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Stimulus complexity and retelling output in aphasia: an exploratory single-case analysis
1Department of Communication Science and Disorders, Robbins College of Health and Human Science, Baylor University, Waco, TX, United States.
Frontiers in Human Neuroscience
|April 29, 2026
Summary
This study introduces a new method to measure the complexity of story stimuli used in aphasia therapy. Quantifying narrative structure helps tailor therapy materials for better patient outcomes.
Area of Science:
- Linguistics
- Speech-Language Pathology
- Computational Linguistics
Background:
- Discourse-based aphasia therapies commonly use narrative stimuli.
- The structural complexity of these narrative materials is not well understood.
- Quantifiable methods for profiling discourse-level structure are lacking.
Purpose of the Study:
- To develop and apply a transparent, rule-based structural profiling approach for narrative stimuli in story-retelling therapy.
- To quantify the structural properties of narrative stimuli.
- To classify stimuli into complexity groups (Low, Medium, High).
Main Methods:
- Analyzed 12 narrative stimuli using a Python-based pipeline.
- Extracted features: sentence count, average sentence length, complex sentence ratio, and Estimated Information Units (EIUs).
- Calculated composite scores using z-score normalization for complexity classification.
Main Results:
- Narrative stimuli exhibited variability in structural complexity.
- EIUs varied across stimuli, indicating differences in information flow.
- Proof-of-concept analysis showed variable Information Unit (IU) change patterns across conditions.
Conclusions:
- Demonstrated the feasibility of quantifying structural properties of narrative stimuli.
- Stimulus profiling can aid in calibrating and sequencing materials in discourse-based aphasia research.
- Further research with larger samples is needed to validate findings and explore broader applications.
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