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  3. Centre for Language and Communication Science Research
About City

Adult Assessment and Intervention of Language and Speech Disorders Group

This group investigates the nature and treatment of adult acquired communication disorders, with a particular emphasis on aphasia. Themes include: the investigation of aphasic language impairments, the self- reported experience of aphasia, the use of gesture in aphasia, assessment and outcome measurement and the impact of therapy.

Current studies are exploring the use of technology in aphasia therapy and the impact of therapies on activities, participation and quality of life. For example, we are exploring the benefits of a virtual communication environment for people with aphasia, and are evaluating therapies that make use of mainstream technologies, such as text to speech software. We are testing whether the same intervention delivered in different formats (one to one vs. group) has different outcomes.

Outside the field of aphasia, the group is also investigating treatments for people with Parkinson's Disease and Head Injury.

In the last five years the group has attracted funding from the, the Barts Charity, the Bupa Foundation, the Dunhill Medical Trust, the EPSRC, the Stroke Association, and the Tavistock Trust for Aphasia.


PhD Students

  • Rachel Barnard
  • Nick Behn
  • Eva Efstratiadou
  • Lara Galante
  • Line Huck
  • Judith Kitsner
  • Becky Moss
  • Madeline Pritchard
  • Abi Roper


2014 – 2017 Enahancing communication in aphasia through technology, awarded to: Celia Woolf, Jane Marshall, Madeline Cruice, Stephanie Wilson and Carol Stokes. The Barts Charity, £415,785.

2012 – 2013 Remote Aphasia Therapy: A Feasibility Study. Awarded to: Jane Marshall, Stephanie Wilson, Celia Woolf, and Shashi Hirani. The Tavistock Trust for Aphasia, £53,263.

2012-2015, Interdisciplinary study of Aphasia in the Greek language: Thales call. Awarded to Varlokosta S, Papathanasiou I., Hilari K., et al. The Greek Ministry for Education and Lifelong Learning. €600,000

2012 - 2015, Evaluating the Effects of a Virtual Communication Environment, Awarded tp Jane Marshall Stephanie Wilson, Celia Woolf, Naomi Cocks. The Stroke Association. £204,898

2012-2013, A Pilot Investigation of Aphasia Therapy Delivered via Internet Video Conferencing Technology. Jane Marshall, Anna Caute, Celia Woolf, Shashi Hirani. Bupa Foundation. £19,926

2010-2012, Gesture Recognition in Aphasia Therapy. Stephanie Wilson (HCID, City University London) Jane Marshall, Julia Galliers, Naomi Cocks, Tim Pring. EPSRC. £297,000

2006 - 2009, Enhancing communication in aphasia through gesture. Jane Marshall, Naomi Cocks, Madeline Cruice, Julie Hickin, Tim Pring, Wendy Best (UCL). The Stroke Association. £117,292



Wilson, S., Roper, A., Marshall, J., Galliers, J., Devane, N., Booth, T., Woolf, C. (2015) Codesign for people with aphasia through tangible design languages. CoDesign: International Journal of CoCreation in Design and the Arts, DOI: 10.1080/15710882.2014.997744


Woolf, C., Panton, A., Rosen, S., Best, W. & Marshall, J. (2014). Therapy for Auditory Processing Impairment in Aphasia: An evaluation of two approaches. Aphasiology, 28,12, 1481-1505, DOI: 10.1080/02687038.2014.931921


Caute, A., Pring, T., Cocks, C., Cruice, M., Best, W. & Marshall, J. (2013) Enhancing communication in aphasia through gesture and naming therapy. Journal of Speech, Language and Hearing Research

Cocks, N., Dipper, L., Pritchard, M. & Morgan, G (2013) "The impact of impaired semantic knowledge on spontaneous iconic gesture production." Aphasiology, 27 (9), p.1050

Cocks, N., Pritchard, M., Cornish, H., Thompson, N., & Cruice, M. (2013). A "novel" reading therapy programme for reading difficulties after a subarachnoid haemorrhage. Aphasiology.

Hilari K., & Boreham L.D (2013) Visual Analogue Scales in Stroke: what can they tell us about health-related quality of life? BMJ Open, 3: e003309

Johnson, S., Cocks, N., and Dipper, L (2013) "Use of Spatial Communication in Aphasia". International journal of language & communication disorders 48 (4), p. 469

Marshall, J., Roper, A., Galliers, J., Wilson, S., Cocks, N., Muscroft, S., Pring, T (2013) Computer delivery of gesture therapy for people with severe aphasia. Aphasiology, 27(9), pp. 1128-1146

Northcott S. & Hilari K. (2013) Stroke Social Network Scale: development and psychometric evaluation of a new patient-reported measure. Clinical Rehabilitation, 27(9), 823-833.

Pritchard, M., Cocks, N., & Dipper, L. (2013). Iconic gesture in normal language and word searching conditions: A case of conduction aphasia. International journal of speech-language pathology, 15 (5), 524-534.


Caute A., Northcott S., Clarkson L., Pring T., & Hilari K. (2012) Does mode of administration affect health-related quality of life outcomes after stroke? International Journal of Speech-Language Pathology, 14(4), 329-37

Efstratiadou E.A., Chelas E.N., Ignatiou M., Christaki V., Papathanasiou I., & Hilari K. (2012) Quality of life after stroke: evaluation of the Greek SAQOL-39g. Folia Phoniatrica Logopaedica, 64 (4), 179-18

Ignatiou M., Christaki V., Chelas E.N., Efstratiadou E.A., & Hilari K. (2012) Agreement between People with Aphasia and Their Proxies on Health-Related Quality of Life after Stroke, Using the Greek SAQOL-39g. Psychology, 3 (9), 686-690.

Holland, R., Brindley, L., Shtyrov, Y., Pulvermüller, F., & Patterson, K. (2012). They played with the trade: MEG investigation of the processing of past tense verbs and their phonological twins. Neuropsychologia, 50(14), 3713-3720. doi:10.1016/j.neuropsychologia.2012.10.019

Holland, R., & Crinion, J. (2012). Can tDCS enhance treatment of aphasia after stroke? Aphasiology, 26(9), 1169-1191. doi:10.1080/02687038.2011.616925

Marshall, J., Best, W., Cocks, N., Cruice, M., Pring, T., Bulcock, G., Creek, G., Eales, N., Lockhart Mummery, A., Matthews, N., & Caute, A. (2012). Gesture and naming therapy for people with severe aphasia: A group study. Journal of Speech, Language, and Hearing Research, 55(3), 726-738. doi: 10.1044/1092-4388(2011/11-0219). PMID: 22337498


Croft S, Marshall J, Pring T and Hardwick M. (2011) Therapy for naming difficulties in bilingual aphasia: Which language benefits? International Journal of Language and Communication Disorders, 46 (1), 48 - 62

Eaton, E., Marshall, J., and Pring, T. (2011) Mechanisms of change in the evolution of jargon aphasia. Aphasiology, 25, 12, 1543 - 1562.

Holland, R., Leff, A. P., Josephs, O., Galea, J. M., Desikan, M., Price, C. J., Crinion, J. (2011). Speech facilitation by left inferior frontal cortex stimulation. Current Biology, 21(16), 1403-1407. doi:10.1016/j.cub.2011.07.021


Barnard, R., Cruice, M., & Playford, E.D. (2010). Strategies used in the pursuit of achievability during goal setting in rehabilitation. Qualitative Health Research, 20(2), 239-250.doi:10.1177/1049732309358327.PMID:20065307.

Cocks, N., & Cruice, M. (2010). The experiences and perspectives of overseas trained speech and language therapists working in the UK. International Journal of Speech-Language Pathology, 12(3), 271-282. doi: 10.3109/17549500903215318 . PMID: 20433346.

Cocks, N., Matthews, N., Barnett, L., Phillips, E., Middleton, R., Gregoire-Clarke, J., & Cruice, M. (2010). Functional reading therapy for individuals with acquired reading difficulties: A preliminary investigation exploring its effectiveness. ACQuiring Knowledge in Speech, Language and Hearing, 12(1), 37-41.

Eaton E, Marshall J and Pring T (2010) 'Like déjà vu all over again': Patterns of perseveration in two people with jargon aphasia. Aphasiology, 24(9), 1017 - 1031.

Hersh, D., & Cruice, M. (2010). Beginning to teach the end: The importance of including discharge from aphasia therapy in the curriculum. International Journal of Language and Communication Disorders, 45(3), 263-274.

Holland, R., & Ralph, M. A. L. (2010). The Anterior Temporal Lobe Semantic Hub Is a Part of the Language Neural Network: Selective Disruption of Irregular Past Tense Verbs by rTMS. Cerebral Cortex, 20(12), 2771-2775. doi:10.1093/cercor/bhq020

Marshall J (2010) Classification of Aphasia: Are there benefits for practice? A commentary on Ardila. Aphasiology, 24(3), 408 - 412

Worrall, L., Brown, K., Cruice, M., Davidson, B., Hersh, D., Howe, T., & Sherratt, S. (2010). The evidence for a life-coaching approach to aphasia. Aphasiology, 24(4), 497-514.


Flynn L, Cumberland A and Marshall J (2009) Public knowledge about aphasia: A survey with comparative data. Aphasiology, 23(3), 393-402.

Hilari K., Lamping D. L., Smith S. C., Northcott S., Lamb A. & Marshall J. (2009) Psychometric properties of the Stroke and Aphasia Quality of Life scale (SAQOL-39) in a generic stroke population. Clinical Rehabilitation, 23(6), 544-557

Marshall J (2009) Framing ideas in aphasia: The need for thinking therapy. The International Journal of Language and Communication Disorders, 44(1), 1-14.


Panton A and Marshall J (2008) Improving spelling and everyday writing after CVA: A single case therapy study. Aphasiology, 22, 164 - 183.