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Recovery of gestures for persons with severe non-fluent aphasia and limb apraxia: A long-term follow-up study.

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Title: Recovery of gestures for persons with severe non-fluent aphasia and limb apraxia: A long-term follow-up study.
Authors: Lemmetyinen, Sanna (AUTHOR), Hokkanen, Laura (AUTHOR), Vehviläinen, Viivi (AUTHOR), Klippi, Anu (AUTHOR)
Source: Applied Neuropsychology: Adult. Mar/Apr2026, Vol. 33 Issue 2, p355-366. 12p.
Subjects: Gesture, Aphasic persons, Movement disorders, Longitudinal method, Rehabilitation, Stroke rehabilitation
Abstract: Persons with severe non-fluent aphasia would benefit from using gestures to substitute for their absent powers of speech. The use of gestures, however, is challenging for persons with aphasia and concomitant limb apraxia. Research on the long-term recovery of gestures is scant, and it is unclear whether gesture performance can show recovery over time. This study evaluated the recovery of emblems and tool use pantomimes of persons with severe non-fluent aphasia and limb apraxia after a left hemisphere stroke. The Florida Apraxia Screening Test-Revised (FAST-R) was used for measurements. The test includes 30 gestures to be performed (i) after an oral request, (ii) with the aid of a pictorial cue, or (iii) as an imitation. The gestures were rated on their degree of comprehensibility. The comprehensibility of gestures after an oral request improved significantly in five out of seven participants between the first (1–3 months after the stroke) and the last (3 years after) examination. Improvement continued for all five in the period between six months and three years. The imitation model did improve the comprehensibility of gestures for all participants, whereas the pictorial cue did so just slightly. The skill of producing gestures can improve even in the late phase post-stroke. Because of this potential, we suggest that gesture training should be systematically included in the rehabilitation of communication for persons with severe non-fluent aphasia. [ABSTRACT FROM AUTHOR]
Copyright of Applied Neuropsychology: Adult is the property of Taylor & Francis Ltd 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: Psychology and Behavioral Sciences Collection
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  Label: Title
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  Data: Recovery of gestures for persons with severe non-fluent aphasia and limb apraxia: A long-term follow-up study.
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  Data: <searchLink fieldCode="AR" term="%22Lemmetyinen%2C+Sanna%22">Lemmetyinen, Sanna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hokkanen%2C+Laura%22">Hokkanen, Laura</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vehviläinen%2C+Viivi%22">Vehviläinen, Viivi</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Klippi%2C+Anu%22">Klippi, Anu</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Applied+Neuropsychology%3A+Adult%22">Applied Neuropsychology: Adult</searchLink>. Mar/Apr2026, Vol. 33 Issue 2, p355-366. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Gesture%22">Gesture</searchLink><br /><searchLink fieldCode="DE" term="%22Aphasic+persons%22">Aphasic persons</searchLink><br /><searchLink fieldCode="DE" term="%22Movement+disorders%22">Movement disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation%22">Rehabilitation</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke+rehabilitation%22">Stroke rehabilitation</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Persons with severe non-fluent aphasia would benefit from using gestures to substitute for their absent powers of speech. The use of gestures, however, is challenging for persons with aphasia and concomitant limb apraxia. Research on the long-term recovery of gestures is scant, and it is unclear whether gesture performance can show recovery over time. This study evaluated the recovery of emblems and tool use pantomimes of persons with severe non-fluent aphasia and limb apraxia after a left hemisphere stroke. The Florida Apraxia Screening Test-Revised (FAST-R) was used for measurements. The test includes 30 gestures to be performed (i) after an oral request, (ii) with the aid of a pictorial cue, or (iii) as an imitation. The gestures were rated on their degree of comprehensibility. The comprehensibility of gestures after an oral request improved significantly in five out of seven participants between the first (1–3 months after the stroke) and the last (3 years after) examination. Improvement continued for all five in the period between six months and three years. The imitation model did improve the comprehensibility of gestures for all participants, whereas the pictorial cue did so just slightly. The skill of producing gestures can improve even in the late phase post-stroke. Because of this potential, we suggest that gesture training should be systematically included in the rehabilitation of communication for persons with severe non-fluent aphasia. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Applied Neuropsychology: Adult is the property of Taylor & Francis Ltd 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.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/23279095.2024.2355668
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      – SubjectFull: Movement disorders
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              Text: Mar/Apr2026
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              Y: 2026
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