A neuropsychological approach to the study of gesture and pantomime in aphasa

Abstract

The impairment of  gesture and pantomime in aphasia was examined from  a neuropsychological perspective. The Boston Diagnostic Test of  Aphasia, Luria's Neuro-psychological Investigation, Pickett's Tests for  gesture and pantomime and the Performance Scale of  the Wechsler Adult Intelligence Scale were administered to six aphasic subjects with varying etiology and severity. Results indicated that severity of  aphasia was positively related to severity of  gestural disturbance; gestural ability was associated with verbal and non-linguistic aspects of  ability, within receptive and expressive levels respectively; performance  on gestural tasks was superior to that on verbal tasks irrespective of  severity of aphasia; damage to Luria's second and third functional  brain units were positively related to deficits  in receptive and expressive gesture respectively; no relationship was found  between seventy of  general intellectual impairment and gestural deficit.  It was concluded that the gestural impairment may best be understood as a breakdown in complex sequential manual motor activity. Theoretical and therapeutic implications were discussed.