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A survey of speech-language therapy provision for people with post-stroke dysarthria in the UK.
CONCLUSIONS & IMPLICATIONS: Through this research it became clear that basic information regarding post-stroke dysarthria incidence, prevalence and core demographics is currently unavailable. More embedded NHS SLT reporting systems would make a significant contribution to this area. A more in-depth examination is required of the natural history of dysarthria over the months and years following stroke, of SLT practices in relation to post-stroke dysarthria, with investigations to understand more fully the choices SLTs make and how this relates to available evidence to support their clinical decision-making. PMID: 2...
Source: International Journal of Language and Communication Disorders - June 16, 2017 Category: Speech-Language Pathology Authors: Miller N, Bloch S Tags: Int J Lang Commun Disord Source Type: research

Aphasia and literacy-the insider's perspective.
CONCLUSIONS & IMPLICATIONS: The findings are important at a general level in that they indicate that PWA are able to articulate their individual experiences and thoughts about literacy, i.e., reading and writing. Specifically, PWA in this study experience literacy as playing an essential part in their lives and the findings imply that personal experiences are important in the design of reading and writing interventions in speech and language therapy. PMID: 28039933 [PubMed - as supplied by publisher]
Source: International Journal of Language and Communication Disorders - December 30, 2016 Category: Speech Therapy Authors: Kjellén E, Laakso K, Henriksson I Tags: Int J Lang Commun Disord Source Type: research

How do speech-and-language therapists address the psychosocial well-being of people with aphasia? Results of a UK online survey.
CONCLUSIONS & IMPLICATIONS: The vast majority of SLTs consider the psychosocial well-being of their clients, and work collaboratively with people with aphasia in selecting holistic goals. It is, however, of concern that most respondents felt they lacked confidence and received insufficient training to address psychological well-being. In order to improve psychological services for this client group, there is a strong case that stroke-specialist mental health professionals should strive to make their service truly accessible to people with even severe aphasia, which may involve working more closely with SLTs. Further, i...
Source: International Journal of Language and Communication Disorders - September 3, 2016 Category: Speech Therapy Authors: Northcott S, Simpson A, Moss B, Ahmed N, Hilari K Tags: Int J Lang Commun Disord Source Type: research

The participants' perspective: how biographic-narrative intervention influences identity negotiation and quality of life in aphasia.
CONCLUSIONS & IMPLICATIONS: Our quantitative and qualitative results demonstrated the benefits associated with the biographic-narrative intervention. The participants' sense of self changed through the approach. The findings provide foundations for future work using biographic narrative interventions to influence QoL and identity renegotiation in people with aphasia. PMID: 26123497 [PubMed - as supplied by publisher]
Source: International Journal of Language and Communication Disorders - June 30, 2015 Category: Speech Therapy Authors: Corsten S, Schimpf EJ, Konradi J, Keilmann A, Hardering F Tags: Int J Lang Commun Disord Source Type: research

Assessment and treatment of short-term and working memory impairments in stroke aphasia: a practical tutorial.
CONCLUSIONS: The links between short-term/working memory functioning and language in aphasia are generally acknowledged. These strongly indicate the need to incorporate assessment of short-term/working memory functioning for people with aphasia. While the supportive evidence for treatment is growing and appears to highlight the benefits of including short-term/working memory in aphasia treatment, the quality of the evidence in its current state is poor. However, because of the clinical needs of people with aphasia and the prevalence of short-term/working memory impairments, incorporating related treatments through practice...
Source: International Journal of Language and Communication Disorders - June 30, 2015 Category: Speech Therapy Authors: Salis C, Kelly H, Code C Tags: Int J Lang Commun Disord Source Type: research

Temporal information processing as a basis for auditory comprehension: clinical evidence from aphasic patients.
CONCLUSIONS & IMPLICATIONS: These results provide further clinical evidence supporting the thesis that TIP constitutes the core process incorporated in both language and attentional resources. The novel value of the present study is the indication for the first time in Slavic language users a clear coexistence of the 'timing-auditory comprehension-attention' relationships. PMID: 25727346 [PubMed - as supplied by publisher]
Source: International Journal of Language and Communication Disorders - February 27, 2015 Category: Speech Therapy Authors: Oron A, Szymaszek A, Szelag E Tags: Int J Lang Commun Disord Source Type: research

Outcomes of treatment targeting syntax production in people with Broca's-type aphasia: evidence from psycholinguistic assessment tasks and everyday conversation.
CONCLUSIONS & IMPLICATIONS: Improvement in language production in constrained assessment tasks may not impact on everyday conversations. Implications for further research are discussed, e.g. the need for bridging interventions between constrained and unconstrained contexts of language production. Clinical implications include the potential to streamline therapy planning and delivery by making use of rich, hybrid therapies to treat individuals with similar symptom profiles but with a range of underlying deficits. PMID: 25727236 [PubMed - as supplied by publisher]
Source: International Journal of Language and Communication Disorders - February 27, 2015 Category: Speech Therapy Authors: Carragher M, Sage K, Conroy P Tags: Int J Lang Commun Disord Source Type: research

'That doesn't translate': the role of evidence-based practice in disempowering speech pathologists in acute aphasia management.
CONCLUSIONS & IMPLICATIONS: Speech pathologists identified a current knowledge-practice gap in their management of aphasia in acute hospital settings. Speech pathologists place significant emphasis on the research evidence; however, their engagement with the research is limited, in part because it is perceived to lack clinical utility. A sense of professional dissonance arises from the conflict between a desire to provide best practice and the perceived barriers to implementing evidence-based recommendations clinically, resulting in evidence-based practice becoming a disempowering concept for some. PMID: 25652316 ...
Source: International Journal of Language and Communication Disorders - February 4, 2015 Category: Speech Therapy Authors: Foster A, Worrall L, Rose M, O'Halloran R Tags: Int J Lang Commun Disord Source Type: research

Communicative strategies used by spouses of individuals with communication disorders related to stroke-induced aphasia and Parkinson's disease.
CONCLUSIONS & IMPLICATIONS: The types of strategies used by spouses of persons with neurogenic communicative disabilities seem to be more strongly associated with individual characteristics of communicative ability than with the type of disorder involved. The set of categories developed in this study needs to be trialled on larger groups of participants, and modified if and as necessary, before it can be regarded as a valid system for the description of such strategies in general. Once this has been done it may become a useful instrument in the assessment of the strategies used by communication partners of individuals ...
Source: International Journal of Language and Communication Disorders - May 26, 2014 Category: Speech Therapy Authors: Carlsson E, Hartelius L, Saldert C Tags: Int J Lang Commun Disord Source Type: research

A comparison of aphasia therapy outcomes before and after a Very Early Rehabilitation programme following stroke.
CONCLUSIONS & IMPLICATIONS: A prescribed, impairment-based aphasia therapy regimen, provided daily in very early post-stroke recovery, resulted in significantly greater communication gains in people with mild-severe aphasia at completion of therapy and at 6 months, when compared with a historical control cohort. Further research is required to demonstrate large-scale and long-term efficacy. PMID: 24588906 [PubMed - in process]
Source: International Journal of Language and Communication Disorders - March 1, 2014 Category: Speech Therapy Authors: Godecke E, Ciccone NA, Granger AS, Rai T, West D, Cream A, Cartwright J, Hankey GJ Tags: Int J Lang Commun Disord Source Type: research

Using computers to enable self-management of aphasia therapy exercises for word finding: the patient and carer perspective.
CONCLUSIONS & IMPLICATIONS: Independent computerized aphasia therapy is acceptable to stroke survivors. Acceptability can be maximized by tailoring exercises to personal interests of the individual, ensuring access to support and giving consideration to fatigue and life style when recommending practice schedules. PMID: 24033650 [PubMed - in process]
Source: International Journal of Language and Communication Disorders - September 1, 2013 Category: Speech Therapy Authors: Palmer R, Enderby P, Paterson G Tags: Int J Lang Commun Disord Source Type: research

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