Estimulación Cognitiva en un caso de Afasia Primaria Progresiva no fluente

Authors

  • Kimberly Andrea Fonseca-Silva Universidad de San Buenaventura seccional Medellín
  • Yaira Zuleine Arias-Ramírez Universidad de San Buenaventura seccional Medellín

DOI:

https://doi.org/10.18270/chps..v2020i1.3250

Keywords:

Primary progressive aphasia, Frontotemporal lobar degeneration, Cognitive stimulation, Dementia.

Abstract

PPA is characterized by a marked agrammatism, which can bring cognitive and functional defects according to the progression of the disease. Its etiological and semiological recognition is essential in linking to an appropriate treatment. The study aims to identify the effects of cognitive language stimulation based on AAC strategies in a female of 67 years old. She has 1 year of schooling and is diagnosed with major neurocognitive disorder, frontotemporal lobar degeneration nfvPPA. A single case experimental design was used. Several measurements with the ESAPP and the DAD-E instruments and 19 sessions of cognitive language stimulation were done. The qualitative analysis for the ESAPP instrument indicates improvement in participation, communicative interaction and higher tolerance to frustration. For the DAD-E instrument, visual analysis indicates a trend of stable behavior at baseline with a delayed level change after the start of the intervention. Percentage of non-overlapping data (PND) gave as a result a treatment being quite effective, moderately effective and with a significant effect. The results obtained in other single-case research, as well as in this one, show that the use of alternative interventions brings benefits at the level of participation and therefore in the quality of life of people with PPA.

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References

Ahunca, L. F. (2017). Más allá del deterioro cognitivo: síntomas neuropsiquiátricos en demencias neurodegenerativas. Revista Colombiana de Psiquiatría, 46(1), 51–58. https://doi.org/10.1016/j.rcp.2017.05.006

Ardila, A., & Ostrosky, F. (2012). Guía de diagnóstico neuropsicológico. http://www.inips.com.mx/archivos/Ardila__Ostrosk_Guia_para_el_Diagnostico_Neuropsicologico.pdf

Álvarez, M. (2015). Variabilidad en la sintomatologia de los pacientes Diagnosticados con demencia tipo alzheimer. https://rio.upo.es/xmlui/bitstream/handle/10433/2383/alvarez-duque-tesis16.pdf?sequence=1&isAllowed=y

Borovinsky, G., Canga, M., Pontello, N., Ferrari, J., & Martínez- Cuitiño, M. (2015). Adaptación de la Progressive Aphasia Severity Scale (PASS) al español rioplatense. XVII Congreso Argentino de Neuropsiquiatría y Neurociencia Cognitiva. 13° Congreso Latinoamericano de Neuropsiquiatría.

Bunnell, T., Lilley, J., Pennington, C., Moyers, B., & Polikoff, J. (2010). The ModelTalker System. Proceedings of the Blizzard Challenge Workshop, ATR, Kyoto, Japan.

Butts, A., Machulda, M., Duffy, J., Strand, E., Whitwell, J., & Josephs, K. (2015). Neuropsychological Profiles Differ among the Three Variants of Primary Progressive Aphasia. J Int Neuropsychol Soc., 40(4), 1291–1296. https://doi.org/10.1017/S1355617715000399

Carthery-Goulart, M. T., Silveira, A. da C. da, Machado, T. H., Mansur, L. L., Parente, M. A. de M. P., Senaha, M. L. H., … Nitrini, R. (2016). Nonpharmacological interventions for cognitive impairments following primary progressive aphasia: A systematic review of the literature. Dementia & Neuropsychologia, 7(1), 122–131.

Carvajal-Castrillón, J., Galeano, L. M., Olarte, D., Arboleda, A., Restrepo, A., & Bareño, J. (2016). Prevalencia de síndromes neuropsicológicos del adulto en una unidad de neuropsicología en Medellín, Colombia. Acta Neurológica Colombiana, 31(1), 20–26. https://doi.org/10.22379/242240224

Christidi, F., Migliaccio, R., Santamaría-García, H., Santangelo, G., & Trojsi, F. (2018). Social Cognition Dysfunctions in Neurodegenerative Diseases: Neuroanatomical Correlates and Clinical Implications. Behavioural Neurology, 2018, 1–18. https://doi.org/10.1155/2018/1849794

Congreso de la República. (6 de septiembre de 2006). Por la cual se reglamenta el ejercicio de la profesión de Psicología, se dicta el Código Deontológico y Bioético y otras disposiciones. [Ley 1090 de 2006]. Recuperado de http://colpsic .org .co/ aym_image/files/LEY_1090_DE_2006 .pdf

Coronas, M., & Basil, C. (2013). Comunicación aumentativa y alternativa para personas con afasia. Revista de Logopedia, Foniatria y Audiologia, 33(3), 126–135. https://doi.org/10.1016/j.rlfa.2012.10.004

Croot, K. (2018). Treatment for Lexical Retrieval Impairments in Primary Progressive Aphasia: A Research Update with Implications for Clinical Practice. Seminars in Speech and Language, 39(03), 242–256. https://doi.org/10.1055/s-0038-1660783

Croot, K., Raiser, T., Taylor-Rubin, C., Ruggero, L., Ackl, N., Wlasich, E., … Nickels, L. (2019). Lexical retrieval treatment in primary progressive aphasia: An investigation of treatment duration in a heterogeneous case series. Cortex, 115, 133–158. https://doi.org/10.1016/j.cortex.2019.01.009

Desai, A. K., Grossberg, G. T., & Sheth, D. N. (2004). Activities of Daily Living in Patients with Dementia. CNS Drugs, 18(13), 853–875. https://doi.org/10.2165/00023210-200418130-00003

Fried-oken, M., Mooney, A., & Peters, B., (2015). Supporting communication for patients with neurodegenerative disease. NeuroRehabilitation, 37(1), 69-87. doi: 10.3233/NRE-151241

Garzón, N., Méndez, A., & Benito, M. (2011). Un Caso de Demencia Frontotemporal en su Variante Lingüística Fluente. Psychologia: Avances de La Disciplina., 5(1), 107-119. http://www.scielo.org.co/pdf/psych/v5n1/v5n1a10.pdf

González, R., & Hornauer-Hughes, A. (2014). Afasia: una perspectiva clínica. Revista Hospital Clínico Universidad de Chile, 25(2), 291–308. https://es.slideshare.net/RafaelAlejandroGonzl/afasia-una-perspectiva-clnica

Gorno-Tempini, M. ., Hillis, A. E., Weintraub, S., Kertesz, A., Méndez, M., Cappa, S. F., … Grossman, M. (2011). Classification of primary progressive aphasia and its variants. Neurology, 76(11), 1006–1014. https://doi.org/10.1212/WNL.0b013e31821103e6

Grossman, M. (2010). Primary Progressive Aphasia: clinicopathological correlations. Nature Reviews Neruology, 6(2), 88–97. doi: 10.1038 / nrneurol.2009.216

Grossman, M. (2018). Linguistic Aspects of Primary Progressive Aphasia. Annual Reviews, 4, 377–403. https://doi.org/10.1146/annurev-linguistics-011516-034253

Henry, M. L., Hubbard, H. I., Grasso, S. M., Mandelli, M. L., Wilson, S. M., Sathishkumar, M. T., … Gorno-Tempini, M. L. (2018). Retraining speech production and fluency in non-fluent/agrammatic primary progressive aphasia. Brain, 141(6), 1799–1814. https://doi.org/10.1093/brain/awy101

Jang, J., Cushing, N., Clemson, L., Hodges, J. R., & Mioshi, E. (2012). Activities of daily living in progressive non-fluent aphasia, logopenic progressive aphasia and Alzheimer’s disease. Dementia and Geriatric Cognitive Disorders, 33(5), 354–360. https://doi.org/10.1159/000339670

Jurado, M. Á., Mataró, M., & Pueyo, R. (2013). Neuropsicología de las enfermedades neurodegenerativas. Editorial Síntesis.

Kim, E., Figeys, M., Hubbard, I., & Wilson, C. (2018). The Impact of Aphasia Camp Participation on Quality of Life: A Primary Progressive Aphasia Perspective. Seminars in Speech and Language, 39(3), 270–283. https://doi.org/10.1055/s-0038-1660785

Kortte, K., & Rogalski, E. (2013). Behavioral Interventions for Enhancing Life Participation in behavioral variant Frontotemporal Dementia and Primary Progressive Aphasia. International Review Psychiatry, 25(2), 237–245. doi: 10.3109 / 09540261.2012.751017

Lavoie, M., Bier, N., Laforce, R., & Macoir, J. (2019). Improvement in functional vocabulary and generalization to conversation following a self-administered treatment using a smart tablet in primary progressive aphasia. Neuropsychological Rehabilitation, 30 (7), 1224-1254.
https://doi.org/10.1080/09602011.2019.1570943

Lead Tee, B., & Gorno, M. L. (2019). Primary progressive aphasia: a model for neurodegerative disease. Neurology, 32(2), 96–100. doi: 10.1097 / WCO.0000000000000673

Machado, H., Campanha, A., Caramelli, P., & Carthery-Goulart, M. T. (2015). Brief intervention for agrammatism in Primary Progressive Nonfluent Aphasia: A case report. Dementia & Neuropsychologia, 8(3), 291–296. https://doi.org/10.1590/s1980-57642014dn83000014

Martínez, A., Felizzola, C. A., & Matallana, D. L. (2015). Valoración de prosodia espontánea afectiva y análisis de discurso en pacientes con esquizofrenia y demencia frontotemporal (DFT) variante lingüística. Revista Colombiana de Psiquiatria, 44(1), 13–19. https://doi.org/10.1016/j.rcp.2015.01.003

Matías-Guiu, J., & García-Ramos, R. (2013). Afasia progresiva primaria: del síndrome a la enfermedad. Neurología, 28(6), 366–374. https://doi.org/10.1016/j.nrl.2012.04.003

Ministerio de Salud y Protección Social. (2017). Boletín de salud mental. Depresión. Subdirección de enfermedades no trasmisibles. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENT/boletin-depresion-marzo-2017.pdf

Moheb, N., Mendez, M., Kremen, S., & Teng, E. (2017). Executive dysfunction and behavioral symptoms are associated with deficits in instrumental activities of daily living in frontotemporal dementia. Dement Geriatr Cogn Disord, 43, 89-99. https://doi.org/10.1159/000455119

Montembeault, M., Brambati, S. M., Gorno-Tempini, M. L., & Migliaccio, R. (2018). Clinical, anatomical, and pathological features in the three variants of primary progressive aphasia: A review. Frontiers in Neurology, 9. https://doi.org/10.3389/fneur.2018.00692

Moreno, L., Mantallana, D., & Cano, C. (2015). Actuales retos diagnósticos a partir de un análisis de características Socio- demográficas de 2453 pacientes de una Clínica de Memoria y Cognición. Acta Neurológica Colombiana, 31(1), 27–38.

Núñez, M. I. (2011). Diseños de Investigación en Psicología. Barcelona. http://diposit.ub.edu/dspace/bitstream/2445/20322/1/Dise%C3%B1o_de_investigaciones.pdf

Pattee, C., Von Berg, S., & Ghezzi, P. (2006). Effects of alternative communication on the communicative effectiveness of an individual with a progressive language disorder. International Journal of Rehabilitation Research, 29(2), 151–153. https://doi.org/10.1097/01.mrr.0000210046.02044.4d

Ramírez, L., Velilla, L., Quiroz, Y., Lopera, F., & Giraldo, M. (2016). Demencia frontotemporal: variante temporal derecha, reporte de dos casos. Acta Neurológica Colombiana, 32(1), 54–60. https://doi.org/10.22379/2422402276

Resolución 8430 de 1993 [Ministerio de Salud]. Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. 4 de octubre de 1993. Recuperado dehttps://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF

Reyes, P., Ortega-Merchán, M. P., Rueda, A., Uriza, F., Santamaría-García, H., Rojas-Serrano, N., … Matallana, D. (2018). Functional Connectivity Changes in Behavioral, Semantic, and Nonfluent Variants of Frontotemporal Dementia. Behavioural Neurology, 2018, 1–10. https://doi.org/10.1155/2018/9684129

Riello, M., Faria, A. V., Ficek, B., Webster, K., Onyike, C. U., Desmond, J., … Tsapkini, K. (2018). The Role of Language Severity and Education in Explaining Performance on Object and Action Naming in Primary Progressive Aphasia. Frontiers in Aging Neuroscience, 10, 1–10. https://doi.org/10.3389/fnagi.2018.00346

Rivas, J. C. (2014). Demencia frontotemporal: descripción clínica, neuropsicológica e imaginológica. Colomb Médica, 45(3), 122–126. http://www.scielo.org.co/pdf/cm/v45n3/es_v45n3a06.pdf

Roussos, A. (2007). El diseño de caso único en investigación en psicología clínica. Un cínclo entre la investigación y la práctica clínica. Revista Argentina de Clínica Psicológica, 16, 261–270. http://www.redalyc.org/pdf/2819/281921790006.pdf

Sánchez-Pérez, A., López-Roig, S., Pampliega Pérez, A., Peral Gómez, P., Pastor, M. Á., & Hurtado-Pomares, M. (2017). Traducción y adaptación de la escala Disability Assessment for Dementia scale en población española. Medicina Clinica, 149(6), 248–252. https://doi.org/10.1016/j.medcli.2017.03.029

Sastoque, S., Colina, S., & Iregui, M. (2012). Sistema de interacción multimodal para la rehabilitación de la afasia. Memorias Del XVII Congreso Internacional de Informática Educativa, TISE, 65–71. http://www.tise.cl/volumen8/TISE2012/10.pdf

Seelaar, H., Rohrer, J. D., Pijnenburg, Y. A. L., Fox, N. C., & Van Swieten, J. C. (2011). Clinical, genetic and pathological heterogeneity of frontotemporal dementia: A review. Journal of Neurology, Neurosurgery and Psychiatry, 82(5), 476–486. https://doi.org/10.1136/jnnp.2010.212225

Serra, J. (2017). Afasia progresiva primaria: aspectos clínicos y diagnósticos. Informaciones Psiquiátricas, 13–23. http://www.informacionespsiquiatricas.com/informe228/files/assets/basic-html/index.html#1

Serrano, C, Martelli, M., Harris, P., Tufró, G., Ranalli, C., Taragano, F., … Allegri, R. F. (2005). Afasia progresiva primaria: variabilidad clínica. Análisis de 15 casos. Revista de Neurologia, 41(9), 527–533.

Serrano, Cecilia, Dillon, C., Leis, A., Taragano, F., & Allegri, R. (2013). Deterioro cognitivo leve: riesgo de demencia según subtipos. Actas de Esp Psiquiatría, 41(6), 330–339. http://actaspsiquiatria.es/repositorio/15/86/ESP/15-86-ESP-330-339-909296.pdf

Simmons-Mackie, N., King, J. M., & Beukelman, D. R. (2013). Communication Support for Everyday Life Situations. http://archive.brookespublishing.com/documents/communication-support-for-everyday-life-situations.pdf

Volkmer, A., Spector, A., Warren, J. D., & Beeke, S. (2018). The ‘Better Conversations with Primary Progressive Aphasia (BCPPA)’ program for people with PPA (Primary Progressive Aphasia): protocol for a randomised controlled pilot study. Pilot and Feasibility Studies, 4(158), 1–10. https://doi.org/10.1186/s40814-018-0349-6

Wadeth, C. (2004). Un caso de demencia frontotemporal en su variante temporal. Revista Colombiana de Psiquiatría, 32 (2), 202–210. https://www.redalyc.org/pdf/806/80633209.pdf

Wszolek, Z. K., Tsuboi, Y., Ghetti, B., Pickering-Brown, S., Baba, Y., & Cheshire, W. P. (2006). Frontotemporal dementia and parkinsonism linked to chromosome 17 (FTDP-17). Orphanet Journal of Rare Diseases, 1(30). https://doi.org/10.1186/1750-1172-1-30

Published

2020-10-15

How to Cite

Fonseca-Silva, K. A., & Arias-Ramírez, Y. Z. (2020). Estimulación Cognitiva en un caso de Afasia Primaria Progresiva no fluente. Cuadernos Hispanoamericanos De Psicología, 20(1), 1–14. https://doi.org/10.18270/chps.v2020i1.3250
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