A longitudinal study of speech production in primary progressive aphasia and behavioral variant frontotemporal dementia
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We examined longitudinal change in language expression during a semi-structured speech sample in 48 patients with primary progressive aphasia (PPA) or behavioral variant frontotemporal dementia (bvFTD) and related this to longitudinal neuroimaging of cortical thickness available in 25 of these patients. All patient groups declined significantly on measures of both speech fluency and grammar, although patients with nonfluent/agrammatic PPA (naPPA) declined to a greater extent than patients with the semantic variant, the logopenic variant, and bvFTD. These patient groups also declined on several neuropsychological measures, but there was no correlation between decline in speech expression and decline in neuropsychological performance. Longitudinal decline in grammaticality, assessed by the number of well-formed sentences produced, was associated with longitudinal progression of gray matter atrophy in left frontal operculum/insula and bilateral temporal cortex.
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Semi-structured speech samples captured decline of fluency and grammaticality (2 years), associated with frontotemporal atrophy (N = 14).
“Promising digital tools may increase the sensitivity of cognitive assessment, such as semi-structured speech samples that captured decline of fluency and grammaticality (2 years), associated with frontotemporal atrophy (N = 14) (Ash et al., 2019).”
From The pursuit for markers of disease progression in behavioral variant frontotemporal dementia: a scoping review to optimize outcome measures for clinical trials (2024) · cites this paper as Ash et al., 2019
In behavioural variant frontotemporal dementia, ASLA captures prosodic and linguistic alterations as well as their worsening in the course of disease.
“In behavioural variant frontotemporal dementia, they capture prosodic 24 and linguistic 72 alterations as well as their worsening in the course of dis ease. 57”
From Speech and language markers of neurodegeneration: a call for global equity (2023) · cites this paper as [57]
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- Authors
- Ash, S., Nevler, N., Phillips, J., Irwin, D. J., McMillan, C. T., Rascovsky, K., & Grossman, M.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Ash, Sharon
- Venue
- Brain and Language
- Publisher
- Elsevier BV
- Published
- 2019-07
- Volume
- 194
- Pages
- 46-57
- ISSN
- 0093-934X (ISSN-L)
- PMC
- PMC6656376
- OpenAlex
- W2943955580
- Cited by
- 47
- References
- 71
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 9 · 2023: 11 · 2022: 6 · 2021: 11
- FWCI
- 3.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Brain and Language (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (AG017586, AG054519, AG052943, K23NS088341, K043503)
- Institute on Aging (AG04350)
- Alzheimer’s Association (AACSF-18-567-131)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Keywords
- primary progressive aphasia, behavioral variant frontotemporal dementia, speech production, language loss, cortical thickness, gray matter atrophy, speech fluency, grammaticality, temporal cortex, neuropsychological decline
- MeSH terms
- Aged, Cerebral Cortex, Female, Humans, Longitudinal Studies, Magnetic Resonance Imaging, Male, Middle Aged, Semantics, Speech, Aphasia, Primary Progressive, Frontotemporal Dementia, Gray Matter
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