Impact of Co-occurring Dysarthria and Aphasia on Functional Recovery in Post-stroke Patients

Kim, Gowun; Min, David; Lee, Eun Ok; Kang, Eun Kyoung

doi:10.5535/arm.2016.40.6.1010

Cited by 20 publications

(24 citation statements)

References 19 publications

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“…Similarly, Kim et al. (2016) showed how the presence of aphasia in stroke survivors was related to poor functional status and poor functional recovery in poststroke survivors. Stroke survivors with aphasia performed significantly less extensive ADL and experienced significantly worse QoL than those without aphasia (Hilari, 2011).…”

Section: Discussionmentioning

confidence: 91%

Stroke disease‐specific quality of life trajectories after rehabilitation discharge and their sociodemographic and clinical associations: A longitudinal, multicentre study

Pucciarelli

Brugnera

Greco

et al. 2020

Journal of Advanced Nursing

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Aim To investigate the longitudinal growth trajectories of disease‐specific quality of life (QoL) dimensions and their associations over 1 year. Design A longitudinal design. Data were collected between February 2015‐May 2017. Methods Four hundred and fifteen stroke survivors (mean age 70.6 years; 81% ischaemic stroke) were recruited after discharge from rehabilitation hospitals and were followed up every 3 months for 1 year. Changes in Stroke Impact Scale (SIS) dimension scores were evaluated using hierarchical linear models (HLMs) and linear, logarithmic, quadratic, and cubic time slope. Results We observed a significant linear and quadratic increase in most SIS dimensions from the baseline to 12‐month follow‐up, especially in physical dimensions. The communication dimension was stable over time, while the memory dimension increased only linearly. Higher physical dimension scores were significantly associated with lower age, hypercholesterolaemia, and better physical functioning at baseline, while higher communication was associated with lower age, better physical functioning, and a diagnosis of peripheral vascular disease. Better memory was associated with lower age, married status, better physical functioning, and left‐hemisphere stroke. Better participation was associated with lower age and better physical functioning. No significant associations were observed for emotion. Conclusions This study provides important information about the trajectories of stroke survivors' specific QoL and their associated variables. Impact Stroke has a great impact on stroke survivors' QoL. Disease‐specific QoL significantly increases from the baseline to 12‐month follow‐up, especially in physical dimensions. Lower age, hypercholesterolaemia, better physical functioning, and diagnosis of peripheral vascular disease seem to be associated with better QoL. Through the analyses of associated variables, we identified stroke survivors who are more at risk and who need more tailored interventions to improve their physical, psychological, emotional, and social dimensions.

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Section: Discussionmentioning

confidence: 91%

Stroke disease‐specific quality of life trajectories after rehabilitation discharge and their sociodemographic and clinical associations: A longitudinal, multicentre study

Pucciarelli

Brugnera

Greco

et al. 2020

Journal of Advanced Nursing

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“…Language impairments are in turn related to lower functional levels and poorer cognitive function, resulting in these patients needing greater support to perform their daily living activities. Thus, left hemispheric stroke results in worse QoL 37.…”

Section: Discussionmentioning

confidence: 99%

Quality of life after stroke: impact of clinical and sociodemographic factors

Ramos-Lima

Brasileiro

Lima

et al. 2018

Clinics

182

109

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OBJECTIVES:The aim of the study was to analyze the impact of ischemic stroke on health-related quality of life (QoL) and associate this event with individuals' clinical and sociodemographic characteristics.METHODS:We investigated the clinical and demographic aspects of stroke patients. The Modified Rankin Scale, National Institutes of Health Stroke Scale (NIHSS) and the Stroke Specific Quality of Life Scale (SS-QoL) were used for correlation analysis.RESULTS:Among 131 patients with ischemic stroke, 53.4% of patients presented with moderate to severe disability on the Rankin Scale. According to the SS-QoL, several QoL domains were compromised. QoL was significantly negatively correlated with the values of the Rankin and NIHSS scales, indicating lower QoL among people with worse functional status and greater clinical severity of stroke (p<0.001). The use of orthosis and total anterior circulation infarct subtype of stroke led to a more marked reduction in QoL.CONCLUSION:The present study described an inversely proportional relationship between the severity of stroke, disability and QoL. The use of orthosis also had a negative impact on QoL. Early identification of these factors could promote better interventions for individuals with ischemic stroke, minimizing disabilities and improving QoL.

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“…The long-term outcomes for post-stroke aphasia vary widely. Recovery from aphasia is important for performing the activities of daily life, returning to work, and quality of life in patients with stroke (1).…”

Section: Introductionmentioning

confidence: 99%

Association of Lesion Location With Long-Term Recovery in Post-stroke Aphasia and Language Deficits

et al. 2019

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Background: Recovery from post-stroke aphasia is important for performing the activities of daily life, returning to work, and quality of life. We investigated the association between specific brain lesions and the long-term outcome of four dimensions of aphasia: fluency, comprehension, naming, and repetition 12 months after onset in patients with stroke. Methods: Our retrospective cross-sectional observational study investigated the relationship between the Korean version of the Western Aphasia Battery scores in 31 stroke patients 1 year after the onset of stroke and stroke lesion location. Brain lesions were assessed using voxel-based lesion symptom mapping (VLSM) in conjunction with magnetic resonance imaging. Results: Damage to the Rolandic cortex, Heschl's gyrus, the posterior corona radiata, supramarginal cortex, superior longitudinal fasciculus, superior temporal gyrus, and insula was associated with a low total AQ score. Lesions in the inferior triangularis and inferior operculum of the frontal cortex, supramarginal cortex, and insula were associated with a poor fluency outcome. Damage to the parietal cortex, angular cortex, temporal middle cortex, sagittal stratum, and temporal superior cortex was associated with poor recovery of comprehension skills. Lesions in the angular cortex, supramarginal cortex, posterior corona radiata, superior longitudinal fasciculus, internal capsule, temporal superior cortex, and temporal middle cortex were associated with poor recovery of naming in patients with stroke. Damage to the superior temporal cortex, posterior corona radiata, and superior longitudinal fasciculus was associated with poor recovery of repetition component. 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.

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Impact of Co-occurring Dysarthria and Aphasia on Functional Recovery in Post-stroke Patients

Cited by 20 publications

References 19 publications

Stroke disease‐specific quality of life trajectories after rehabilitation discharge and their sociodemographic and clinical associations: A longitudinal, multicentre study

Stroke disease‐specific quality of life trajectories after rehabilitation discharge and their sociodemographic and clinical associations: A longitudinal, multicentre study

Quality of life after stroke: impact of clinical and sociodemographic factors

Association of Lesion Location With Long-Term Recovery in Post-stroke Aphasia and Language Deficits

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