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Total 579 results found since Jan 2013.

Word Repetition Paired With Startling Stimuli Decreases Aphasia and Apraxia Severity in Severe-to-Moderate Stroke: A Stratified, Single-Blind, Randomized, Phase 1 Clinical Trial
CONCLUSIONS: This study is the first to evaluate the impact of training with startling acoustic stimuli on clinical measures of aphasia and AOS. Our findings suggest START can enhance both nontrained speech production and receptive speech tasks in moderate/severe aphasia, possibly by reducing poststroke cortical inhibition. Our findings should be considered carefully, as our limitations include small effect sizes, within-group variability, and low completion rates for quality-of-life assessments and follow-up visits. Future studies should explore a mechanism of action, conduct larger and longer Phase 2 clinical trials, and...
Source: American Journal of Speech-Language Pathology - September 12, 2023 Category: Speech-Language Pathology Authors: Zoe Swann Nathan Tesman Corianne Rogalsky Claire F Honeycutt Source Type: research

Current practice of outpatient rehabilitation services in patients with mobility-impaired paralysis due to stroke or spinal cord injury: a qualitative interview study in Germany
CONCLUSION: Areas of improvement identified focused on: setting rehabilitation goals towards participation, training therapists on evidence-based treatments and shared decision-making, updating the outpatient service catalogue, and implementing coordination actions. Implementation of these recommendations should be evaluated.PMID:37732606 | DOI:10.1080/09638288.2023.2259301
Source: Disability and Rehabilitation - September 21, 2023 Category: Rehabilitation Authors: Tiziana Daniel Tamara Spingler Andreas Hug Norbert Weidner Michel Wensing Charlotte Ullrich Source Type: research

Intensive therapy induces contralateral white matter changes in chronic stroke patients with Broca's aphasia.
Abstract Using a pre-post design, eleven chronic stroke patients with large left hemisphere lesions and nonfluent aphasia underwent diffusion tensor imaging and language testing before and after receiving 15weeks of an intensive intonation-based speech therapy. This treated patient group was compared to an untreated patient group (n=9) scanned twice over a similar time period. Our results showed that the treated group, but not the untreated group, had reductions in fractional anisotropy in the white matter underlying the right inferior frontal gyrus (IFG, pars opercularis and pars triangularis), the right posterio...
Source: Brain and Language - July 17, 2014 Category: Neurology Authors: Wan CY, Zheng X, Marchina S, Norton A, Schlaug G Tags: Brain Lang Source Type: research

Potential analysis of research on speech therapy-led communication training in aphasia following stroke.
Authors: Kempf S, Lauer N, Corsten S, Voigt-Radloff S Abstract HEALTH PROBLEM: In Germany, about 100,000 people currently suffer from aphasia. This speech disorder occurs as a result of neurologic events such as stroke or traumatic brain injury. Aphasia causes major limitations in social participation and quality of life and can be associated with unemployability and social isolation. For affected persons, it is essential to regain and maintain autonomy in daily life, both at work and with family and friends. The loss of autonomy is perceived much more dramatically than the loss of speech. Clients wish to minimise ...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - December 2, 2015 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Respiratory muscle strength training and neuromuscular electrical stimulation in subacute dysphagic stroke patients: A randomized controlled trial.
CONCLUSION: Adding IEMT to SST was an effective, feasible, and safe approach that improved respiratory muscle strength. Both IEMT and NMES were associated with improvement in pharyngeal swallowing security signs at the end of the intervention, but the effect did not persist at 3-month follow-up and no differences in respiratory complications were detected between treatment groups and controls. PMID: 27271373 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 6, 2016 Category: Rehabilitation Authors: Guillén-Solà A, Messagi Sartor M, Bofill Soler N, Duarte E, Barrera MC, Marco E Tags: Clin Rehabil Source Type: research

Staff Time Spent on Bureaucracy Robs Stroke Patients of Therapy Staff Time Spent on Bureaucracy Robs Stroke Patients of Therapy
Staff and organizational factors, rather than patient factors, are the main barriers to more intensive physical, occupational, and speech therapy during the acute phase of stroke recovery, a study shows.Medscape Medical News
Source: Medscape Neurology and Neurosurgery Headlines - November 1, 2016 Category: Neurology Tags: Neurology & Neurosurgery News Source Type: news

Cardiovascular Responses Associated with the Moving Beans Task: Influence of Psychological Characteristics
High blood pressure (BP) after stroke is associated with a poor outcome. However, exercise training or speech therapy for patients with stroke can raise the BP. The aim of this study was to examine cardiovascular responses during the moving beans task (MBT) used in occupational therapy and to study the influence of psychological characteristics on cardiovascular responses during this task in healthy subjects.
Source: Journal of Stroke and Cerebrovascular Diseases - June 27, 2017 Category: Neurology Authors: Kazuaki Iokawa, Masanori Munakata, Tomomi Hattori, Shuko Saiki, Toshimasa Sone, Masahiro Kohzuki Source Type: research

Dysarthria following Stroke
Semin Speech Lang 2018; 39: 015-024 DOI: 10.1055/s-0037-1608852Dysarthria is a common consequence of stroke and can have a detrimental influence on communication and quality of life. Speech-language pathologists (SLPs) play an important role in the evaluation and rehabilitation of stroke survivors who present with dysarthria. An understanding of the physiologic reason behind the altered speech characteristics, such as weakness or incoordination, can facilitate differential diagnosis, guide evaluation strategies, and influence treatment approaches. An initial comprehensive speech evaluation is comprised of examination of th...
Source: Seminars in Speech and Language - January 22, 2018 Category: Speech-Language Pathology Authors: Spencer, Kristie A. Brown, Katherine A. Tags: Review Article Source Type: research

Contemporary Approaches to the Management of Post-stroke Apraxia of Speech
This article focuses on these recent advances. Studies investigating acoustic evaluation of AOS will be reviewed, as well as those that have considered the extent that neuroimaging can guide clinical decision making. Developments in the treatment of AOS will also be discussed. Although more research is needed regarding the use of these methods in everyday clinical practice, the studies reviewed here show promise as emerging tools for the management of AOS. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Seminars in Speech and Language - January 22, 2018 Category: Speech-Language Pathology Authors: Basilakos, Alexandra Tags: Review Article Source Type: research

Brain Stimulation May Significantly Improve Post-Stroke Aphasia Brain Stimulation May Significantly Improve Post-Stroke Aphasia
Researchers looking to offer relief to people who have aphasia after experiencing a stroke assessed noninvasive brain stimulation as a way to boost gains from speech therapy.Medscape Medical News
Source: Medscape Medical News Headlines - August 22, 2018 Category: Consumer Health News Tags: Neurology & Neurosurgery News Source Type: news

Herpes Simplex Laryngitis Presenting as Airway Obstruction in a Stroke Patient
We present the second confirmed report of HSV laryngitis in an adult stroke patient, resulting in complicated airway management issues. This rare presentation of laryngeal HSV in a stroke patient can interfere with speech, language, and swallowing functions and confounds the etiology of these issues, which can impact subsequent management.
Source: IDCases - August 23, 2018 Category: Infectious Diseases Source Type: research

Factors Influencing Oral Intake Improvement and Feeding Tube Dependency in Patients with Poststroke Dysphagia
Objective: To assess ischemic stroke patients regarding the relationship between lesion locations, swallowing impairment, medical and demographic factors and (1) oral intake improvement and (2) feeding tube dependency at discharge from their acute hospital stay. Methods: We conducted an exploratory, retrospective observational longitudinal cohort study of acute, first-ever, ischemic stroke patients. Patients who had an initial nonoral feeding recommendation from a speech and language pathologist and who underwent a modified barium swallow study within their hospital stay were included.
Source: Journal of Stroke and Cerebrovascular Diseases - April 4, 2019 Category: Neurology Authors: Janina Wilmskoetter, Leonardo Bonilha, Bonnie Martin-Harris, Jordan J. Elm, Janet Horn, Heather S. Bonilha Source Type: research

Assessment of the quality and content of clinical practice guidelines for post-stroke rehabilitation of aphasia
Conclusions: Our study indicated the quality of guidelines for post-stroke aphasia needed to be improved. Moreover, the treatment recommendations of aphasia existed discrepancy among the included guidelines. Therefore, it is suggested to pay more attention on the rigor of methodology and applicability during the process of the formulation of guideline. Future research should focus on the effectiveness, intensity, and duration of treatment measures.
Source: Medicine - August 1, 2019 Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research

Speech-Language Pathology Practices for Adults With Right Hemisphere Stroke: What Are We Missing?
Conclusion Communication disorders are less likely to be formally assessed than cognitive disorders, creating a critical gap in care that cannot be filled by other allied health professionals. Suggestions for free or low-cost resources for evaluating pragmatics, prosody, and awareness are provided to aid SLPs in filling this gap. Supplemental Material https://doi.org/10.23641/asha.12159597. PMID: 32330389 [PubMed - as supplied by publisher]
Source: American Journal of Speech-Language Pathology - April 23, 2020 Category: Speech-Language Pathology Authors: Ramsey A, Blake ML Tags: Am J Speech Lang Pathol Source Type: research