains debated. Previous research suggests that IF0 is entirely of physiological origin, while other research indicates that it is acquired to enhance perceptual contrasts between vowels. Methods This study explored the impact of hearing loss on IF0 in six-year-old children, both with and without hearing impairment. The Belgian Dutch vowels produced by the children in both groups during a (non-)word repetition task were acoustically analysed for F0. Results The main result was that all children presented IF0. Although IF0 was not significantly different between children with and without hearing impairment, there was a trend towards a smaller IF0 in the hearing-impaired group. Conclusion In conclusion, while the results of this study support the physiological hypothesis, they also suggest a potential role for perceptual factors in shaping IF0. The results were interpreted in relation to the combined potential effects of speech organ physiology and perception on IF0.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"1-27"},"PeriodicalIF":1.1,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pragmatic Language Skills of Turkish Speaking Children Who Stutter.","authors":"Deniz Asal, Maviş Emel Kulak Kayıkcı, Tuğçe Karahan Tığrak","doi":"10.1159/000543382","DOIUrl":"https://doi.org/10.1159/000543382","url":null,"abstract":"<p><strong>Introduction: </strong>The study aims to investigate the relationship between pragmatic language skills of children who stutter (CWS) and the frequency of stuttering, with a focus on the development of these skills through peer interaction in the school years. It is well-known that CWS may face social disadvantages at school due to their limited peer interaction, which may pose a risk to the development of their pragmatic language skills.</p><p><strong>Method: </strong>The study involved 64 CWS aged between 60 and 106 months. Stuttering frequency was determined by analysing children's spontaneous speech recordings during playtime with their parents. The children's language development was assessed using the Turkish School Age Language Development Assessment Test (TODİL), while speech sound disorders were evaluated using the Turkish Articulation and Phonology Test (SST). Teachers of children whose language and speech sound development were typical development were contacted to evaluate the pragmatic language skills of the children using the Pragmatic Language Skills Inventory (PLSI).</p><p><strong>Results: </strong>The results of the evaluation showed that 51.6% of the children had below average pragmatic language skills. Additionally, a negative correlation was observed between the frequency of stuttering and PLSI (p<0.05), suggesting that as the frequency of stuttering increased, pragmatic language skills scores decrease.</p><p><strong>Conclusion: </strong>Children who stutter may face challenges in communicating effectively, despite their formal language assessment results falling within the normal range. The findings support that pragmatic language skills should be considered when treating stuttering due to their critical role in academic and social outcomes.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"1-19"},"PeriodicalIF":1.1,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a 48-Hour Thickened Liquid Protocol on Visuospatial Skills in Young Adults.","authors":"Elizabeth Thompson, Mary Gorham-Rowan, Matthew D Carter, Katherine M Lamb","doi":"10.1159/000543066","DOIUrl":"10.1159/000543066","url":null,"abstract":"<p><strong>Introduction: </strong>Thickened liquids are frequently recommended for individuals with swallowing disorders who are at risk of aspiration. However, thickened liquids may be poorly tolerated and result in reduced fluid intake, which may impact performance in a number of areas. The purpose of this study was to examine the possible impact of a thickened liquid regimen on visuospatial skills in young healthy adults.</p><p><strong>Methods: </strong>Twenty young adults, aged 19-26 years, were included as participants. Baseline data consisting of urine specific gravity (USG) measurements as a marker of hydration status and completion of a visuospatial task were obtained prior to initiation of the experimental protocol. Participants in the experimental group followed a thickened liquid protocol, which consisted of drinking nectar-thick liquids for 48 h. Data collection procedures were repeated.</p><p><strong>Results: </strong>Participants in the experimental group exhibited significantly higher USG levels and required more time to complete the visuospatial task post-thickened liquids. No significant change in performance accuracy was found. Participants in the experimental group reported a decrease in fluid intake.</p><p><strong>Conclusion: </strong>Performance accuracy on a visuospatial task was not significantly impacted by a 48-h period of thickened liquid intake, but time required to complete the task increased and was associated with mild dehydration as indicated by higher USG levels.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlating Degree of Thyroid Tilt Independent of fo Control as a Mechanism for Phonatory Density with EGG and Acoustic Measures across Loudness Conditions.","authors":"Mathias Aaen, Noor Christoph, Julian McGlashan, Cathrine Sadolin","doi":"10.1159/000542842","DOIUrl":"10.1159/000542842","url":null,"abstract":"<p><strong>Introduction: </strong>Traditionally, fundamental frequency increase has been viewed as largely associated with vocal fold length as a consequence of tilting the thyroid cartilage forward and downward, a so-called thyroid tilt, caused by cricothyroid muscle contraction. Recent pilot studies in singers suggest vocal fold elongation independent from fo as related to a pedagogical parameter called \"phonatory density,\" suggesting a further discrete mechanism of the thyroid cartilage tilt related to voice quality. This study endoscopically, EGG, acoustically, and auditory perceptually explores different vocal modes in relation to degree of phonatory density independent of changes in fo across loudness and voice quality conditions.</p><p><strong>Methods: </strong>Case-control with 20 professional singers performing sustained-vowel samples (C4 males, B4 females) for 8 different voice quality conditions with different degrees of auditory-perceptual \"density\" while undergoing endoscopic examination and concurrent EGG and acoustic measurement. Endoscopic vocal tract assessments were blindly rated according to a 33-item systematic assessment tool and a forced consensus paradigm. MANOVA, Spearman's rho, and factor density were calculated at p ≤ 0.05. Auditory-perceptual assessments of 64 samples of the 8 voicing conditions were performed by 33 professional singing teachers. Fleiss' kappa and percentage agreement were used to calculate assessor accuracy and inter-rater reliability.</p><p><strong>Results: </strong>Forward and downward thyroid tilt was related to the perceptual category of \"reduced density (RD)\" as the only statistically significant endoscopic assessment variable: \"fuller density\" conditions exhibited little to no forward visible articulation of the thyroid cartilage, whereas RD conditions exhibited visible to marked forward articulation of the thyroid cartilage across tested conditions suggesting vocal fold elongation for RD conditions while maintaining an unchanged fo with high ICC for the assessors (r = 0.70 and r = 0.94 for male/female datasets, respectively). Correlation analyses revealed negative correlations for SPL, shimmer, and CPP measures for RD conditions, while Qx did not vary with statistical significance. Panel assessors accurately assessed the 8 tested conditions with 87% accuracy and good inter-rater reliability agreement (k: 0.772, p < 0.001).</p><p><strong>Conclusion: </strong>Phonatory density, as an auditory-perceptual denotation of vocal weight, is controlled by the degree of thyroid cartilage tilt. The study documents systematic variations in vocal fold lengths across several conditions of loudness while fo is maintained. The findings suggest a further mechanism of the thyroid cartilage related to voice quality beyond the control of fo. Further studies are needed to document pitch production mechanisms compensating for the maintenance of fo given vocal fold elongation during RD conditions.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"1-13"},"PeriodicalIF":1.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Puree Type and Color on Ratings of Pharyngeal Residue, Penetration, and Aspiration during FEES: A Prospective Study of 37 Dysphagic Outpatient Adults.","authors":"James A Curtis, Anaïs Rameau, Valentina Mocchetti","doi":"10.1159/000542227","DOIUrl":"10.1159/000542227","url":null,"abstract":"<p><strong>Introduction: </strong>Flexible endoscopic evaluations of swallowing (FEES) involve the administration of a variety of foods and liquids to assess outcomes related to pharyngeal residue, penetration, and aspiration. While the type and color of thin liquids used during FEES have been found to significantly affect FEES ratings, it is unknown if similar effects are observed with pureed foods. Therefore, the aims of this study were to assess the effects of puree type (applesauce vs. pudding) and color (natural, blue, green) on ratings of pharyngeal residue, penetration, and aspiration during FEES.</p><p><strong>Methods: </strong>Pharyngeal residue, penetration, and aspiration were assessed in 37 consecutive outpatient adults undergoing FEES. Patients were presented with two types of puree: 5 mL applesauce and 5 mL pudding. Each puree type was presented once with either blue or green food coloring added to it by a clinician. Each puree type was also presented once with no clinician-added food coloring (\"natural\"). The order of presentation was randomized between patients and all data were blindly analyzed by pairs of independent raters using the Visual Analysis of Swallowing Efficiency and Safety (VASES). Multilevel statistical models were used to examine the effects of puree type and color on oropharyngeal residue, hypopharyngeal residue, and Penetration-Aspiration Scale scores (PAS).</p><p><strong>Results: </strong>Pudding trials were associated with higher oropharyngeal residue ratings compared to applesauce trials. Blue-colored applesauce was associated with higher oropharyngeal and hypopharyngeal residue ratings when compared to natural applesauce. Lastly, green-colored applesauce and green-colored pudding were both associated with higher hypopharyngeal residue ratings compared to natural applesauce and natural pudding, respectively.</p><p><strong>Conclusion: </strong>This study identified statistically significant effects of puree type and color and ratings of pharyngeal residue ratings, but not penetration or aspiration, as seen during FEES. These data suggest that clinicians and researchers should consider standardizing the type and color of pureed food used during FEES.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"1-16"},"PeriodicalIF":1.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Within- and Cross-Language Generalization in Narrative Production of Bilingual Persons with Aphasia following Semantic Feature Analysis Therapy.","authors":"Alina Bihovsky, Michal Ben-Shachar, Natalia Meir","doi":"10.1159/000542477","DOIUrl":"10.1159/000542477","url":null,"abstract":"<p><strong>Introduction: </strong>Semantic Feature Analysis (SFA) therapy is a widely used approach for single-word naming treatment in monolingual and bilingual persons with aphasia (BiPWAs). There is evidence that SFA leads to naming improvements in both treated and untreated languages of BiPWAs. However, research on the generalization effects of SFA on narrative production is scarce. This study investigated the within- and cross-language generalization effects of SFA on narrative production and its relationship to naming gains in a group of L1-Russian-L2-Hebrew chronic-stage BiPWAs.</p><p><strong>Methods: </strong>The study included two groups of BiPWAs. In the experimental group, ten individuals received one or two blocks of SFA, while ten participants who did not receive therapy served as a control group. We compared the changes in narrative production between the experimental and control groups and examined whether the narrative changes in the experimental group were related to naming gains.</p><p><strong>Results: </strong>The results indicated that SFA generalized to narrative production in the experimental group. Within-language generalization was observed following SFA in L1, while cross-language generalization was found following SFA in both L1 and L2.</p><p><strong>Conclusion: </strong>Although SFA has the potential to generalize to narrative production in BiPWAs, this effect did not consistently align with the therapy gains in naming. To achieve greater within- and cross-language generalization effects, we recommend providing SFA in the L1 of BiPWAs.</p>","PeriodicalId":12114,"journal":{"name":"Folia Phoniatrica et Logopaedica","volume":" ","pages":"1-16"},"PeriodicalIF":1.1,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142603800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}