Where are we now with aphasia after stroke ?

Pam Enderby, Laura SuttonAnnals of Indian Academy of Neurology 2020 23(8):57-62 Objective: To provide a brief review of research literature relating to the current state of knowledge regarding speech and language therapy for people with aphasia and place these research findings within the context of outcome data of non-selected patients receiving usual therapy in the UK. Methods: Part 1 presents a literature search aimed at exploring up-to-date information related to the nature and evolution of aphasia, the impact of therapy and the changing nature of therapy. This provides the context of what may be achieved in rehabilitation. Part 2 examines of the impact of speech and language therapy on 1664 prospective patients receiving therapy for aphasia after stroke by 3 different types of service provision was collected and statistically analysed. The Therapy Outcome Measure was used to identify change in impairment, activity, participation and well-being at the beginning and end of therapy. Results: The findings from the non-selected group of patients supports the conclusions of the reported randomised control trials in that speech and language therapy for post stroke aphasia is associated with gains in one or more of the domains of the International Classification of Functioning.
Source: Annals of Indian Academy of Neurology - Category: Neurology Authors: Source Type: research

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CONCLUSIONS: Discriminative power of both Maugeri models was externally confirmed (in a 20 years younger population) and a new model (incorporating aphasia) was developed outperforming Maugeri models in primary outcome and MCID.PMID:34542037 | DOI:10.3233/NRE-201619
Source: NeuroRehabilitation - Category: Rehabilitation Authors: Source Type: research
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Source: International Journal of Speech-Language Pathology - Category: Speech-Language Pathology Authors: Source Type: research
Brain reorganization patterns associated with language recovery after stroke have long been debated. Studying mechanisms of spontaneous and treatment-induced language recovery in post-stroke aphasia requires a network-based approach given the potential for recruitment of perilesional left hemisphere language regions, homologous right hemisphere language regions, and/or spared bilateral domain-general regions. Recent hardware, software, and methodological advances in functional near-infrared spectroscopy (fNIRS) make it well-suited to examine this question. fNIRS is cost-effective with minimal contraindications, making it a...
Source: Frontiers in Human Neuroscience - Category: Neuroscience Source Type: research
ConclusionsWhen measuring the functional improvement of patients with aphasia, patient ’s quality of communication life received from treatment exceeded financial cost of services provided.
Source: PLoS One - Category: Biomedical Science Authors: Source Type: research
Conclusions Overall, participants were aware of the benefits of using the ROMA COS and believed that its implementation would improve research quality; however, incentives for routine implementation were reported to be lacking. Findings will guide future revisions of the ROMA COS and the development of theoretically informed implementation strategies. Supplemental Material https://doi.org/10.23641/asha.16528524.PMID:34491769 | DOI:10.1044/2021_JSLHR-20-00683
Source: Journal of speech, language, and hearing research : JSLHR - Category: Speech-Language Pathology Authors: Source Type: research
This study suggests that MOR, coupled with tDCS therapy may accelerate the reading recovery in patients with pure alexia.PMID:34478345 | DOI:10.1080/13554794.2021.1974487
Source: Neurocase - Category: Neurology Authors: Source Type: research
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Source: Aphasiology - Category: Speech-Language Pathology Authors: Source Type: research
CONCLUSIONS: 17 ICAPs were reported in 20 peer-reviewed literature sources (9 ICAPs supplemented by Grey literature sources). There were high degrees of variation in dose, professionals involved, and no qualitative data from participants. Of note, ICAP intervention was highly tailored to individual participants on the same ICAP, and intervention content varied between ICAPs. ICAPs appear to be rationalised as intensive impairment-based programmes with other components added for comprehensiveness. Stronger rationale and a logic model are required to justify the core components of ICAPs. The input of stakeholders into design...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Source Type: research
Conclusion: Clinicians in Asia are strongly recommended to consider the education level of stroke patients when interpreting the results of the MMSE and MoCA. Further studies in other Asian countries are needed to understand their clinical value in stroke settings.
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Review Source Type: research
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Source: Aphasiology - Category: Speech-Language Pathology Authors: Source Type: research
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