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Condition: Aphasia

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Total 3204 results found since Jan 2013.

Clinicoanatomical correlation in stroke related aphasia
Conclusions: No absolute correlation exists between the lesion site and the type of clinical aphasia syndrome in majority of the patients with cortical and subcortical stroke.
Source: Annals of Indian Academy of Neurology - November 17, 2015 Category: Neurology Authors: Vikram BohraGeeta Anjum KhwajaSneh JainAshish DuggalVijay Vishwanath GhugeAbhilekh Srivastava Source Type: research

Domain-specific versus generalized cognitive screening in acute stroke
This study compared the use of the MoCA and the OCS in acute stroke with respect to symptom specificity and aspects of clinical utility. A cross-sectional study with a consecutive sample of 200 stroke patients within 3 weeks of stroke completing MoCA and OCS. Demographic data, lesion side and Barthel scores were recorded. Inclusivity was assessed in terms of completion rates and reasons for non-completion were evaluated. The incidence of cognitive impairments on both the MoCA and OCS sub-domains was calculated and differences in stroke specificity, cognitive profiles and independence of the measures were addressed. The in...
Source: Journal of Neurology - November 20, 2015 Category: Neurology Source Type: research

Variability in Motor and Language Recovery during the Acute Stroke Period
Background: Most stroke recovery occurs by 90 days after onset, with proportional recovery models showing an achievement of about 70% of the maximal remaining recovery. Little is known about recovery during the acute stroke period. Moreover, data are described for groups, not for individuals. In this observational cohort study, we describe for the first time the daily changes of acute stroke patients with motor and/or language deficits over the first week after stroke onset. Methods: Patients were enrolled within 24-72 h after stroke onset with upper extremity hemiparesis, aphasia, or both, and were tested daily until day ...
Source: Cerebrovascular Diseases Extra - March 22, 2016 Category: Neurology Source Type: research

Coding of significant comorbidities and complications for stroke in rehabilitation.
Conclusion Not all stroke comorbidities are represented accurately in hospital morbidity datasets. Education of stroke clinicians about the current ACS may clarify expectations about medical record documentation for coding purposes which in turn may result in more accurate morbidity data and therefore costings for the rehabilitation sector. PMID: 28537208 [PubMed - as supplied by publisher]
Source: Health Information Management Journal - May 26, 2017 Category: Health Management Tags: HIM J Source Type: research

Recurrent Stroke in a Young Woman with a Single Pulmonary Arteriovenous Fistula: An Unusual Association
Conclusions: This case highlights the importance of search, identification, and interpretation of causes of cryptogenic strokes to better choose therapy to reduce the stroke recurrence risk. Although unusual, PAVF detection is a treatable cause of stroke and the therapeutic decisions should take into account the characteristics of the PAVF and the degree of suspicion regarding the cause-effect relationship between PAVF and stroke.Case Rep Neurol 2017;9:293 –298
Source: Case Reports in Neurology - December 18, 2017 Category: Neurology Source Type: research

Repetitive sessions of tDCS to improve naming in post-stroke aphasia: Insights from an individual patient data (IPD) meta-analysis.
CONCLUSION: Repetitive sessions of tDCS are likely to be valuable in enhancing naming accuracy in post-stroke aphasia. PMID: 29439369 [PubMed - in process]
Source: Restorative Neurology and Neuroscience - February 15, 2018 Category: Neurology Tags: Restor Neurol Neurosci Source Type: research

Language recovery following stroke.
Conclusions: Significant recovery of language function is possible following a stroke, but prediction of level of recovery in an individual patient is difficult. Information about initial aphasia severity and the integrity of cognitive domains other than language can help guide the rehabilitation team, as well as manage expectations for recovery. PMID: 30698070 [PubMed - as supplied by publisher]
Source: The Clinical Neuropsychologist - January 30, 2019 Category: Psychiatry & Psychology Authors: Gerstenecker A, Lazar RM Tags: Clin Neuropsychol Source Type: research

Association of Lesion Location With Long-Term Recovery in Post-stroke Aphasia and Language Deficits
Conclusions: We identified specific brain lesions associated with long-term outcomes in four dimensions of aphasia, in patients with post-stroke aphasia. Our findings may be useful for advancing understanding for the pathophysiology of aphasia in stroke patients.
Source: Frontiers in Neurology - July 23, 2019 Category: Neurology Source Type: research

38 Patient and Environmental Factors Influencing Recognition, Response Time, and Treatment of In-Hospital Stroke
ConclusionIn-hospital strokes are frequently missed due to the complexities of the patients involved.  Education programs targeted at enhancing stroke pickup among hospital staff could potentially decrease delays and improve patient outcomes.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

170 Admissions to a Stroke Unit in an Irish Rehabilitation Hospital: A Review from Speech and Language Therapy
ConclusionCCDs are highly prevalent and represented the largest subtype of communication disorders in this cohort. FIMFAM scores appear useful in assessing CCDs however they display insufficient sensitivity in capturing change within this population. This audit highlights the need for further interdisciplinary research, education and training into cognitive-communication difficulties with post-stroke populations.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

277 Frailty and Early Supported Discharge (ESD) Post-Stroke: Are Frail Patients Referred to ESD and is Frailty Associated with Rehabilitation Outcomes?
ConclusionFrail patients are not routinely referred for ESD post-stroke. Patients who are pre-frail or frail make similar improvements with ESD compared to non-frail patient in functional independence but not quality of life. Comparable levels of physiotherapy and occupational therapy are provided but frail patients require less SLT. Further research is needed to ascertain if frail patients are appropriate for ESD.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

Cortical stimulation in aphasia following ischemic stroke: toward model-guided electrical neuromodulation.
Abstract The aim of this paper is to integrate different bodies of research including brain traveling waves, brain neuromodulation, neural field modeling and post-stroke language disorders in order to explore the opportunity of implementing model-guided, cortical neuromodulation for the treatment of post-stroke aphasia. Worldwide according to WHO, strokes are the second leading cause of death and the third leading cause of disability. In ischemic stroke, there is not enough blood supply to provide enough oxygen and nutrients to parts of the brain, while in hemorrhagic stroke, there is bleeding within the enclosed ...
Source: Biological Cybernetics - February 3, 2020 Category: Science Authors: Beuter A, Balossier A, Vassal F, Hemm S, Volpert V Tags: Biol Cybern Source Type: research

Self-Perception of Physical Function Contributes to Participation in Cognitively- and Physically-Demanding Activities After Stroke
The objectives of this study are to: (1) determine differences in reported participation in communicatively-, cognitively-, or physically-demanding activities in persons after stroke with and without aphasia living in the community, and to (2) investigate whether performance on commonly used self-perception assessments of these three areas predicts reported participation in activities requiring higher levels of skill in these domains.Methods: In a cross-sectional design, 82 individuals at least 6 months post-stroke with (N = 34) and without aphasia (N = 48) were administered a battery of neuropsychological and participatio...
Source: Frontiers in Neurology - June 8, 2020 Category: Neurology Source Type: research

The effects of a dialogue-based intervention to promote psychosocial well-being after stroke: a randomized controlled trial.
CONCLUSION: The results of this trial did not demonstrate lower levels of emotional distress and anxiety or higher levels of health-related quality of life in the intervention group (dialogue-based intervention) as compared to the control group (usual care) at 12 months post-stroke. PMID: 32517513 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 9, 2020 Category: Rehabilitation Authors: Bragstad LK, Hjelle EG, Zucknick M, Sveen U, Thommessen B, Bronken BA, Martinsen R, Kitzmüller G, Mangset M, Kvigne KJ, Hilari K, Lightbody CE, Kirkevold M Tags: Clin Rehabil Source Type: research

A Virtual, Randomized, Control Trial of a Digital Therapeutic for Speech, Language, and Cognitive Intervention in Post-stroke Persons With Aphasia
Conclusions: Overall, this study demonstrates the feasibility of a fully virtual trial for patients with post-stroke aphasia, especially given the ongoing COVID19 pandemic, as well as a safe, tolerable, and efficacious digital therapeutic for language/cognitive rehabilitation.Clinical Trial Registration:www.ClinicalTrials.gov, identifier NCT04488029.
Source: Frontiers in Neurology - February 12, 2021 Category: Neurology Source Type: research