The relationship of aphasia type and gesture production in people with aphasia

Kazuki Sekine*, Miranda L. Rose

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

56 Citations (Scopus)


Purpose: For many individuals with aphasia, gestures form a vital component of message transfer and are the target of speech-language pathology intervention. What remains unclear are the participant variables that predict successful outcomes from gesture treatments. The authors examined the gesture production of a large number of individuals with aphasia-in a consistent discourse sampling condition and with a detailed gesture coding system-to determine patterns of gesture production associated with specific types of aphasia. Method: The authors analyzed story retell samples from AphasiaBank (TalkBank, n.d.), gathered from 98 individuals with aphasia resulting from stroke and 64 typical controls. Twelve gesture types were coded. Descriptive statistics were used to describe the patterns of gesture production. Possible significant differences in production patterns according to aphasia type were examined using a series of chi-square, Fisher exact, and logistic regression statistics. Results: A significantly higher proportion of individuals with aphasia gestured as compared to typical controls, and for many individuals with aphasia, this gesture was iconic and was capable of communicative load. Aphasia type impacted significantly on gesture type in specific identified patterns, detailed here. Conclusion: These type-specific patterns suggest the opportunity for gestures as targets of aphasia therapy.

Original languageEnglish
Pages (from-to)662-672
Number of pages11
JournalAmerican Journal of Speech-Language Pathology
Issue number4
Publication statusPublished - 2013 Nov 1
Externally publishedYes


  • Aphasia
  • Discourse
  • Gesture
  • Screening
  • Speech-language pathology

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Developmental and Educational Psychology
  • Linguistics and Language
  • Speech and Hearing


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