A scoping review of the assessment of agrammatism in individuals with Broca's Aphasia and the non-fluent variant of Primary Progressive Aphasia

Tracks
Concurrent session M3
Adult
Aphasia
Grammar and syntax
Progressive disorders
Stroke
Monday, May 27, 2024
2:30 PM - 2:45 PM
Meeting Room 02

Overview

Yan Feng


Details

⏫ Research insights
📚 Assumed knowledge of attendees: Foundational (new/casual familiarity with the topic e.g. treated a single case)


Presenter

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Miss Yan Feng

A scoping review of the assessment of agrammatism in individuals with Broca's Aphasia and the non-fluent variant of Primary Progressive Aphasia

2:30 PM - 2:45 PM

Presentation summary

Background: Agrammatism is said to be present in the language of individuals with Broca’s aphasia and many with non-fluent variant of PPA. Currently, there is no review in the literature that summarises the tasks and grammatical measures that are examined to detect the presence of agrammatism and what this entails across different languages. Similarly, there is no efficient assessment protocol supported for clinical use.

Aim: This scoping review will evaluate how agrammatism has been assessed in individuals with Broca's Aphasia and the non-fluent variant of PPA, across different languages, with the view to guiding development of a clinical assessment tool.

Methods: A comprehensive search based on keywords related to grammar/morphosyntax, assessment, and aphasia, was conducted on MEDLINE. Articles identified during the search were screened by two reviewers at the title and abstract and full text levels. Inclusion criteria were i) the aim to assess agrammatism in at least one adult with agrammatism, ii) reporting original data, and iii) published in English. One reviewer extracted data on all articles and another reviewer completed reliability on 20% of articles.

Results: A total of 465 papers were screened at title and abstract level, of which 130 were assessed at full text for eligibility. Of these, 88 papers were included for data extraction. They crossed 17 languages, with English being evaluated in 61% of articles. A total of 1263 individuals with agrammatism were studied (469 male, mean age = 54.6 yrs). Of these, 62% had stroke-related agrammatism. An in-depth analysis of specific tasks and grammatical measures used in each article will be presented.

Conclusions: Researchers across countries use various tasks and examine a wide range of grammatical measures to assess agrammatism. The clinical feasibility of performing these grammatical measures is questioned. Suggestions for tackling these barriers to efficient and reliable assessment will be presented.

Key messages

At the conclusion of my presentation attendees will take away
1. Deeper understanding of what agrammatism is
2. Tasks and measures used to assess agrammatism in individuals with Broca's aphasis and non fluent PPA
3. A different method of assessing agrammatism

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Session chair

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Emma Finch
West Moreton Health, Queensland Health


Student volunteer(s)

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Georgia Fitzgerald
Student
Curtin University

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Michelle Lenihan
Edith Cowan University

The information contained in this program is current at of the time of publishing but is subject to changes made without notice.

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