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Condition: Aphasia
Education: Training

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Total 248 results found since Jan 2013.

Counselling training for speech-language therapists working with people affected by post-stroke aphasia: a systematic review.
CONCLUSIONS: Research in counselling training for speech-language therapists working in post-stroke aphasia is limited, with a small number of primarily low-quality studies available. Training in generic counselling skills and brief psychological approaches with support from mental health professionals in the stroke workplace enabled speech-language therapists to feel knowledgeable, skilled and confident to address the psychological well-being of people affected by post-stroke aphasia. Evidence about the effectiveness of counselling training on speech-language therapists' confidence and competence in practice and on client...
Source: International Journal of Language and Communication Disorders - February 13, 2019 Category: Speech-Language Pathology Authors: Sekhon JK, Oates J, Kneebone I, Rose M Tags: Int J Lang Commun Disord Source Type: research

"Living in a foreign country": experiences of staff-patient communication in inpatient stroke settings for people with post-stroke aphasia and those supporting them.
CONCLUSIONS: Communication was viewed as important but challenging by all three groups. To maximise staff-patient interactions in the future, attention needs to be paid to: the psychosocial needs of stroke survivors and their carers, ongoing staff training and support for the healthcare professionals supporting them, and the provision of an aphasia-friendly and a communicatively stimulating ward environment. Implications for Rehabilitation Effective staff-patient communication is viewed as fundamental to stroke rehabilitation but challenging by patients with aphasia, their carers and the healthcare professionals supporting...
Source: Disability and Rehabilitation - September 27, 2018 Category: Rehabilitation Authors: Clancy L, Povey R, Rodham K Tags: Disabil Rehabil Source Type: research

Managing of Lower Urinary Tract Dysfunction Following Stroke
AbstractPurpose of ReviewThis comprehensive up-to-date review will synthesise relevant available literature on the topic of post-stroke lower urinary tract dysfunction (LUTD). Topics include epidemiology of LUTD, LUTD as a prognostic indicator for stroke recovery, urinary incontinence and retention, correlations between brain lesion localisation and LUTD, causes of LUTD, medical complications due to LUTD, diagnostics and contemporary management of LUTD in stroke patients.Recent FindingsLUTD frequently occurs after a stroke and is associated with poor overall functional outcome, increased institutionalisation and mortality ...
Source: Current Bladder Dysfunction Reports - September 1, 2018 Category: Urology & Nephrology Source Type: research

Stroke communication partner training: a national survey of 122 clinicians on current practice patterns and perceived implementation barriers and facilitators.
CONCLUSION & IMPLICATIONS: A significant evidence-practice gap exists. Research exploring the implementation of stroke CPT in healthcare settings, expanding evidence to support CPT for the range of post-stroke communication disorders, developing freely accessible step-by-step CPT programmes that consider restrictions in current practice and providing explicit instructions of CPT best practice are warranted. A supportive workplace culture and freely accessible formal training opportunities are also needed. PMID: 30151877 [PubMed - as supplied by publisher]
Source: International Journal of Language and Communication Disorders - August 27, 2018 Category: Speech-Language Pathology Authors: Chang HF, Power E, O'Halloran R, Foster A Tags: Int J Lang Commun Disord Source Type: research

Transfer effects on spoken sentence comprehension and functional communication after working memory training in stroke aphasia
Publication date: Available online 10 February 2018Source: Journal of NeurolinguisticsAuthor(s): Lilla Zakariás, Christos Salis, Isabell WartenburgerAbstractRecent treatment protocols have been successful in improving working memory (WM) in individuals with aphasia. However, the evidence to date is small and the extent to which improvements in trained tasks of WM transfer to untrained memory tasks, spoken sentence comprehension, and functional communication is yet poorly understood. To address these issues, we conducted a multiple baseline study with three German-speaking individuals with chronic post-stroke aphasia. Part...
Source: Journal of Neurolinguistics - July 11, 2018 Category: Speech-Language Pathology Source Type: research

Randomized trial of iReadMore word reading training and brain stimulation in central alexia
AbstractCentral alexia is an acquired reading disorder co-occurring with a generalized language deficit (aphasia). We tested the impact of a novel training app, ‘iReadMore’, and anodal transcranial direct current stimulation of the left inferior frontal gyrus, on word reading ability in central alexia. The trial was registered atwww.clinicaltrials.gov (NCT02062619). Twenty-one chronic stroke patients with central alexia participated. A baseline-controlled, repeated-measures, crossover design was used. Participants completed two 4-week blocks of iReadMore training, one with anodal stimulation and one with sham stimulati...
Source: Brain - June 15, 2018 Category: Neurology Source Type: research

Managing of Lower Urinary Tract Dysfunction Following Stroke
AbstractPurpose of ReviewThis comprehensive up-to-date review will synthesise relevant available literature on the topic of post-stroke lower urinary tract dysfunction (LUTD). Topics include epidemiology of LUTD, LUTD as a prognostic indicator for stroke recovery, urinary incontinence and retention, correlations between brain lesion localisation and LUTD, causes of LUTD, medical complications due to LUTD, diagnostics and contemporary management of LUTD in stroke patients.Recent FindingsLUTD frequently occurs after a stroke and is associated with poor overall functional outcome, increased institutionalisation and mortality ...
Source: Current Bladder Dysfunction Reports - June 11, 2018 Category: Urology & Nephrology Source Type: research

Computerized Training in Poststroke Aphasia: What About the Long-Term Effects? A Randomized Clinical Trial
Poststroke aphasia is a very disabling disorder, which may affect speech expression, comprehension, and reading or writing. Treatment of aphasia should be initiated as soon as possible after the brain injury; however, the improvement of language functions can occur also in the chronic phase.
Source: Journal of Stroke and Cerebrovascular Diseases - June 4, 2018 Category: Neurology Authors: Rosaria De Luca, Bianca Aragona, Simona Leonardi, Michele Torrisi, Bruno Galletti, Franco Galletti, Maria Accorinti, Placido Bramanti, Maria Cristina De Cola Mstat, Rocco Salvatore Calabr ò Source Type: research

Attention control comparisons with SLT for people with aphasia following stroke: methodological concerns raised following a systematic review.
CONCLUSION: Distinctions between social support and therapy interventions were eroded. Theoretically based language rehabilitation was the remaining difference in therapy interventions. Social support is an important adjunct to formal language rehabilitation. Therapists should continue to enable those close to the person with aphasia to provide tailored communication support, functional language stimulation and opportunities to apply rehabilitation gains. Systematic group differences in completion rates is a design-related risk of bias in outcomes observed. PMID: 29911416 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 1, 2018 Category: Rehabilitation Authors: Brady MC, Godwin J, Kelly H, Enderby P, Elders A, Campbell P Tags: Clin Rehabil Source Type: research

Crossed aphasia following cerebral infarction in a right-handed patient with atypical cerebral language dominance
ConclusionThe findings suggest that the patient has right-sided cerebral language dominance, or that both hemispheres have linguistic functions. Not all patients show linguistic capabilities on the side opposite hand preference. The language dominance should be predicted by a combination of clinical manifestations and functional imaging techniques.
Source: Journal of Neurology - May 18, 2018 Category: Neurology Source Type: research

Time for a quick word? The striking benefits of training speed and accuracy of word retrieval in post-stroke aphasia
This study compared a novel combined speed- and accuracy-focused intervention—‘repeated, increasingly-speeded production’—to standard accuracy-focused treatment. Both treatments were evaluated for naming, connected speech outcomes, and related to participants’ neuropsychological and lesion profiles. Twenty participants with post-stroke chronic aphasia of varying severity and subty pe took part in 12 computer-based treatment sessions over 6 weeks. Four carefully matched word sets were randomly allocated either to the speed- and accuracy-focused treatment, standard accuracy-only treatment, or untreated (two control...
Source: Brain - April 17, 2018 Category: Neurology Source Type: research

Effects of different frequencies of repetitive transcranial magnetic stimulation in stroke patients with non-fluent aphasia: a randomized, sham-controlled study.
CONCLUSIONS: LF-rTMS and HF-rTMS are both beneficial to the recovery of linguistic function in patients with post-stroke non-fluent aphasia. LF-rTMS produced immediate benefits that persisted long-term, while HF-rTMS only produced long-term benefits. In addition, the benefits produced with LF-rTMS were more marked than those produced by HF-rTMS. PMID: 29589518 [PubMed - as supplied by publisher]
Source: Neurological Research - March 30, 2018 Category: Neurology Tags: Neurol Res Source Type: research

Refractory Mycoplasma pneumoniae pneumonia with concomitant acute cerebral infarction in a child: A case report and literature review
We present a 7-year-old boy with severe M pneumoniae pneumonia who developed impaired consciousness, aphasia, and reduced limb muscle power 7 days postadmission. Diagnoses: Mycoplasma pneumoniae pneumonia with concomitant acute cerebral infarction. Interventions: The patient recovered with aggressive antibiotic therapy, antiinflammation therapy with methylprednisolone, and gamma immunoglobulin and anticoagulation therapy with aspirin and low molecular weight heparin along with rehabilitation training. Outcomes: At 8 days postadmission, his consciousness was improved and at the 6-month follow-up visit, his muscle p...
Source: Medicine - March 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Transfer effects on spoken sentence comprehension and functional communication after working memory training in stroke aphasia
Publication date: Available online 10 February 2018 Source:Journal of Neurolinguistics Author(s): Lilla Zakariás, Christos Salis, Isabell Wartenburger Recent treatment protocols have been successful in improving working memory (WM) in individuals with aphasia. However, the evidence to date is small and the extent to which improvements in trained tasks of WM transfer to untrained memory tasks, spoken sentence comprehension, and functional communication is yet poorly understood. To address these issues, we conducted a multiple baseline study with three German-speaking individuals with chronic post-stroke aphasia. Participa...
Source: Journal of Neurolinguistics - February 11, 2018 Category: Speech-Language Pathology Source Type: research