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A thesis submitted in partial fulfilment of - Queen Margaret University

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Further statistical analyses with a larger sample may enable the <strong>in</strong>teract<strong>in</strong>g<br />

<strong>in</strong>fluential factors to be fractionated to determ<strong>in</strong>e which factors impact most on<br />

the learn<strong>in</strong>g <strong>of</strong> new vocabulary.<br />

The provision <strong>of</strong> more detailed biological and neurological <strong>in</strong>formation with a<br />

larger population would also allow for analyses <strong>of</strong> the biological limitations to<br />

learn<strong>in</strong>g new vocabulary and related cortical plasticity. Additionally, the impact <strong>of</strong><br />

type <strong>of</strong> stroke (i.e. <strong>in</strong>farct versus haemorrhage) could be analysed <strong>in</strong> relation to<br />

the number <strong>of</strong> new words learned. The use <strong>of</strong> bra<strong>in</strong>-imag<strong>in</strong>g techniques could<br />

determ<strong>in</strong>e the location and severity <strong>of</strong> neurological damage and identify the<br />

extent and location <strong>of</strong> cortical reorganisation follow<strong>in</strong>g tra<strong>in</strong><strong>in</strong>g, thus further<br />

contribut<strong>in</strong>g to knowledge <strong>of</strong> the abilities and mechanisms <strong>in</strong>volved <strong>in</strong> the<br />

damaged bra<strong>in</strong> learn<strong>in</strong>g new vocabulary. F<strong>in</strong>d<strong>in</strong>gs may <strong>in</strong>dicate new ways <strong>of</strong><br />

approach<strong>in</strong>g the rehabilitation <strong>of</strong> such language impairments. The social impact<br />

and <strong>in</strong>fluence on recovery should be considered such as family, active<br />

engagement, return to work and emotional disturbances as a result <strong>of</strong> the<br />

biological and psychological effects <strong>of</strong> the stroke. Close liaison with the<br />

multidiscipl<strong>in</strong>ary team is recommended <strong>in</strong> order to reduce the impact <strong>of</strong> such<br />

factors on rehabilitation, particularly where depression is <strong>in</strong>volved which has a<br />

temporary and reversible impact on language and cognitive function<strong>in</strong>g.<br />

In this <strong>in</strong>vestigation participants were tra<strong>in</strong>ed on five words per day for four days<br />

and each day had a maximum <strong>of</strong> 30 m<strong>in</strong>utes to consolidate this learn<strong>in</strong>g. The<br />

<strong>in</strong>vestigation <strong>in</strong>dicated that participants had different learn<strong>in</strong>g styles and premorbid<br />

experience <strong>in</strong> learn<strong>in</strong>g skills. The lower scor<strong>in</strong>g participants also had less<br />

education and subsequently may have been less skilled <strong>in</strong> learn<strong>in</strong>g strategies<br />

and techniques. Any further <strong>in</strong>vestigation should ensure that all participants<br />

were given some time pre-tra<strong>in</strong><strong>in</strong>g to explore their particular learn<strong>in</strong>g techniques.<br />

In addition to learn<strong>in</strong>g techniques, participants may have different learn<strong>in</strong>g<br />

processes where some people can memorise <strong>in</strong>formation more quickly than<br />

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