Interplay of Semantic Plausibility and Word Order Canonicity in Sentence Processing of People With Aphasia Using a Verb-Final Language

Purpose: The Western Aphasia Battery is widely used to assess people with aphasia (PWA). Sequential Commands (SC) is one of the most challenging sub-tests for PWA. However, test items confound linguistic factors that make sentences difficult for PWA. The current study systematically manipulated semantic plausibility and word order in sentences like those in SC to examine how these factors affect comprehension deficits in aphasia. Method: Fifty Korean speakers (25 PWA and 25 controls) completed a sentence–picture matching task that manipulated word order (canonical vs. noncanonical) and semantic plausibility (plausible vs. less plausible). Analyses focused on accuracy and aimed to identify sentence types that best discrimi-nate the groups. Additionally, we explored which sentence type serves as the best predictor of aphasia severity. Results: PWA demonstrated greater difficulties in processing less plausible sentences than plausible ones compared to the controls. Across the groups, non-canonical and less plausible sentences elicited lower accuracy than canonical and plausible sentences. Notably, the accuracy of PWA and control groups dif-fered in noncanonical and less plausible sentences. Additionally, aphasia severity significantly correlated with less plausible sentences. Conclusion: Even in languages with flexible word order, PWA find it challenging to process sentences with noncanonical syntactic structures and less plausible semantic roles.