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Effects of Combining Modified Response Elaboration Training, Semantic Feature Analysis, and Arm Ability Training on Cognitive, Language, and Motor Recovery in Poststroke Broca's Aphasia: A Randomized Controlled Trial.

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Title: Effects of Combining Modified Response Elaboration Training, Semantic Feature Analysis, and Arm Ability Training on Cognitive, Language, and Motor Recovery in Poststroke Broca's Aphasia: A Randomized Controlled Trial.
Authors: Saber-Moghadam, Reihaneh1, Karimi, Milad2, Zeinalzadeh, Afsaneh3, Sangsefidi, Negar4, Farzadfard, Mohammad Taghi5, Sobhani-Rad, Davood6 SobhaniD@mums.ac.ir
Source: American Journal of Speech-Language Pathology. May2026, Vol. 35 Issue 3, p1063-1080. 18p.
Subject Terms: *Motor ability, *Exercise physiology, *Data analysis, *Longitudinal method, *Physical fitness, *Comparative studies, *Cognition, *Speech therapy, Research funding, Statistical sampling, Kruskal-Wallis Test, Randomized controlled trials, Treatment duration, Descriptive statistics, Linguistics, Muscle strength, Latent semantic analysis, Convalescence, Artificial neural networks, One-way analysis of variance, Statistics, Friedman test (Statistics), Arm exercises, Stroke patients, Data analysis software, Agrammatism
Geographic Terms: Iran
Abstract: Purpose: Stroke survivors often face problems in language, motor, and cognitive skills because the neural networks for these functions overlap. Consequently, the recovery is complex and requires a multimodal approach. This study examined the interactions among linguistic, motor, and cognitive processes. We also evaluated how integrating speech and language therapy (SLT) with arm ability training (AAT) affects recovery in patients with Broca's a phasia. Method: This was a prospective, assessor-blinded, three-arm, parallel-group, randomized controlled trial with an open-label design. Forty-five participants in the chronic stage of recovery were randomly allocated to three groups: SLT, AAT, and combined SLT + AAT. The interventions lasted for 3 weeks. Motor, cognitive, and language functions were assessed before, during (Weeks 1 and 2), and after the intervention. Both within-group and between-groups analyses and growth rates were examined. Results: All motor metrics, including abduction (75.56%), flexion (82.22%), endurance (102.03%), and strength (207.78%), improved significantly more in the SLT + AAT group than in the SLT and AAT groups alone (p < .05). The cognitive score of the combined group increased by 71.86%, whereas that of the SLT and AAT groups improved by 39.56% and 29.01%, respectively. The SLT + AAT group's language function showed improvement, particularly naming ability from 64.00 ± 19.57 to 83.67 ± 8.12 (p < .001). Conclusions: Language, cognition, and motor processes have both mutual and synergistic relationships. Although each intervention alone was effective, the combined SLT and AAT offered superior outcomes. Overall, these findings support the use of holistic and cross-modal strategies to enhance neuroplasticity and to promote recovery. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Effects of Combining Modified Response Elaboration Training, Semantic Feature Analysis, and Arm Ability Training on Cognitive, Language, and Motor Recovery in Poststroke Broca&#39;s Aphasia: A Randomized Controlled Trial.
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  Data: Purpose: Stroke survivors often face problems in language, motor, and cognitive skills because the neural networks for these functions overlap. Consequently, the recovery is complex and requires a multimodal approach. This study examined the interactions among linguistic, motor, and cognitive processes. We also evaluated how integrating speech and language therapy (SLT) with arm ability training (AAT) affects recovery in patients with Broca&#39;s a phasia. Method: This was a prospective, assessor-blinded, three-arm, parallel-group, randomized controlled trial with an open-label design. Forty-five participants in the chronic stage of recovery were randomly allocated to three groups: SLT, AAT, and combined SLT + AAT. The interventions lasted for 3 weeks. Motor, cognitive, and language functions were assessed before, during (Weeks 1 and 2), and after the intervention. Both within-group and between-groups analyses and growth rates were examined. Results: All motor metrics, including abduction (75.56%), flexion (82.22%), endurance (102.03%), and strength (207.78%), improved significantly more in the SLT + AAT group than in the SLT and AAT groups alone (p &lt; .05). The cognitive score of the combined group increased by 71.86%, whereas that of the SLT and AAT groups improved by 39.56% and 29.01%, respectively. The SLT + AAT group&#39;s language function showed improvement, particularly naming ability from 64.00 &#177; 19.57 to 83.67 &#177; 8.12 (p &lt; .001). Conclusions: Language, cognition, and motor processes have both mutual and synergistic relationships. Although each intervention alone was effective, the combined SLT and AAT offered superior outcomes. Overall, these findings support the use of holistic and cross-modal strategies to enhance neuroplasticity and to promote recovery. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1044/2025_AJSLP-25-00340
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      – TitleFull: Effects of Combining Modified Response Elaboration Training, Semantic Feature Analysis, and Arm Ability Training on Cognitive, Language, and Motor Recovery in Poststroke Broca's Aphasia: A Randomized Controlled Trial.
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              Text: May2026
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