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Word Repetition Paired With Startling Stimuli Decreases Aphasia and Apraxia Severity in Severe-to-Moderate Stroke: A Stratified, Single-Blind, Randomized, Phase 1 Clinical Trial
CONCLUSIONS: This study is the first to evaluate the impact of training with startling acoustic stimuli on clinical measures of aphasia and AOS. Our findings suggest START can enhance both nontrained speech production and receptive speech tasks in moderate/severe aphasia, possibly by reducing poststroke cortical inhibition. Our findings should be considered carefully, as our limitations include small effect sizes, within-group variability, and low completion rates for quality-of-life assessments and follow-up visits. Future studies should explore a mechanism of action, conduct larger and longer Phase 2 clinical trials, and...
Source: American Journal of Speech-Language Pathology - September 12, 2023 Category: Speech-Language Pathology Authors: Zoe Swann Nathan Tesman Corianne Rogalsky Claire F Honeycutt Source Type: research

A case of pure apraxia of speech after left hemisphere stroke: behavioral findings and neural correlates
DiscussionThis pure case of severe AOS without aphasia affords a unique window into the behavioral and neural mechanisms of this motor speech disorder. The current findings support previous observations that AOS and aphasia are dissociable and confirm a role for the precentral gyrus of the insula and BA44, as well as underlying white matter in supporting the coordination of complex articulatory movements. Additionally, other regions including the precentral gyrus, Broca’s area, and Area 55b are discussed regarding their potential role in successful speech production.
Source: Frontiers in Neurology - July 27, 2023 Category: Neurology Source Type: research

Perspectives of U.S. speech-language pathologists on supporting the psychosocial health of individuals with aphasia
CONCLUSIONS: This research highlights the necessity of increased training, as well as improved interprofessional collaboration between SLPs and mental health professionals. Limitations of the study include the potential bias of respondents, as well as the number and scope of the questions and responses. Future studies can employ interviews, trial models for collaboration, and partner with IWA to explore their experiences with psychosocial health support and services.PMID:37481944 | DOI:10.1016/j.jcomdis.2023.106365
Source: Journal of Communication Disorders - July 23, 2023 Category: Speech-Language Pathology Authors: Haley Hayashi Michelle Gravier Kristen Gustavson Ellen Bernstein-Ellis Source Type: research

The role of education, concept knowledge, work setting and clinical experience in communication partner training: A survey of Flemish speech and language therapists
CONCLUSIONS & IMPLICATIONS: To reduce the practice-evidence gap, we suggest prioritising the two most frequently identified barriers, that is, lack of time and CPT-specific knowledge. To overcome the time barrier in CPT, we propose implementing automated natural speech analysis to reduce the workload. To enhance CPT-specific knowledge, speech and language therapy curricula should provide more in-depth theory and hands-on practice for CPT. In addition, increased awareness about CPT-specific methods is needed to further support clinical practice.WHAT THIS PAPER ADDS: What is already known on the subject Communication partner...
Source: International Journal of Language and Communication Disorders - July 6, 2023 Category: Speech-Language Pathology Authors: Mara Barberis Maaike Vandermosten Source Type: research

'It's been an extraordinary journey': Experience of engagement from the perspectives of people with post-stroke aphasia
CONCLUSIONS & IMPLICATIONS: Engagement is a dynamic, multifaceted and person-centred process involving the client, provider and rehabilitation context. Findings from this work have implications for measuring engagement, training student clinicians to be skilled facilitators in engaging their clients and implementing person-centred practices that promote engagement within clinical settings.WHAT THIS PAPER ADDS: What is already known on the subject Engagement is recognized as an important factor in rehabilitation treatment response and outcomes. Prior literature suggests that the therapist plays a critical role in facilitati...
Source: International Journal of Language and Communication Disorders - June 10, 2023 Category: Speech-Language Pathology Authors: Carla Tierney-Hendricks Jennifer Miller Ruth Palan Lopez Sarah Conger Sofia Vallila-Rohter Source Type: research

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