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Specialty: Speech-Language Pathology

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Total 1019 results found since Jan 2013.

Improving Post-Stroke Dysphagia Outcomes Through a Standardized and Multidisciplinary Protocol: An Exploratory Cohort Study
Abstract Stroke is a major cause of dysphagia. Few studies to date have reported on standardized multidisciplinary protocolized approaches to the management of post-stroke dysphagia. The aim of this retrospective cohort study was to evaluate the impact of a standardized multidisciplinary protocol on clinical outcomes in patients with post-stroke dysphagia. We performed retrospective chart reviews of patients with post-stroke dysphagia admitted to the neurological ward of Verona University Hospital from 2004 to 2008. Outcomes after usual treatment for dysphagia (T− group) were compared versus outcomes after treat...
Source: Dysphagia - August 13, 2014 Category: Speech Therapy Source Type: research

Plugging the patient evidence gap: what patients with swallowing disorders post-stroke say about thickened liquids.
CONCLUSIONS & IMPLICATIONS: TL can be considered a burdensome treatment from multiple perspectives including product palatability, treatment uncertainty and treatment adherence issues. Despite intensely disliking this treatment, some patients ultimately understand why the treatment is prescribed. Improvements in product palatability are required in order to improve adherence and patient quality of life. Consideration of other treatment options and newer products to manage aspiration post-stroke is also warranted. PMID: 28621030 [PubMed - as supplied by publisher]
Source: International Journal of Language and Communication Disorders - June 16, 2017 Category: Speech-Language Pathology Authors: McCurtin A, Healy C, Kelly L, Murphy F, Ryan J, Walsh J Tags: Int J Lang Commun Disord Source Type: research

The Relationship Between Lesion Localization and Dysphagia in Acute Stroke
AbstractFactors that can facilitate early identification of individuals at risk of dysphagia such as stroke location are potentially of great benefit. The aim of this study was to examine the role of hemisphere and lesion location in assessing dysphagia pattern and airway invasion as identified through the use of validated, standardized interpretation measures for the videofluoroscopic swallowing study. Consecutive patients (N = 80) presenting with stroke symptoms who had a first-time acute ischemic stroke confirmed on diffusion-weighted magnetic resonance imaging (DW-MRI) scan participated. Three swallowing outcome vari...
Source: Dysphagia - July 26, 2017 Category: Speech-Language Pathology Source Type: research

Changes in Swallowing and Cough Functions Among Stroke Patients Before and After Tracheostomy Decannulation
This study suggests that if patients show improvement in swallowing and coughing after their stroke, a multidisciplinary approach to tracheostomy decannulation would be needed to achieve better rehabilitation outcomes.
Source: Dysphagia - June 18, 2018 Category: Speech-Language Pathology Source Type: research

Predictive Factors for Oral Intake Recovery After Acute Stroke: Analysis of a Japanese Nationwide Inpatient Database
ConclusionThis study identified several prognostic factors for total oral intake in patients with acute stroke. These results may be useful for predicting a patient ’s dysphagia prognosis at the time of admission and designing a nutritional management plan for patients with acute stroke.
Source: Dysphagia - February 26, 2022 Category: Speech-Language Pathology Source Type: research

Differences in Videofluoroscopic Swallowing Study (VFSS) Findings According to the Vascular Territory Involved in Stroke
Abstract Dysphagia affects up to half of stroke patients and increases the risk of pneumonia and fatal outcomes. In order to assess swallowing difficulty, videofluoroscopic swallowing study (VFSS) has traditionally been the gold standard. The purpose of this study was to compare the patterns of post-stroke swallowing difficulties according to the vascular territories involved in the stroke. One hundred and three patients who were diagnosed with first ischemic stroke by brain magnetic resonance imaging and had swallowing difficulty were included in this study. Location of the stroke was classified into three group...
Source: Dysphagia - August 1, 2014 Category: Speech Therapy Source Type: research

Factors Influencing Quality of Life Six Months after a First-Ever Ischemic Stroke: Focus on Thrombolyzed Patients
Conclusion: In this study, most patients were treated with thrombolysis, and QoL results resembled those of earlier studies on patients without thrombolysis. Despite good physical recovery, the patients reported impairments in QoL. QoL assessments can give clinicians a more holistic picture of stroke recovery from the patient's perspective.Folia Phoniatr Logop 2016;68:86-91
Source: Folia Phoniatrica et Logopaedica - September 29, 2016 Category: Speech Therapy Source Type: research

Periventricular White Matter Lesions as a Prognostic Factor of Swallowing Function in Older Patients with Mild Stroke
AbstractOlder patients with stroke have poor functional prognosis compared to younger patients. Patients with stroke who have severe white matter (WM) lesions have been reported to have poor functional prognosis such as cognitive dysfunction, increased propensity for falling, and gait and balance problems. The aim of this study was to determine whether WM lesions exert negative effects on swallowing function in older patients with mild stroke. We conducted a retrospective analysis of 63 patients aged  >65  years who had a National Institutes of Health Stroke Scale score ≤5 and who underwent videofluoroscopic swallo...
Source: Dysphagia - March 27, 2017 Category: Speech Therapy Source Type: research

The Impact of Periventricular Leukoaraiosis in Post-stroke Oropharyngeal Dysphagia: A Swallowing Biomechanics and MRI-Based Study
AbstractOropharyngeal dysphagia is a highly prevalent post-stroke complication commonly associated with topographically specific gray-matter damage. In contrast, the role of damage to the extensive white matter brain network (leukoaraiosis) in post-stroke oropharyngeal dysphagia has not yet been clarified. We aim to assess the role of leukoaraiosis in post-stroke oropharyngeal dysphagia. We designed a cross-sectional study and retrospectively collected from our database patients with dysphagia affected by a recent stroke and on whom both a brain 1.5  T-MRI and a videofluoroscopy had been performed. Leukoaraiosis was asses...
Source: Dysphagia - August 23, 2022 Category: Speech-Language Pathology Source Type: research

Neuroanatomical correlates of macrostructural receptive abilities in narrative discourse in unilateral left hemisphere stroke: A behavioural and voxel-based morphometry study
CONCLUSIONS & IMPLICATIONS: The present results suggest that retelling and comprehension of auditory and written narratives are relatively well-preserved in individuals with a LH stroke without significant aphasia, but poorer than in HC. The findings replicate previous studies conducted in groups with higher levels of education and SES both at the behavioural and neural levels. Considering that naming seems to be associated with narrative retell and comprehension in individuals with lower SES and education, this research provides evidence on the importance of pursuing further studies including larger samples with and witho...
Source: International Journal of Language and Communication Disorders - November 30, 2022 Category: Speech-Language Pathology Authors: Sabrine Amaral Martins Townsend Karine Marcotte Amelie Brisebois Anderson Dick Smidarle Fernanda Schneider Fernanda Loureiro Ricardo Bernardi Soder Alexandre da Rosa Franco Luiz Carlos Porcello Marrone Lilian Cristine H übner Source Type: research

A Case for the Implementation of Cognitive-Communication Screenings in Acute Stroke.
CONCLUSIONS: The narrative is linked to the published literature and the importance of identifying and managing cognitive-communication impairments after stroke. A model of implementation science is presented as one way to consider the challenges clinicians face when attempting to implement evidence-based practices. The model and examples from other fields show avenues for further research. PMID: 23813197 [PubMed - as supplied by publisher]
Source: American Journal of Speech-Language Pathology - June 28, 2013 Category: Speech Therapy Authors: Hinckley JJ Tags: Am J Speech Lang Pathol 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

The contrast between cueing and/or observation in therapy for verb retrieval in post-stroke aphasia.
CONCLUSIONS: Verb naming can be enhanced by semantic/phonological cueing. In addition, other studies (clinical, neuroimaging, etc.) are needed to document the effect of action observation for the treatment of verb anomia. Learning outcomes: The reader will be able to (1) describe semantic-phonological therapies used in post-stroke verb anomia, (2) describe sensorimotor therapies used in post-stroke verb anomia, and (3) identify factors contributing to the efficacy of therapies to improve action naming in aphasia. PMID: 25638465 [PubMed - as supplied by publisher]
Source: Journal of Communication Disorders - January 21, 2015 Category: Speech Therapy Authors: Routhier S, Bier N, Macoir J Tags: J Commun Disord Source Type: research

What Factors Predict Who Will Have a Strong Social Network Following a Stroke?
Conclusions: Social networks declined poststroke. Aphasia was the only stroke-related factor measured at the time of the stroke that predicted social network 6 months later. PMID: 27401538 [PubMed - as supplied by publisher]
Source: Journal of speech, language, and hearing research : JSLHR - July 10, 2016 Category: Speech Therapy Authors: Northcott S, Marshall J, Hilari K Tags: J Speech Lang Hear Res Source Type: research