Language training for oral and written naming impairment in primary progressive aphasia: a review

Ilaria Pagnoni, Elena Gobbi, Enrico Premi, Barbara Borroni, Giuliano Binetti, Maria Cotelli, Rosa Manenti

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review


Background: Primary progressive aphasia (PPA) is a neurodegenerative disorder characterized by a gradual, insidious and progressive loss of language abilities, with naming difficulties being an early and persistent impairment common to all three variants. In the absence of effective pharmacological treatments and given the progressive nature of the disorder, in the past few decades, many studies have investigated the effectiveness of language training to minimize the functional impact of word-finding difficulties in daily life. Main body: We review language treatments most commonly used in clinical practice among patients with different variants of PPA, with a focus on the enhancement of spoken and written naming abilities. Generalization of gains to the ability to name untrained stimuli or to other language abilities and the maintenance of these results over time are also discussed. Forty-eight studies were included in this literature review, identifying four main types of language treatment: a) lexical retrieval treatment, b) phonological and/or orthographic treatment, c) semantic treatment, and d) a multimodality approach treatment. Overall, language training is able to induce immediate improvements of naming abilities in all variants of PPA. Moreover, despite the large variability among results, generalization and long-term effects can be recorded after the training. The reviewed studies also suggest that one factor that determines the choice of a particular approach is the compromised components of the lexical/semantic processing system. Conclusion: The majority of studies have demonstrated improvements of naming abilities following language treatments. Given the progressive nature of PPA, it is essential to apply language treatment in the early stages of the disease.
Lingua originaleEnglish
pagine (da-a)1-34
Numero di pagine34
RivistaTranslational Neurodegeneration
Stato di pubblicazionePubblicato - 2021
Pubblicato esternamente


  • Agrammatic variant of primary progressive aphasia
  • Aphasia, Primary Progressive
  • Handwriting
  • Humans
  • Language Therapy
  • Logopenic/phonological variant of PPA
  • Mental Recall
  • Names
  • Naming
  • Semantic variant of primary progressive aphasia
  • Semantics


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