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Phonological Treatment for Anomia: A Scoping Review.

Emily J Braun¹, Nichol Castro², Lynn Warner³

¹Department of Communication Sciences and Disorders, University of Cincinnati, OH.

American Journal of Speech-Language Pathology

|August 7, 2025

Summary

This review summarizes phonological treatments for anomia, finding positive naming outcomes but limited generalization. Further research is needed to optimize treatment for individuals with acquired aphasia.

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Area of Science:

Speech and Language Pathology
Neurorehabilitation
Aphasia Research

Background:

Anomia, a common deficit in acquired aphasia, significantly impacts communication.
Phonological treatments aim to improve word retrieval by targeting underlying sound-based processes.
Understanding current treatment characteristics and outcomes is crucial for advancing anomia therapy.

Approach:

A comprehensive scoping review systematically identified and synthesized research on phonological treatment for anomia.
110 articles reporting 152 treatment conditions were analyzed.
Treatments were categorized into cueing, phonological components analysis, contextual priming, phonomotor therapy, and other phonological processing approaches.

Key Points:

Phonological treatments for anomia often involve small sample sizes and target chronic poststroke aphasia.
Common treatment categories include cueing, phonological components analysis, contextual priming, and phonomotor therapy.
Outcomes show promise for trained item naming but variable generalization to untrained items, with limited reporting on functional communication or quality of life.

Conclusions:

Current phonological treatments for anomia demonstrate positive results for trained word retrieval.
Variability in generalization and limited reporting on broader communication measures highlight areas for improvement.
Further research, including meta-analysis and prospective intervention studies, is essential to refine treatment parameters and identify optimal candidates for phonological therapy for anomia.