Oral language disorders in adults and older adults

Oral language disorders in adults and older adults

Authors

DOI:

https://doi.org/10.23925/2176-2724.2025v37i3e71305

Keywords:

Aphasia, Communication Disorders, Cognition, Neuropsychology, Language Disorders

Abstract

 Language is a complex cognitive function involving processes of comprehension and communication production. Purpose: To verify the relationship between language disorder severity and the performance on language tasks in adults and older adults with oral language disorders. Methods: A retrospective cross-sectional quantitative study was carried out at the speech-language therapy service of a neurology outpatient clinic, with participants older than 18 years old, with diagnosis of oral language disorder. Participants’ sociodemographic and clinical data were obtained, as well as performance on oral language tasks of the Montreal Toulouse Language Assessment Battery and the Boston aphasia severity scale. Data were analyzed using the Spearman correlation test. Results: The final study sample consisted of 18 participants, aged 33 to 75 years, with the following diagnosis: classical aphasia (global, Wernicke’s, Broca’s, and anomic), primary progressive aphasia (logopenic and semantic variants), cognitive communication disorder, and non-aphasic language disorder. There was a statistically significant relation between aphasia severity and all language tasks assessed except oral word comprehension. The article discusses the tasks that showed the most relevant relation to severity. Conclusion: Almost all investigated language skills are related to the degree of severity of the disorder, demonstrating the importance of these skills for diagnosis and speech rehabilitation.

Downloads

Download data is not yet available.

Author Biographies

Ana Paula Arruda Estery, Universidade Federal de Ciências da Saúde de Porto Alegre

Speech therapist graduated from UFCSPA.

Ananda Ramos-Pereira, Universidade Federal de Ciências da Saúde de Porto Alegre

She holds a degree in Speech Therapy from Feevale University (2008), a Master's degree in Linguistics and Letters from the Pontifical Catholic University of Rio Grande do Sul (2011), specialization, improvement and continuing education courses in the area of ​​language, speech, auditory processing and hospital speech therapy. She is a doctoral student at the PPG - Rehabilitation Science at UFCSPA in the line of research Neurological Rehabilitation (2023).

Bárbara Costa Beber, Universidade Federal de Ciências da Saúde de Porto Alegre

She holds a degree in Speech-Language Pathology and Audiology from UFSM (2005), a specialization in Speech-Language Pathology and Audiology from UFSM (2007), a master's degree in Human Communication Disorders from UFSM (2009) and a PhD in Medicine: Medical Sciences from UFRGS (2014), with a doctoral internship at the Memory and Aging Center, University of California, San Francisco. She is an Atlantic Fellow for Equity in Brain Health, with a postdoctoral fellowship at the Global Brain Health Institute (Trinity College Dublin). She is an adjunct professor in the speech-language department at UFCSPA in the area of ​​adult language, and a permanent professor of the PPG Rehabilitation Sciences at UFCSPA, research line Fundamentals of Neurological Rehabilitation. She coordinates the Research and Study Group on Adult Language and Cognition (LinCog-Ufcspa).

References

Parente MAMP, Fonseca RP, Pagliarin KC, Barreto SS, Soares-Ishigaki ECS, Hübner LC et al. Coleção MTL Brasil - Bateria Montreal Toulouse de Avaliação da Linguagem. 1 ed. São Paulo: Vetor; 2016.

Beber BC. Proposta de apresentação da classificação dos transtornos de linguagem oral no adulto e no idoso. Distúrb Comun. Março, 2019; 31(1): 160-9. doi: https://revistas.pucsp.br/index.php/dic/article/view/36049

Sheppard SM, Sebastian R. Diagnosing and managing post-stroke aphasia. Expert Rev Neurother. Feb, 2021; 21(2): 221-34. doi: 10.1080/14737175.2020.1855976

La Peña, MMJ de, Vicente, LG, Cobos, RG, & Vega, VM de. Correlación neurorradiológica de las afasias. Mapa cortico-subcortical del lenguaje. Radiología. Maio, 2018; 60(3), 250–61. doi: https://doi.org/10.1016/J.RX.2017.12.008

Vieira KR, Carvalho ACR de, Miotto EC. Revisão de intervenções cognitivas em pacientes com Afasia Progressiva Primária. Rev Neurocienc. Outubro, 2021; 29:1-25. doi: https://doi.org/10.34024/rnc.2021.v29.12122

Basagni B, Pancani S, Pellicciari L, Gemignani P, Salvadori E, Marignani S et al. Funções cognitivas extralinguísticas envolvidas no Token Test: resultados de uma coorte de pacientes com AVC não afásico com lesão no hemisfério direito. Behav Sci. Dezembro, 2022;12(12):1-12. https://doi.org/10.3390/bs12120494

Savarimuthu A, Ponniah RJ. A Slip Between the Brain and the Lip: Working Memory and Cognitive-Communication Disorders. J Psycholinguist Res. Aug, 2023; 52(4):1237-48. doi: 10.1007/s10936-023-09946-3.

Togher L, Douglas J, Turkstra LS, Welch-West P, Janzen S, Harnett A et al. INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury, Part IV: Cognitive-Communication and Social Cognition Disorders. J Head Trauma Rehabil. Fev, 2023; 38(1): 65-82. doi: 10.1097/HTR.0000000000000835

SAÚDE: Campanha alerta para tratamento do AVC na pandemia. AMB. [Acesso em 20 Mar 2025]. Disponível em: https://amb.org.br/amb/saudecampanha-alerta-para-tratamento-do-avc-na-pandemia/

Sociedade Brasileira de AVC: Números do AVC no Brasil e no Mundo. [Acesso em 29 Mar 2025]. Disponível em: https://avc.org.br/sobre-a-sbavc/numeros-do-avc-no-brasil-e-no-mundo/

Vitti E, Hillis AE. Treatment of post-stroke aphasia: A narrative review for stroke neurologists. Int J Stroke. Dez, 2021;16(9):1002-8. doi:10.1177/17474930211017807

Bullier B, Cassoudesalle H, Villain M, Cogné M, Mollo C, Gabory I de et al. New factors that affect quality of life in patients with afasia. Annals of Physical and Rehabilitation Medicine. Jan, 2020; 63(1): 33-7. doi:https://doi.org/10.1016/j.rehab.2019.06.015.

Goodglass H, Kaplan E, Brand S, Barresi B. The Boston diagnostic aphasia examination (BDAE). Philadelphia, Pa: Lippincott Williams; 2000.

Altmann RF, Ortiz KZ, Moraes DAO, Pagliarin KC. Brief Montreal-Toulouse Language Assessment Battery: validity and reliability. Journal of Clinical Practice in Speech-Language Pathology. Jun, 2024; 26(2): 218–33. doi: https://doi.org/10.1080/22000259.2024.2359366

Ferreira JA. Desempenho Pré E Pós-Tratamento Fonoaudiológico Em Grupo De Pacientes Afásicos [Monografia]. Florianópolis (SC): Universidade Federal de Santa Catarina; 2019. Disponível em: https://repositorio.ufsc.br/handle/123456789/202389

Miot HA. Análise de Correlação em estudos Clínicos e Experimenrais. J Vasc Bras. Dez, 2018; 17(4): 275-9. doi: https://doi.org/10.1590/1677-5449.17411

Caminha L dos S, Mazuroski Junior A. Afasia Pragmática: Cérebro, Linguagem e Comunicação. Muitas Vozes. Março, 2022;10:1-17. doi: https://revistas.uepg.br/index.php/muitasvozes/article/view/20062

Grasso SM, Berstis K, Mendez KS, Keegan-Rodewald WR, Wauters LD, Europa E et al. Investigating changes in connected speech in nonfluent/agrammatic primary progressive aphasia following script training. Cortex. Fev 2025;183: 193-210. doi: https://doi.org/10.1016/j.cortex.2024.09.019.

Yeste-Fernández MJ. Terapia asistida con animales en un caso de afasia de Broca. [Dissertação]. Jaén (Espanha): Universidad de Jaén; 2019. Disponível em: https://hdl.handle.net/10953.1/11775

Shah-Basak P, Boukrina O, Li XR, Jebahi F, Kielar A. Targeted neurorehabilitation strategies in post-stroke aphasia. Restor Neurol Neurosci. Nov, 2023; 41(3-4), 129–191 https://doi-org.ez41.periodicos.capes.gov.br/10.3233/RNN-231344

Madden EB, Torrence J, Kendall DL. Cross-modal generalization of anomia treatment to reading in aphasia. Aphasiol. 11 Mar 2020; 35(7),875-99. doi: https://doi.org/10.1080/02687038.2020.1734529

Jesus FV. Praxias orofaciais não-verbais nas perturbações dos sons da fala: prática de terapeutas da fala portugueses. [Dissertação]. Porto (Portugal): Universidade Fernando Pessoa; 2019. Disponível em: http://hdl.handle.net/10284/7709

Sampaio NFS, Lacerda M dos A. A repetição na linguagem de MM: uma discussão à luz da Neurolinguística Discursiva. RO. Setembro, 2017; 2(2):113-32. doi: https://periodicos.ufrn.br/odisseia/article/view/12271

Fong MWM, Patten RV, Fucetola RP. The Factor Structure of the Boston Diagnostic Aphasia Examination, Third Edition. J Int Neuropsychol Soc. Aug, 2019; 25(7): 772-6. doi: https://pubmed.ncbi.nlm.nih.gov/31030708/

Akashi DA, Ortiz KZ. Formal language assessment in low-educated healthy subjects. Dement neuropsychol. Jul, 2018: 12(3): 284–91. doi: https://doi.org/10.1590/1980-57642018dn12-030009

Pereira A, Ortiz KZ. Language skills differences between adults without formal education and low formal education. Psicol Refl. Crít. Jan, 2022; 35(4): 1-9. https://doi.org/10.1186/s41155-021-00205-9.

Ortiz KZ, Lira JO de, Minett TSC, Bertolucci PHF. Language impairments in Alzheimer´s disease: What changes can be found between mild and moderate stages of the disease? Clinics. May, 2024; 79(1): 1-5. doi: https://doi.org/10.1016/j.clinsp.2024.100412.

Downloads

Published

2025-08-19

How to Cite

Estery, A. P. A., Ramos-Pereira, A., & Beber, B. C. (2025). Oral language disorders in adults and older adults: Oral language disorders in adults and older adults. Distúrbios Da Comunicação, 37(3), e71305. https://doi.org/10.23925/2176-2724.2025v37i3e71305

Issue

Vol. 37 No. 3 (2025)

Section

Artigos

License

Copyright (c) 2025 Ana Paula Arruda Estery, Ananda Ramos-Pereira, Bárbara Costa Beber

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.