The Efficacy of Confrontational Naming Treatments for Aphasia: A Meta-Analysis

Aphasiology

Yousefzade, F., Memarian, A., et al. (2024).

Aphasiology, 39(7), 942-967.

<div>This systematic review investigates the effects of treatment on confrontational naming in individuals with post-stroke aphasia.</div>

Isfahan University of Medical Sciences (Iran)



From January 2009 to March 2023

<div>Randomized control trials, non-randomized control&nbsp;trials, cohort studies, case-control studies, case series, and single-subject studies</div>

66

<div>Results of the meta-analysis revealed that 50 of 66 studies reported significant effect sizes (approximately 63% of which were high, 19% of which were medium, and 18% of which were considered low). The phonomotor method, self-managed computerized therapy, and personalized cueing method had non-significant effect sizes.</div> <div>&nbsp;</div> <div>The magnitude of the combined effects for the methods on naming that showed significant effects were as follows:</div> <div> <ul> <li>syntactic cueing (0.93);</li> <li>errorless (0.89);</li> <li>action observation method (0.88);</li> <li>phonological (0.79);</li> <li>Personalized Observation,&nbsp;Execution, and Mental imagery therapy (0.77);</li> <li>verb therapy (0.73);</li> <li>visuomotor cues (0.70);</li> <li>Semantic Feature Analysis (0.67);</li> <li>Phonological Component Analysis (0.61);</li> <li>gestural (0.59);</li> <li>cueing hierarchy (0.59);</li> <li>repeated naming (0.55); and</li> <li>Constraint-Induced Aphasia Therapy (0.40).</li> </ul> <div>Limitations to this review include the heterogeneity of study designs and lack of accounting for study characteristics such as types of aphasia or range of time post-onset.</div> </div>