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Condition: Aphasia

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Total 3204 results found since Jan 2013.

Early Rehabilitation After Stroke: a Narrative Review
AbstractPurpose of ReviewDespite current rehabilitative strategies, stroke remains a leading cause of disability in the USA. There is a window of enhanced neuroplasticity early after stroke, during which the brain ’s dynamic response to injury is heightened and rehabilitation might be particularly effective. This review summarizes the evidence of the existence of this plastic window, and the evidence regarding safety and efficacy of early rehabilitative strategies for several stroke domain-specific deficits .Recent FindingsOverall, trials of rehabilitation in the first 2  weeks after stroke are scarce. In the realm of v...
Source: Current Atherosclerosis Reports - November 7, 2017 Category: Cardiology Source Type: research

Longitudinal fMRI study of language recovery after a left hemispheric ischemic stroke.
CONCLUSION: Language recovery after left hemispheric ischemic stroke is likely driven by the previously involved in language and attention left hemispheric networks. PMID: 29782329 [PubMed - in process]
Source: Restorative Neurology and Neuroscience - May 22, 2018 Category: Neurology Tags: Restor Neurol Neurosci Source Type: research

The efficacy and safety of pharmacological treatments for post-stroke aphasia.
Conclusions Current evidence suggests that drugs can improve the prognosis of post-stroke aphasia, such as donepezil, memantine. Donepezil has a significant effect in improving the ability of auditory comprehension, naming, repetition and oral expression. Memantine has a significant effect in improving the ability of naming, spontaneous speech and repetition. Bromocriptine showed no significant improvement in the treatment of aphasia after stroke. The trial for galantamine, amphetamine and levodopa in the treatment of aphasia after stroke is limited and inconclusive. PMID: 29984673 [PubMed - as supplied by publisher]
Source: CNS and Neurological Disorders Drug Targets - July 6, 2018 Category: Drugs & Pharmacology Authors: Zhang X, Shu B, Zhang D, Huang L, Fu Q, Du G Tags: CNS Neurol Disord Drug Targets 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

Description of stroke mimics after complete neurovascular assessment
ConclusionsIn our sample, 8.8% of all diagnoses of ischaemic stroke were SM. These events have different demographic, clinical, and prognostic characteristics; epilepsy is the most common aetiology. Despite receiving specialised emergency care, 19 patients with SM (4.7%) were treated with intravenous fibrinolysis.ResumenIntroducciónUn porcentaje de casos diagnosticados inicialmente como infartos isquémicos son de causa no cerebrovascular o stroke mimics (SM). Los datos publicados al respecto son heterogéneos y, generalmente, con cohortes pequeñas.ObjetivoNuestro objetivo es establecer qué enfermedades cursan como SM, ...
Source: Neurologia - October 23, 2018 Category: Neurology Source Type: research

Lesion-aphasia discordance in acute stroke among Bengali-speaking patients: Frequency, pattern, and effect on aphasia recovery
ConclusionLesion-aphasia discordance following acute stroke is not uncommon among Bengali-speaking subjects. In the discordant group, preponderance towards non-fluent aphasia was observed. Discordance occurred more frequently after hemorrhagic stroke. Subjects with lesion-discordant aphasia presented better recovery during early post-stroke phase.
Source: Journal of Neurolinguistics - July 29, 2019 Category: Speech-Language Pathology Source Type: research

Notification Strategy and Predictors of Outcome in Stroke Ineligible for Reperfusion Therapies
Conclusions: EMS notification is influenced by AF, stroke severity, psychiatric disease, aphasia, and residence type. Early disability depends on age, the type and severity of the stroke, and pre-stroke mRS. Predictors of disability at 1 year after stroke are age, stoke severity, mRS at discharge, and recurrent ischemic stroke. Higher NIHSS and older age are associated with higher case fatality. In patients ineligible for recanalization, EMS notification had no significant effect on outcome, regarding both disability and survival.
Source: Frontiers in Neurology - October 9, 2019 Category: Neurology Source Type: research

Dysarthria and stroke. The effectiveness of speech rehabilitation. A systematic review and meta-analysis of the studies.
CONCLUSIONS: The alternating and sequential motion rate (AMR- Pə, AMR-Tə, AMR-Kə, and SMR-PəTəKə) and maximum phonation time were significantly improved after speech rehabilitation. PMID: 32519528 [PubMed - as supplied by publisher]
Source: European Journal of Physical and Rehabilitation Medicine - June 8, 2020 Category: Rehabilitation Authors: Chiaramonte R, Vecchio M Tags: Eur J Phys Rehabil Med Source Type: research

'Emotion is of the essence. … Number one priority': A nested qualitative study exploring psychosocial adjustment to stroke and aphasia
CONCLUSIONS & IMPLICATIONS: To promote adjustment in the acute phase, hospital staff should prioritize the humanizing aspects of care provision. In the post-acute phase, clinicians play an integral role in supporting adjustment and can help by focusing on relationship-centred care, monitoring mental health, promoting quality improvement across the continuum of care and supporting advocacy. What this paper adds What is already known on the subject Anxiety and depression are common consequences of stroke, with depression rates high at 33% at 1 year post-onset. There is evidence that the psychological needs of people with aph...
Source: International Journal of Language and Communication Disorders - April 7, 2021 Category: Speech-Language Pathology Authors: Becky Moss Sarah Northcott Nicholas Behn Katie Monnelly Jane Marshall Shirley Thomas Alan Simpson Kimberley Goldsmith Sally McVicker Chris Flood Katerina Hilari Source Type: research

Evidence-based stroke rehabilitation: do priorities for practice change and feasibility of implementation vary across high income, upper and lower-middle income countries?
CONCLUSION: We have identified healthcare providers' priorities for addressing international practice change across socioeconomic regions. By focusing on the most feasible key areas, we can aid the channeling of appropriate resources to bridge the disparities in stroke outcomes across HICs, UMICs and LMICs.IMPLICATIONS FOR REHABILITATIONIt is pertinent to examine the differences in priorities of stroke rehabilitation professionals and the feasibility of implementing evidence-based practice across socioeconomic regions.There is an urgent necessity for the development of clinical practice guidelines for stroke rehabilitation...
Source: Disability and Rehabilitation - April 14, 2021 Category: Rehabilitation Authors: Sanjana Gururaj Marie-Louise Bird Karen Borschmann Janice J Eng Caroline Leigh Watkins Marion F Walker John M Solomon SRRR2 KT working group Source Type: research