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Review

Semantic Variant Primary Progressive Aphasia: Practical Recommendations for Treatment from 20 Years of Behavioural Research

1
Dementia Research Centre, UCL Queen Square Institute of Neurology, University College London, London WC1N 3BG, UK
2
School of Psychological Sciences, College of Engineering, Science and Environment, The University of Newcastle, Callaghan, NSW 2308, Australia
3
Centre de Recherche de l’Institut Universitaire de Gériatrie de Montréal, Montreal, QC H3W 1W4, Canada
4
School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC HEC 3J7, Canada
5
Department of Speech, Language, and Hearing Sciences, The University of Texas at Austin, Austin, TX 2504A, USA
6
Dell Medical School, The University of Texas at Austin, Austin, TX 78712, USA
7
Rotman Research Institute, Baycrest Health Sciences, Toronto, ON M6A 2E1, Canada
8
Department of Speech-Language Pathology, University of Toronto, Toronto, ON M5G 1V7, Canada
9
School of Psychological Sciences, Macquarie University, Sydney, NSW 2109, Australia
10
Department of Speech Pathology, Uniting War Memorial Hospital, South Eastern Sydney Local Health District War Memorial Hospital, Waverley, NSW 2024, Australia
*
Author to whom correspondence should be addressed.
Current Address: UCL Queen Square Institute of Neurology, Dementia Research Centre, Box 16, 8-11 Queen Square, London WC1N 3BG, UK.
Academic Editors: Jordi A. Matias-Guiu, Robert Jr Laforce and Rene L. Utianski
Brain Sci. 2021, 11(12), 1552; https://doi.org/10.3390/brainsci11121552
Received: 20 September 2021 / Revised: 15 November 2021 / Accepted: 16 November 2021 / Published: 23 November 2021
(This article belongs to the Special Issue Advances in Primary Progressive Aphasia)
People with semantic variant primary progressive aphasia (svPPA) present with a characteristic progressive breakdown of semantic knowledge. There are currently no pharmacological interventions to cure or slow svPPA, but promising behavioural approaches are increasingly reported. This article offers an overview of the last two decades of research into interventions to support language in people with svPPA including recommendations for clinical practice and future research based on the best available evidence. We offer a lay summary in English, Spanish and French for education and dissemination purposes. This paper discusses the implications of right- versus left-predominant atrophy in svPPA, which naming therapies offer the best outcomes and how to capitalise on preserved long-term memory systems. Current knowledge regarding the maintenance and generalisation of language therapy gains is described in detail along with the development of compensatory approaches and educational and support group programmes. It is concluded that there is evidence to support an integrative framework of treatment and care as best practice for svPPA. Such an approach should combine rehabilitation interventions addressing the language impairment, compensatory approaches to support activities of daily living and provision of education and support within the context of dementia. View Full-Text
Keywords: semantic dementia; semantic variant primary progressive aphasia; word finding; frontotemporal dementia; language therapy; behavioural therapy semantic dementia; semantic variant primary progressive aphasia; word finding; frontotemporal dementia; language therapy; behavioural therapy
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MDPI and ACS Style

Suárez-González, A.; Savage, S.A.; Bier, N.; Henry, M.L.; Jokel, R.; Nickels, L.; Taylor-Rubin, C. Semantic Variant Primary Progressive Aphasia: Practical Recommendations for Treatment from 20 Years of Behavioural Research. Brain Sci. 2021, 11, 1552. https://doi.org/10.3390/brainsci11121552

AMA Style

Suárez-González A, Savage SA, Bier N, Henry ML, Jokel R, Nickels L, Taylor-Rubin C. Semantic Variant Primary Progressive Aphasia: Practical Recommendations for Treatment from 20 Years of Behavioural Research. Brain Sciences. 2021; 11(12):1552. https://doi.org/10.3390/brainsci11121552

Chicago/Turabian Style

Suárez-González, Aida, Sharon A. Savage, Nathalie Bier, Maya L. Henry, Regina Jokel, Lyndsey Nickels, and Cathleen Taylor-Rubin. 2021. "Semantic Variant Primary Progressive Aphasia: Practical Recommendations for Treatment from 20 Years of Behavioural Research" Brain Sciences 11, no. 12: 1552. https://doi.org/10.3390/brainsci11121552

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