Propositional speech in unselected stroke: the effect of genre and external support

Law, Bonnie, Young, Breanne, Pinsker, Donna and Robinson, Gail A. (2014) Propositional speech in unselected stroke: the effect of genre and external support. Neuropsychological Rehabilitation, 25 3: 374-401. doi:10.1080/09602011.2014.937443

Author Law, Bonnie
Young, Breanne
Pinsker, Donna
Robinson, Gail A.
Title Propositional speech in unselected stroke: the effect of genre and external support
Journal name Neuropsychological Rehabilitation   Check publisher's open access policy
ISSN 0960-2011
Publication date 2014-07-21
Year available 2014
Sub-type Article (original research)
DOI 10.1080/09602011.2014.937443
Volume 25
Issue 3
Start page 374
End page 401
Total pages 28
Place of publication Abingdon, Oxon, United Kingdom
Publisher Routledge
Language eng
Abstract Distinguished from nominal language, propositional language generation refers to the spontaneous and voluntary aspect of language that introduces novel concepts to a specific context. Propositional language can be impaired in a range of neurological disorders, including stroke, despite well-preserved nominal language. Although external support can increase speech rate in patients with reduced propositional speech, no specific investigation of propositional speech has been carried out in unselected stroke patients. The current study investigated propositional language in an unselected post-acute stroke group (N = 18) with mild cognitive impairment and prominent executive dysfunction, but without significant aphasia. Specifically, we investigated whether genre or external support affected the number of words, sentences, and novel ideas produced, compared to healthy controls (N = 27). Results showed that discourse genre was not associated with differential performances. By contrast, speech quantity increased without external support although, for stroke patients, speech novelty decreased. Overall, the novelty deficit in unselected stroke patients highlights the importance of assessing cognition and propositional speech. Our findings suggest that for stroke patients with mild cognitive deficits, including executive dysfunction, introducing external support improved speech quality but not quantity. Implications for both assessment and rehabilitation of social communication are discussed. © 2014
Keyword Language generation
External support
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online ahead of print 21 Jul 2014

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
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