Language Treatment for Progressive Aphasia
Recruitment status was Active, not recruiting
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Purpose
Progressive aphasia is characterized by a steady and progressive loss of language skills in the presence of relatively preserved memory, attention, and thinking. The aim of this study is to slow the progression of language decline in progressive aphasia via language therapy. The first goal of this study is to improve naming abilities of individuals with progressive aphasia. This will be accomplished by carrying out an intensive treatment program for anomia. The second goal is to evaluate whether this intense language treatment re-activates affected areas and/or connections within the language network, using functional Magnetic Resonance Imaging (to measure neural activity in specific brain regions) and Diffusion Tensor Imaging tractography (to measure the connectivity between specific brain regions). This is the first study on progressive aphasia addressing both treatment and imaging in the same patients.
| Condition | Intervention |
|---|---|
|
Primary Progressive Aphasia Nonfluent Progressive Aphasia Semantic Dementia |
Behavioral: Errorless learning |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Open Label |
| Official Title: | Slowing Language Decline in Progressive Aphasia Through Language Rehabilitation: Treatment and Neuroimaging Study |
- Accuracy of picture naming [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- Changes on neuroimaging [ Time Frame: 3 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 14 |
| Study Start Date: | August 2009 |
| Estimated Study Completion Date: | December 2010 |
| Primary Completion Date: | July 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: langauge therapy |
Behavioral: Errorless learning
Language testing,20 sessions of language therapy, and 2 neuroimaging sessions for participants with progressive aphasia Language testing and 1 imaging session for healthy controls
Other Name: treatment for anomia
|
Eligibility| Ages Eligible for Study: | 40 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Diagnosis of progressive aphasia
- Native English speaker or fluent in English
- Adequate hearing and vision (not requiring more than +6 diopter correction)
- Willing and able to participate in each phase of the study (including two fMRI sessions)
Exclusion Criteria:
- Contraindications to fMRI (e.g., claustrophobia, pacemaker, ferromagnetic implant)
- Current medical or psychiatric condition affecting cognition (other than progressive aphasia)
Contacts and Locations
More Information
Publications:
| Responsible Party: | Regina Jokel, Baycrest |
| ClinicalTrials.gov Identifier: | NCT00957710 History of Changes |
| Other Study ID Numbers: | REB 09-24 |
| Study First Received: | August 11, 2009 |
| Last Updated: | December 1, 2010 |
| Health Authority: | Canada: Canadian Institutes of Health Research Canada: Ethics Review Committee |
Keywords provided by Baycrest:
|
progressive aphasia semantic dementia neuroimaging treatment errorless learning |
Additional relevant MeSH terms:
|
Pick Disease of the Brain Frontotemporal Dementia Aphasia Dementia Aphasia, Primary Progressive Frontotemporal Lobar Degeneration Speech Disorders Language Disorders Communication Disorders Neurobehavioral Manifestations Neurologic Manifestations |
Nervous System Diseases Signs and Symptoms Brain Diseases Central Nervous System Diseases Delirium, Dementia, Amnestic, Cognitive Disorders Mental Disorders TDP-43 Proteinopathies Neurodegenerative Diseases Proteostasis Deficiencies Metabolic Diseases |
ClinicalTrials.gov processed this record on May 19, 2013