Combining Action Observation and Motor Imagery Improves Eye–Hand Coordination during Novel Visuomotor Task Performance

Abstract

In this study, we compared the effectiveness of concurrent action observation and motor imagery (AO?+?MI), observing with the intent to imitate (active observation; AO), and passive observation (PO) training interventions for improving eye–hand coordination. Fifty participants were assigned to five groups [AO?+?MI, AO, PO, physical practice (PP); control] and performed a visuomotor rotation task, whilst eye movements were recorded. Each participant then performed 20 task trials in a training intervention before repeating the visuomotor rotation task in a post-test. As expected, PP produced the greatest improvement in task performance and eye–hand coordination. However, in comparison to the control group, AO?+?MI training produced a statistically significant increase in both task performance and eye–hand coordination, but no such improvements were found following AO or PO.     

A challenge to current models of past tense inflection: the impact of phonotactics

Is past tense production better modelled by a Single Mechanism or a Words and Rules model? We present data concerning a phenomenon that has not been considered by either model-regular past tense verbs with contrasting phonotactics. One set of verbs contains clusters at the inflected verb end that also occur in monomorphemic words ('monomorphemically legal clusters', MLC) whereas the other has clusters that can only occur in inflected forms ('monomorphemically illegal clusters', MIC). We argue that if children apply a morphological rule, phonotactics will not affect performance. Conversely, if children store past tense forms, they will perform better on verbs with MLCs because these clusters are more frequent. We investigated three populations--typically developing children, Grammatical-SLI (G-SLI) and Williams Syndrome (WS)--using past tense elicitation tasks. In Experiment 1 we reanalyse data from van der Lely and Ullman [van der Lely, H. K. J. & Ullman, M. (2001). Past tense morphology in specifically language impaired and normally developing children. Language and Cognitive Processes, 16: 177-217] and show that G-SLI children perform better on MLC verbs, whereas for typically developing children phonotactics do not affect performance. In Experiment 2 we replicate these findings in new groups of G-SLI and typically developing children. In Experiment 3 we reanalyse data from Thomas et al. [Thomas, M. S. C., Grant, J., Barham, Z., Gsodl, M., Laing, E., Lakusta, L., Tyler, L.K., Grice, S., Paterson, S. & Karmiloff-Smith, A. (2001) Past tense formation in Williams Syndrome. Language and Cognitive Processes, 16: 143-176] and show that phonotactics do not affect performance in individuals with WS. We argue that the results elucidate the underlying nature of morphology in these populations, and are better accommodated within a Words and Rules model of past tense acquisition.     

A cross-cultural, long-term outcome evaluation of the ISTAR Comprehensive Stuttering Program across Dutch and Canadian adults who stutter

There is a need to evaluate the effectiveness of stuttering treatment programs delivered in domestic and international contexts and to determine if treatment delivered internationally is culturally sensitive. Evaluation of the effectiveness of the ISTAR Comprehensive Stuttering Program (CSP) within and across client groups from the Netherlands and Canada revealed generally positive results. At 2 years post-treatment both groups were maintaining statistically significant reductions in stuttering frequency and improvements in attitudes, confidence, and perceptions as measured by the Revised Communication Attitude Inventory (S24), Perceptions of Stuttering Inventory (PSI), and the approach scale of the Self-Efficacy Scaling by Adult Stutterers (SESAS). Data pooled across the groups on these measures gave evidence of a global treatment effect with standardized effect sizes ranging from typical to larger than typical in the behavioural sciences. Only two differences between the groups emerged: differences in speech rate and perception of self. Given that these groups represent two distinct cultures, differences were discussed in terms of whether they could be due to cultural, methodological, or other variables. Overall, results suggest that, the CSP appears to be similarly effective in both cultures and thus, sufficiently sensitive to the culture of Dutch adults who stutter.

Educational objectives: The reader will be able to (a) describe a methodology that can be used in a clinical setting to evaluate the long-term effectiveness of stuttering treatment with adults, (b) describe some of the challenges in developing a model of clinically meaningful outcome, (c) explain the rationale for the need for cross-cultural investigations of treatment outcome, and (d) summarize speech and self-report results of the cross-cultural evaluation of an integrated stuttering treatment program.     

Evidence-based treatment of stuttering: III. Evidence-based practice in a clinical setting

At the heart of evidence-based practice in stuttering treatment are four issues: (1) the collection of data to inform treatment; (2) the long standing concern with maintenance of treatment gains; (3) the need to demonstrate accountability to clients, payers and our profession as service providers; and (4) the desire to advance theoretical knowledge. This article addresses the first three of these issues from a practical point of view, illustrating how data collection for stuttering treatment outcome research in a clinical setting is intimately blended with that required for clinical purposes and providing an example of a process of evaluating data for clinical and research purposes. EDUCATIONAL OBJECTIVES: The reader will learn about and be able to (1) differentiate between treatment outcome and treatment efficacy research, (2) describe models for integrating data collection for treatment outcome and clinical purposes, and (3) utilize guidelines for treatment efficacy that are applicable to outcome research to evaluate data for use in treatment outcome studies and to design outcome studies.