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Rehabilitation Research and Practice
Volume 2011, Article ID 131820, 10 pages
Review Article

Clinical Focus on Prosodic, Discursive and Pragmatic Treatment for Right Hemisphere Damaged Adults: What's Right?

1Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Québec, Canada H3W 1W5
2Hôpital de Réadaptation Villa Medica, Montréal, Québec, Canada
3Université de Montréal, Québec, Canada H3T 1J7

Received 30 September 2010; Accepted 6 January 2011

Academic Editor: Jeffrey Jutai

Copyright © 2011 Perrine Ferré et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Researchers and clinicians acknowledge today that the contribution of both cerebral hemispheres is necessary to a full and adequate verbal communication. Indeed, it is estimated that at least 50% of right brain damaged individuals display impairments of prosodic, discourse, pragmatics and/or lexical semantics dimensions of communication. Since the 1990's, researchers have focused on the description and the assessment of these impairments and it is only recently that authors have shown interest in planning specific intervention approaches. However, therapists in rehabilitation settings still have very few available tools. This review of recent literature demonstrates that, even though theoretical knowledge needs further methodological investigation, intervention guidelines can be identified to target right hemisphere damage communication impairments in clinical practice. These principles can be incorporated by speech and language pathologists, in a structured intervention framework, aiming at fully addressing prosodic, discursive and pragmatic components of communication.