Current Evidence for Post Stroke Aphasia Treatment

Yang, Seung Nam

doi:10.12786/bn.2017.10.e15

Cited by 4 publications

(1 citation statement)

References 36 publications

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“…Although substantial literature exists regarding aphasia treatment and treatment outcomes, [16][17][18] less is known about the cost, cost-effectiveness, or marginal cost of aphasia rehabilitative care. In our previous work, we examined Healthcare Cost and Utilization Project data to estimate cost of aphasia treatment from length of stay and acute care utilization.…”

Section: Cost and Cost-effectiveness Of Treatments For Aphasiamentioning

confidence: 99%

Marginal assessment of the cost and benefits of aphasia treatment: Evidence from community-based telerehabilitation treatment for aphasia

et al. 2021

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Introduction Few studies have reported information related to the cost-effectiveness of traditional face-to-face treatments for aphasia. The emergence and demand for telepractice approaches to aphasia treatment has resulted in an urgent need to understand the costs and cost-benefits of this approach. Methods Eighteen stroke survivors with aphasia completed community-based aphasia telerehabilitation treatment, utilizing the Language-Oriented Treatment (LOT) delivered via Webex videoconferencing program. Marginal benefits to treatment were calculated as the change in Western Aphasia Battery-Revised (WAB-R) score pre- and post-treatment and marginal cost of treatment was calculated as the relationship between change in WAB-R aphasia quotient (AQ) and the average cost per treatment. Controlling for demographic variables, Bayesian estimation evaluated the primary contributors to WAB-R change and assessed cost-effectiveness of treatment by aphasia type. Results Thirteen out of 18 participants experienced significant improvement in WAB-R AQ following telerehabilitation delivered therapy. Compared to anomic aphasia (reference group), those with conduction aphasia had relatively similar levels of improvement whereas those with Broca’s aphasia had smaller improvement. Those with global aphasia had the largest improvement. Each one-point of improvement cost between US$89 and US$864 for those who improved (mean = US$200) depending on aphasia type/severity. Discussion Individuals with severe aphasia may have the greatest gains per unit cost from treatment. Both improvement magnitude and the cost per unit of improvement were driven by aphasia type, severity and race. Economies of scale to aphasia treatment–cost may be minimized by treating a variety of types of aphasia at various levels of severity.

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Section: Cost and Cost-effectiveness Of Treatments For Aphasiamentioning

confidence: 99%

Marginal assessment of the cost and benefits of aphasia treatment: Evidence from community-based telerehabilitation treatment for aphasia

et al. 2021

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Response to Speech and Language Therapy According to Artery Involvement and Lesion Location in Post-stroke Aphasia

Aras

İnal

Kesikburun³

et al. 2020

Journal of Stroke and Cerebrovascular Diseases

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Synchronized Cyclograms to Assess Inter-Limb Symmetry during Gait in Post-Stroke Patients

et al. 2022

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The aim of this study was to assess the inter-limb symmetry during gait in post-stroke patients using the synchronized cyclograms technique. In total, 41 individuals with stroke (21 left and 20 right hemiplegic patients; age: 57.9 ± 12.8 years; time stroke event 4.6 ± 1.8 years) and 48 age-, sex-, and height-matched individuals (control group: CG; age: 54.4 ± 12.5 years) were assessed via 3D gait analysis. Raw kinematic data were processed to compute spatio-temporal parameters (speed, stride length, cadence, stance, swing, and double support phases duration) and angle–angle diagrams (synchronized cyclograms), which were characterized in terms of area, orientation, and trend symmetry indices. The results reveal that all spatio-temporal parameters are characterized by abnormal values, with reduced speed, stride length, cadence, and swing phase duration and increased stance and double support phases duration. With respect to inter-limb symmetry, higher values were found in post-stroke individuals for all the considered parameters as patients generally exhibited a cyclogram characterized by larger areas, higher orientation, and trend symmetry parameters with respect to CG. The described alterations of gait asymmetry are important from a clinical point of view as the achievement of symmetry in gait represents a crucial objective in the rehabilitation of hemiplegic people.

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Current Evidence for Post Stroke Aphasia Treatment

Cited by 4 publications

References 36 publications

Marginal assessment of the cost and benefits of aphasia treatment: Evidence from community-based telerehabilitation treatment for aphasia

Marginal assessment of the cost and benefits of aphasia treatment: Evidence from community-based telerehabilitation treatment for aphasia

Response to Speech and Language Therapy According to Artery Involvement and Lesion Location in Post-stroke Aphasia

Synchronized Cyclograms to Assess Inter-Limb Symmetry during Gait in Post-Stroke Patients

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