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Effectiveness of speech language therapy either alone or with add-on computer-based language therapy software (Malayalam version) for early post stroke aphasia: A feasibility study
This study aimed to assess the feasibility of professional based conventional speech language therapy (SLT) either alone (Group A/less intensive) or assisted by novel computer based local language software (Group B/more intensive) for rehabilitation in early post stroke aphasia.
Source: Journal of the Neurological Sciences - July 7, 2017 Category: Neurology Authors: Praveen Kesav, S.L. Vrinda, Sajith Sukumaran, P.S. Sarma, P.N. Sylaja Source Type: research

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

Structural plasticity of the ventral stream and aphasia recovery
This article is protected by copyright. All rights reserved.
Source: Annals of Neurology - June 19, 2017 Category: Neurology Authors: Emilie T. McKinnon, Julius Fridriksson, G. Russell Glenn, Jens H. Jensen, Joseph A. Helpern, Alexandra Basilakos, Christopher Rorden, Andy Y. Shih, M. Vittoria Spampinato, Leonardo Bonilha Tags: Brief Communication Source Type: research

Does the NRS Capture Changes in Communication during Inpatient Stroke Rehabilitation?
In Ontario, the National Rehabilitation Reporting System (NRS) is mandated for use as a measurement of change for stroke patients after admission to and discharge from rehabilitation. The NRS includes the functional independence measure (FIM) and supplementary measurement items developed by the Canadian Institute for Health Information (CIHI). Uncertainty exists regarding the efficacy of the NRS as the sole measure of outcome for communication in stroke rehabilitation patients. The use of additional speech-language pathology outcome measurement tools for this population has therefore been suggested.
Source: Journal of Stroke and Cerebrovascular Diseases - June 5, 2017 Category: Neurology Authors: Leigh G. Barr, Barbra Kubilius, Barb Ansley, Rhonda Whiteman, Demetrios J. Sahlas Source Type: research

Are We Overlooking Stroke Chameleons A Retrospective Study on the Delayed Recognition of Stroke Patients
Conclusions: In our cohort, a surprisingly large percentage of possible stroke chameleons was observed. It is important to confirm our findings, study the impact on clinical outcome, and develop strategies for early stroke patient recognition.Cerebrovasc Dis 2017;44:83-87
Source: Cerebrovascular Diseases - May 17, 2017 Category: Neurology Source Type: research

Are We Overlooking Stroke Chameleons? A Retrospective Study on the Delayed Recognition of Stroke Patients
Conclusions: In our cohort, a surprisingly large percentage of possible stroke chameleons was observed. It is important to confirm our findings, study the impact on clinical outcome, and develop strategies for early stroke patient recognition.Cerebrovasc Dis 2017;44:83-87
Source: Cerebrovascular Diseases - May 16, 2017 Category: Neurology Source Type: research

Aphemia: A rare presentation of an acute infarct (P3.277)
Conclusions:Aphemia, or apraxia of speech, is a rare presentation of dominant inferior frontal gyrus infarction. Aphemia is primarily a disorder of articulation, whereas aphasia is a disorder of language. This patient lost her ability to produce speech but was able to comprehend and write fluently. Her deficit did not fit a classic aphasia pattern but rather represented an inability to voluntarily control her oral muscles, resulting in a transient apraxia of the muscles of articulation, chewing, and deglutition. Very few cases of acute aphemia due to stroke are described, all localized to the dominant inferior frontal gyru...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Stachyra, J., Davalos-Balderas, A., Lee, J., Kass, J. Tags: Cerebrovascular Disease Case Reports II Source Type: research

The efficacy of selective transcranial magnetic stimulation with functional near-infrared spectroscopy and intensive speech therapy on individuals with post-stroke aphasia
Introduction: To examine the efficacy of selective repetitive transcranial magnetic stimulation (rTMS) therapy guided by functional near-infrared spectroscopy (fNIRS) combined with intensive speech therapy(ST) on post-stroke patients with aphasia, and right hemisphere high-frequency rTMS combined with intensive ST on patients who were right hemisphere-activated in a language task.
Source: BRAIN STIMULATION: Basic, Translational, and Clinical Research in Neuromodulation - February 15, 2017 Category: Neurology Authors: T. Hara, M. Abo, K. Kakita Source Type: research

Cost effectiveness of the occupation-based approach for subacute stroke patients: result of a randomized controlled trial.
CONCLUSIONS: The results show that the occupation-based approach is associated with significantly improved QALYs and has potential cost effectiveness, compared with the impairment-based approach. PMID: 28198661 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - February 14, 2017 Category: Neurology Authors: Nagayama H, Tomori K, Ohno K, Takahashi K, Nagatani R, Izumi R, Moriwaki K, Yamauchi K Tags: Top Stroke Rehabil Source Type: research

The Effect of Selective Transcranial Magnetic Stimulation with Functional Near-Infrared Spectroscopy and Intensive Speech Therapy on Individuals with Post-Stroke Aphasia
Conclusions: The administration of fNIRS-guided selective rTMS therapy and iST to post-stroke patients with aphasia induced a significant improvement in language function, with both groups demonstrating a similar degree of improvement.Eur Neurol 2017;77:186-194
Source: European Neurology - February 3, 2017 Category: Neurology 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

Treatment of dysphasia with rTMS and language therapy after childhood stroke: Multimodal imaging of plastic change.
Abstract Expressive dysphasia accompanies left inferior frontal gyrus (IFG/Broca) injury. Recovery may relate to interhemispheric balance with homologous, contralesional IFG but is unexplored in children. We evaluated effects of inhibitory rTMS to contralesional IFG combined with intensive speech therapy (SLT). A 15year-old, right-handed male incurred a left middle cerebral artery stroke. After 30months, severe non-fluent dysphasia impacted quality of life. Language networks, neuronal metabolism and white matter pathways were explored using MRI. Language function was measured longitudinally. An intensive SLT progr...
Source: Brain and Language - June 1, 2016 Category: Neurology Authors: Carlson HL, Jadavji Z, Mineyko A, Damji O, Hodge J, Saunders J, Hererro M, Nowak M, Patzelt R, Mazur-Mosiewicz A, MacMaster FP, Kirton A Tags: Brain Lang Source Type: research

Group therapy as a social context for aphasia recovery: a pilot, observational study in an acute rehabilitation hospital.
CONCLUSION: In the aphasia group treatment described in this study, participants initiated more communication, with greater diversity of expressive modalities and more varied communicative purposes. Participants in group therapy also showed an increased tendency to communicate for the purpose of social closeness. These findings suggest that there are important differences in the communication of patients participating in group vs. individual speech therapy for treatment of acute, severe non-fluent aphasia. PMID: 27077989 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 15, 2016 Category: Neurology Authors: Fama ME, Baron CR, Hatfield B, Turkeltaub PE Tags: Top Stroke Rehabil Source Type: research

Ultrasonic vocalization in murine experimental stroke: A mechanistic model of aphasia.
CONCLUSION: These findings set a foundation for further studies of mechanisms and novel treatment strategies for post-stroke vocalization impairments. PMID: 26889967 [PubMed - as supplied by publisher]
Source: Restorative Neurology and Neuroscience - February 20, 2016 Category: Neurology Tags: Restor Neurol Neurosci Source Type: research

Success of Anomia Treatment in Aphasia Is Associated With Preserved Architecture of Global and Left Temporal Lobe Structural Networks
Conclusions. Preservation of global and left temporal structural connectivity broadly explains the variability in treatment-related naming improvement in aphasia. These findings corroborate and expand on previous classical lesion-symptom mapping studies by elucidating some of the mechanisms by which brain damage may relate to treated aphasia recovery. Favorable naming outcomes may result from the intact connections between spared cortical areas that are functionally responsive to treatment.
Source: Neurorehabilitation and Neural Repair - February 12, 2016 Category: Neurology Authors: Bonilha, L., Gleichgerrcht, E., Nesland, T., Rorden, C., Fridriksson, J. Tags: Clinical Research Articles Source Type: research

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