American Journal of Speech-Language Pathology最新文献

{"title":"Interim Treatment Fidelity for a Randomized Controlled Comparative Effectiveness Trial of Two Variants of Semantic Feature Analysis Treatment for Aphasia.","authors":"Miranda C Babiak, William D Hula, Alyssa Autenreith, Mary M Nader, Shannon Austermann Hula, Alexander Swiderski, Robert Cavanaugh, Kristen Nunn, Jeffrey P Johnson, Michael Walsh Dickey","doi":"10.1044/2025_AJSLP-24-00331","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00331","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluated treatment fidelity for an ongoing randomized controlled trial comparing two variants of semantic feature analysis (SFA) treatment for naming impairment in aphasia. In this trial, participants are being randomized to treatment conditions (many- or few-features) in which they are asked to generate either 11 or five features per SFA trial.</p><p><strong>Method: </strong>Treatment fidelity was addressed via study design, manualization of the treatment, provider training, and maintenance of daily treatment logs, among other approaches. Fidelity was assessed through protocol adherence checks, interrater reliability of feature counting, and analysis of treatment dosage. Protocol adherence was measured using a 20-item checklist. Interrater reliability was evaluated for feature counts on 10% of treatment sessions. Treatment dosage was analyzed to confirm differentiation between many-features and few-features groups in terms of features generated and exposed and equivalence in terms of total treatment time.</p><p><strong>Results: </strong>Overall protocol adherence was 99%. Interrater reliability for feature counting showed good-to-excellent agreement. Analysis of treatment dosage in terms of features per trial confirmed clear differentiation between groups, with the many-features group generating or being exposed to approximately 10-11 features per trial compared to four to five features for the few-features group. Analysis of other aspects of dosage also suggested good fidelity to the design.</p><p><strong>Conclusions: </strong>This ongoing trial of SFA is being implemented with high levels of treatment fidelity. The study demonstrates the importance and feasibility of comprehensive fidelity monitoring in aphasia treatment research. Detailed fidelity procedures and outcomes support interpretation, replication, and clinical implementation of study findings.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29230937.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-17"},"PeriodicalIF":2.3,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rephrasing Messages on Demand: Effects on Speech Production in Parkinson's Disease.","authors":"Annalise R Fletcher, Alan A Wisler, Samantha Budge, Brian Nalley, Stephanie A Borrie","doi":"10.1044/2025_AJSLP-24-00343","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00343","url":null,"abstract":"<p><strong>Purpose: </strong>When faced with challenging communicative situations, people with dysarthria are commonly advised to rephrase their message, using common words and keeping sentences short and manageable. However, it remains unclear whether relevant clinical populations can implement these changes on demand. The goals of this study were to (a) identify lexical changes that occur when speakers are prompted to rephrase sentences and (b) examine how rephrasing messages affects acoustic measures of speech production and listener perceptual ratings.</p><p><strong>Method: </strong>Speech samples were collected from 11 speakers with Parkinson's disease and 11 age-matched adults. In a baseline condition, speakers read 29 sentences from the Natural Stories Corpus. Following this, speakers received verbal instructions on how to rephrase statements and were prompted to make each sentence easier to understand (rephrasing condition). Transcripts from both conditions were analyzed to measure lexical diversity and sophistication. Sentence-level measures of average sound pressure level, pitch variability, speech rate, pause duration, and listener ratings of ease of understanding were also investigated.</p><p><strong>Results: </strong>Both speaker groups were able to significantly reduce the lexical diversity and sophistication of sentences following a brief educational protocol. However, rephrased speech stimuli were not judged as easier to understand. Acoustically, rephrased stimuli were associated with greater pause durations and a reduction in average speech intensity.</p><p><strong>Conclusions: </strong>Speakers, both with and without a diagnosis of Parkinson's disease, can simplify their language when prompted to do so. However, it is possible that the cognitive demands associated with rephrasing language could interfere with the clarity of speech production.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-19"},"PeriodicalIF":2.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multiparty Communication: A New Direction in Characterizing the Impact of Traumatic Brain Injury on Social Communication.","authors":"Sophia Kekes-Szabo, Sharice Clough, Sarah Brown-Schmidt, Melissa C Duff","doi":"10.1044/2025_AJSLP-24-00151","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00151","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this viewpoint is to advocate for increased study of common ground and audience design processes in multiparty communication in traumatic brain injury (TBI).</p><p><strong>Method: </strong>Building on discussions at the 2024 International Cognitive-Communication Disorders Conference, we review common ground and audience design processes in dyadic and multiparty communication. We discuss how the diffuse profiles of neural and cognitive deficits place individuals with TBI at increased risk for keeping track of who knows what in group settings and using that knowledge to flexibly adapt their communication behaviors.</p><p><strong>Results: </strong>We routinely engage in social communication in groups of three or more people at work, school, and social functions. While academic, vocational, and interpersonal domains are all areas where individuals with TBI are at risk for negative outcomes, we know very little about the impact of TBI on group, or multiparty, communication.</p><p><strong>Conclusions: </strong>The empirical study of common ground and audience design in multiparty communication in TBI presents a promising new direction in characterizing the impact of TBI on social communication, uncovering the underlying mechanisms of cognitive-communication disorders, and may lead to new interventions aimed at improving success in navigating group communication at work and school, and in interpersonal relationships.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differential Diagnostic Patterns of Acquired Motor Speech Disorders in Children: A Preliminary Investigation of Four Case Studies.","authors":"Drew Mancini, Caitlin Cain, Allison Hilger","doi":"10.1044/2025_AJSLP-24-00225","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00225","url":null,"abstract":"<p><strong>Purpose: </strong>This clinical focus article aimed to explore how motor speech disorders (MSDs) manifest in children with acquired brain injury (ABI) and determine if an adult diagnostic system, such as the Mayo Clinic System, applies to pediatric cases.</p><p><strong>Method: </strong>Four children with ABI with differing loci of impairment were evaluated to compare perceptual speech features and how they align or diverge from expected adult profiles with similar loci of impairment. Two expert speech-language pathologists identified perceptual speech features from the recorded motor speech evaluations and determined motor speech disorder diagnosis and severity based on consensus.</p><p><strong>Results: </strong>Three out of the four children had clear motor speech disorder diagnoses (flaccid dysarthria, ataxic dysarthria, and apraxia). The one child with a less clear diagnosis had mixed dysarthria from diffuse traumatic brain injury. Regardless, the perceptual speech and nonspeech features identified per child matched with expected findings from neuroimaging and expected motor speech profiles from the Mayo Clinic System.</p><p><strong>Conclusions: </strong>From this preliminary study, children with ABI fit into expected motor speech subgroups based on the Mayo Clinic classification system. Differential diagnosis in pediatric MSDs in the hospital setting has clinical implications for evaluation, treatment, and interdisciplinary communication with other health care providers.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Longitudinal Study of Auditory Comprehension in Poststroke Aphasia.","authors":"Camille Salvas, Jacinthe Paré, Simona Maria Brambati, Alberto Osa García, Amélie Brisebois, Karine Marcotte","doi":"10.1044/2025_AJSLP-24-00494","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00494","url":null,"abstract":"<p><strong>Objective: </strong>Most studies documenting the longitudinal recovery of auditory comprehension in poststroke aphasia begin in the subacute phase. The present study aimed to address this gap by exploring the longitudinal changes in auditory comprehension from the acute to the chronic phase and their neural correlates.</p><p><strong>Method: </strong>Twenty-one Laurentian French persons with aphasia (PWA) following a first left middle cerebral artery stroke underwent three language assessments (acute: 0-72 hr, subacute: 7-14 days, chronic: 6-12 months postonset). Auditory comprehension was assessed at each time point using two tasks, sentence-picture matching and sequential commands. From the sentence-picture matching task, four measures were extracted (single-word, subject-verb, canonical subject-verb-object, and noncanonical subject-verb-object comprehension), while one measure was derived from the sequential commands task, totaling five measures. Lesion-symptom mapping (LSM) was used to identify the brain regions associated with comprehension impairments.</p><p><strong>Results: </strong>All five auditory comprehension measures showed significant positive changes between acute and chronic phases. Persistent comprehension impairments with canonical sentences and sequential commands were more likely to occur in the chronic phase. LSM analyses revealed that comprehension of noncanonical sentences was associated with lesions in the supramarginal gyrus and extended to the superior temporal gyrus (STG) and middle temporal gyrus (MTG). Similarly, the comprehension of sequential commands was associated with lesions in the MTG, extending to the STG and insula.</p><p><strong>Conclusion: </strong>The current findings suggest that PWA with more severe impairments in the acute phase reach a similar performance in the chronic phase than people with milder aphasia and suggest a critical role for the left MTG in the recovery of auditory comprehension, especially with complex stimuli.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29202788.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of COVID-19 on Early Intervention Referrals and Enrollments: An Interrupted Time Series Analysis.","authors":"Matthew A Zellner, Aaron J Kaat, Megan Y Roberts","doi":"10.1044/2025_AJSLP-24-00513","DOIUrl":"10.1044/2025_AJSLP-24-00513","url":null,"abstract":"<p><strong>Purpose: </strong>We sought to examine changes in national Part C early intervention (EI) service provision associated with the onset of the COVID-19 pandemic. Additionally, we explored the extent to which this association differed geographically by U.S. state.</p><p><strong>Method: </strong>We obtained monthly service provision data, including new referrals and enrollments, from 2015 through 2021 from 44 Part C coordinating agencies. Using Bayesian-interrupted time series segmented regression analysis, we then examined the impact of the pandemic on EI at three key timepoints: April 2020, September 2020, and September 2021.</p><p><strong>Results: </strong>Overall, we found large decreases in service provision rates for the first 2 timepoints; however, by September 2021, rates had moved closer to expected prepandemic levels. Referrals and enrollments followed similar patterns. Notably, states varied widely in the degree of EI disruption associated with the pandemic at each timepoint.</p><p><strong>Conclusions: </strong>The onset of the pandemic was associated with significant disruption to EI service provision, the magnitude of which varied across states. Variance in state COVID-19 policies, particularly regarding telehealth implementation, may explain state differences. Children who were not referred to EI services during the pandemic may require additional support from school-age programs; however, further research is necessary to understand COVID-19-related changes to EI intervention hours and time to therapy onset.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29218340.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-8"},"PeriodicalIF":2.3,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Importance of Cognitive Empathy Training in Speech-Language Pathology: A Perspective and Co-Constructed Illustration.","authors":"Kathryn Hardin","doi":"10.1044/2025_AJSLP-24-00122","DOIUrl":"10.1044/2025_AJSLP-24-00122","url":null,"abstract":"<p><strong>Purpose: </strong>Empathy training is a curricular standard in many health care disciplines and is growing in speech-language pathology. This article serves as a perspective on the foundational importance of empathy in health-related outcomes and improving clinical care. In addition, it serves as an integration of cognitive empathy training best practices that may be implemented to enhance speech-language pathology clinical education. These recommendations were utilized to build a traumatic brain injury (TBI) cognitive empathy training, co-constructed using community-based participatory research, and presented here as an illustrative example.</p><p><strong>Method: </strong>Many people with TBI lived experience report that providers lack sufficient empathy, and speech-language pathologists (SLPs) also report challenges in providing services. To address these concerns, a review of best practices in health care empathy training, empathy training in speech-language pathology, and simulation best practices was conducted. These integrated findings were subsequently applied to the creation of a novel TBI cognitive empathy training program, co-developed with people who have TBI lived experience .</p><p><strong>Results: </strong>While empathy training is foundational in medical education, it is less common in speech-language pathology. SLPs have unique considerations related to empathy and equally need direct instruction in empathy terminology and training. Within the first section of this article, the basics of empathy, its role in health care outcomes and provider satisfaction, and empathetic decline are explored. In the second section, the integration of recommended best practices and the application to a speech-language pathology cognitive empathy training are described. Ethical guidelines for design and implementation in speech-language pathology cognitive empathy training include having inclusive teams, creating intentional and thoughtful content, and embedding simulations into broader education.</p><p><strong>Conclusion: </strong>By better understanding empathy and its importance in clinical care, we can expand speech-language pathology graduate and professional education to better support our providers, patients, and families.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29185205.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-23"},"PeriodicalIF":2.3,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining Associations Between Manometric Measures of Lingual Function and Swallowing Physiology Using the Modified Barium Swallow Impairment Profile.","authors":"Amna S Mira, Anna K Hopkins, Meredith E Tabangin, Mekibib Altaye, Brittany N Krekeler","doi":"10.1044/2025_AJSLP-24-00360","DOIUrl":"10.1044/2025_AJSLP-24-00360","url":null,"abstract":"<p><strong>Purpose: </strong>Manometric measures of lingual function are widely used in clinical practice, premised on the assumption that lingual impairments affect oropharyngeal swallowing. This study assessed correlations between measures of lingual function and oropharyngeal swallowing impairments using the Modified Barium Swallow Impairment Profile (MBSImP).</p><p><strong>Method: </strong>Participants undergoing routine videofluoroscopic swallowing study (VFSS) were recruited if able and willing to complete the lingual measurement protocol. Post-VFSS, participants completed the Eating Assessment Tool (EAT-10) and measures of lingual pressure during saliva swallow, anterior maximum isometric press (aMIP), effortful swallow, anterior isometric endurance (ISO-M), and anterior isotonic endurance. Correlations between these measures and MBSImP Oral Total (OT) and Pharyngeal Total (PT) Overall Impression scores and Penetration-Aspiration Scale (PAS) scores were evaluated using Spearman correlation coefficients.</p><p><strong>Results: </strong>The final sample included 41 patients (23 men, 18 women; <i>M</i> = 61.75 ± 14.72 years) with heterogenous diagnoses. Analyses showed a moderate, significant negative correlation between aMIP and OT (<i>r</i>_s = -.44, <i>p</i> < .01), and ISO-M and OT (<i>r</i>_s = -.36, <i>p</i> = .02). Specifically, aMIP was strongly correlated with oral residue (Component 5; <i>r</i>_s = -.49, <i>p</i> < .01) and ISO-M with tongue control during bolus hold (Component 2; <i>r</i>_s = -.47, <i>p</i> < .01). No significant correlations were found with PT, EAT-10, or PAS scores.</p><p><strong>Conclusions: </strong>Some lingual measurements correlate with oral physiological impairments, suggesting potential utility as clinical indicators of oral swallowing physiology. Further research is needed to explore these relationships across different patient populations.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-9"},"PeriodicalIF":2.3,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Construct Validity of the Amyotrophic Lateral Sclerosis Bulbar Dysfunction Index-Remote.","authors":"Timothy Pommée, Liziane Bouvier, Carolina Barnett-Tapia, Marc F Maffei, Sarah E Gutz, Victoria E Tilton-Bolowsky, Rosemary Martino, James D Berry, Agessandro Abrahao, Lorne Zinman, Jordan R Green, Yana Yunusova","doi":"10.1044/2025_AJSLP-24-00489","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00489","url":null,"abstract":"<p><strong>Purpose: </strong>The Amyotrophic Lateral Sclerosis Bulbar Dysfunction Index-Remote (ALSBDI-R) is a clinician-administered tool designed to assess bulbar dysfunction remotely in patients with amyotrophic lateral sclerosis (ALS). This study aimed to evaluate the construct validity of the ALSBDI-R by examining its correlation with established clinical measures and its ability to discriminate among different bulbar disease severities.</p><p><strong>Method: </strong>A total of 92 patients with ALS were recruited from two multidisciplinary clinics. Participants were assessed using the ALSBDI-R, the Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R), the Center for Neurologic Study Bulbar Function Scale (CNS-BFS), the Sentence Intelligibility Test, and the Eating Assessment Tool (EAT-10). Construct validity was established through Spearman correlations and comparison of ALSBDI-R scores across bulbar severity groups (asymptomatic, mild, moderate, severe).</p><p><strong>Results: </strong>Strong correlations were found between ALSBDI-R total scores and bulbar-specific measures such as ALSFRS-R bulbar subscore (<i>r</i> = -.85), CNS-BFS (<i>r</i> = .85), and EAT-10 (<i>r</i> = .77). The ALSBDI-R effectively discriminated between severity groups, supporting its construct validity. Severity bins were created based on median ALSBDI-R total scores for each group.</p><p><strong>Conclusions: </strong>The ALSBDI-R is a valid tool for remotely assessing bulbar dysfunction in patients with ALS. Despite several limitations, its ability to capture varying degrees of severity makes it valuable for clinical use and research, offering a standardized approach to monitor disease progression remotely.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-23"},"PeriodicalIF":2.3,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing Two Connected Speech Tasks in Greek Speakers With the Logopenic Variant of Primary Progressive Aphasia and Alzheimer's Disease.","authors":"Nomiki Karpathiou, Maria Kambanaros","doi":"10.1044/2025_AJSLP-23-00474","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-23-00474","url":null,"abstract":"<p><strong>Purpose: </strong>Different tasks have been used to elicit connected speech samples and analyze speech and language production in dementia. In this study, we explored whether there was a differential performance for individuals with Alzheimer's disease (AD) and the logopenic variant of primary progressive aphasia (lvPPA) on two elicitation tasks, picture description and story retell. Moreover, we investigated the relationship between connected speech measures and formal neuropsychological tests.</p><p><strong>Method: </strong>A total of 18 individuals participated in this study: six with lvPPA, six with AD, and six neurotypical adults matched for gender, age, and education. Connected speech analysis was based on a quantitative production analysis.</p><p><strong>Results: </strong>Differences between the two tasks were found for mean logarithmic frequency of open-class words, number of sentences, and mean utterance length. Individuals with lvPPA differed from individuals with AD and neurotypical adults on type-token ratio square root, mean utterance length, and sentence elaboration index. Significant intercorrelations between connected speech measures in the two tasks were found for speech rate and total dysfluencies. Finally, significant associations were detected between connected speech measures and formal neuropsychological tests.</p><p><strong>Conclusions: </strong>Connected speech analysis can assist in diagnosing lvPPA and distinguishing it from AD. While dysfluencies and speech rate remain consistent across connected speech tasks, other variables vary. Story retell demands greater executive resources and encourages richer vocabulary and morphosyntactic production, more accurately reflecting real-life communication compared to traditional picture description tasks. The study highlights the value of using connected speech assessment in clinical evaluations and carefully selecting appropriate tasks.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29114060.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}