Technology-Based Rehabilitation to Improve Communication after Acquired Brain Injury

Roches, Carrie Des; Kıran, Swathi

doi:10.3389/fnins.2017.00382

Cited by 27 publications

(21 citation statements)

References 66 publications

(184 reference statements)

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“…In recent systematic reviews, Zheng et al . () as well as Des Roches and Kiran () confirmed the efficacy of technology‐based language therapies in post‐stroke aphasia. Zheng et al .…”

Section: Introductionmentioning

confidence: 73%

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Efficacy of a self‐administered treatment using a smart tablet to improve functional vocabulary in post‐stroke aphasia: a case‐series study

Lavoie

Bier

Macoir

2018

Intl J Lang & Comm Disor

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Background Aphasia is an acquired language disorder that occurs secondary to brain injury, such as stroke. It causes communication difficulties that have a significant impact on quality of life and social relationships. Although the efficacy of speech–language therapy has been clearly demonstrated in this population, long‐term services are currently limited due to logistical and financial constraints. In this context, the potential contribution of technology, such as smart tablets, is worth exploring, especially to improve vocabulary that is relevant in daily life. Aims The main aim was to investigate the efficacy of a self‐administered treatment using a smart tablet to improve naming of functional words in post‐stroke anomia. Methods & Procedures Four adults with post‐stroke aphasia took part in the study. An ABA design with multiple baselines was used to compare naming performances for four equivalent lists: (1) trained with functional words chosen with the participant; (2) trained with words randomly chosen from a picture database; (3) exposed but not trained; and (4) not exposed (control). Outcomes & Results For all participants, the treatment self‐administered at home (four times/week for 4 weeks) resulted in a significant improvement for both sets of trained words that was maintained 2 months after the end of treatment. Moreover, in two participants, evidence of generalization to conversation was found. Conclusions & Implications This study confirms the efficacy of using smart tablets to improve naming in post‐stroke aphasia. Although more studies are needed, the use of new technologies is unquestionably a promising approach to improve communication skills in people with aphasia, especially by targeting vocabulary that is relevant to them in their daily lives.

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“…In recent systematic reviews, Zheng et al . () as well as Des Roches and Kiran () confirmed the efficacy of technology‐based language therapies in post‐stroke aphasia. Zheng et al .…”

Section: Introductionmentioning

confidence: 73%

“…In the last decade, the body of literature supporting the use of technologies for the treatment of aphasia has grown significantly. Recent reviews confirmed the efficacy of computer used in the management of post‐stroke language disorders (e.g., Des Roches and Kiran , Zheng et al . ) and, more specifically, anomia (Lavoie et al .…”

Section: Discussionmentioning

confidence: 88%

Efficacy of a self‐administered treatment using a smart tablet to improve functional vocabulary in post‐stroke aphasia: a case‐series study

Lavoie

Bier

Macoir

2018

Intl J Lang & Comm Disor

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“…Despite over 100 apps or other e-therapies being available [ 27 ], we will limit our discussion here to those that have some form of peer-reviewed evidence base for the efficacy. For a recent review, see [ 28 ]. StepByStep© is a computer-based, multi-modal therapy designed for patients to use under supervision of a speech therapist.…”

Section: E-therapiesmentioning

confidence: 99%

Aphasia Recovery: When, How and Who to Treat?

Doogan

Dignam

Copland

et al. 2018

Curr Neurol Neurosci Rep

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Purpose of ReviewWe now know that speech and language therapy (SALT) is effective in the rehabilitation of aphasia; however, there remains much individual variability in the response to interventions. So, what works for whom, when and how?Recent FindingsThis review evaluates the current evidence for the efficacy of predominantly impairment-focused aphasia interventions with respect to optimal dose, intensity, timing and distribution or spacing of treatment. We conclude that sufficient dose of treatment is required to enable clinical gains and that e-therapies are a promising and practical way to achieve this goal. In addition, aphasia can be associated with other cognitive deficits and may lead to secondary effects such as low mood and social isolation.SummaryIn order to personalise individual treatments to optimise recovery, we need to develop a greater understanding of the interactions between these factors.

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“…Clinicians are turning more frequently to computerized training tasks to address language impairments in aphasia. This is especially relevant when training language comprehension skills [14] where an auditory stimulus can be presented followed by a patient response in the form of a simple computer keystroke. Of the few studies that have examined computerized training of auditory comprehension in aphasia, most have incorporated isolated lexical tasks [12].…”

Section: Treatment For Auditory Comprehension In Aphasiamentioning

confidence: 99%

Treatment of auditory processing in noise in individuals with mild aphasia: pilot study

Raymer¹,

Sandberg²,

Schwartz³

et al. 2019

Clin Arch Commun Disord

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Auditory comprehension impairments are a common manifestation of aphasia in individuals who incur left cerebral damage. Even individuals with mild aphasia often report difficulties with auditory processing in daily activities, such as listening to the television or movies. These difficulties tend to be exacerbated in deleterious listening conditions, such as noisy medical facilities where these individuals participate in rehabilitation, or in noisy restaurants once they resume daily activities.A large literature has examined factors that impact auditory comprehension impairments in individuals with aphasia, such as linguistic components [1] and processing conditions (e.g., rate of speech, time to respond) [2]. One area with more limited systematic study is the impact of degraded listening conditions for auditory processing abilities in individuals with aphasia. In the distant past, Basili et al. [3] reported that individuals with aphasia had inordinate difficulty listening to speech when presented in the presence of either white noise or speech noise as compared to healthy control subjects. More recent studies have reported the detrimental effects of white noise or MRI Purpose: Listening in noise challenges listeners with auditory comprehension impairments in aphasia. We examined the effects of Trivia Game, a computerized program with questions spoken in increasing levels of background noise with success in the game. Methods:We piloted Trivia Game in four individuals with chronic aphasia and mild auditory comprehension impairments. Participants played Trivia Game for 12 twenty-minute sessions. In addition to the Western Aphasia Battery (WAB), we measured outcomes on Quick Speech in Noise (QSIN), a sentence repetition test, administered in auditory (AUD) and auditory+visual (AV) conditions as signal-to-noise ratio varied from 25 to 0 dB.Results: All four participants showed progress within the game in the noise level attained. Increases in repetition accuracy were seen in two participants for the QSIN AUD condition (average of 5.5 words), and in three participants for QSIN AV (average of 16.5 words). One individual increased performance on the WAB.Conclusions: Use of Trivia Game led to improved auditory processing abilities in all four individuals with aphasia. Greater gains noted in the AV condition over AUD suggest that Trivia Game may facilitate speech-reading skills to support comprehension of speech in situations with background noise.

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Technology-Based Rehabilitation to Improve Communication after Acquired Brain Injury

Cited by 27 publications

References 66 publications

Efficacy of a self‐administered treatment using a smart tablet to improve functional vocabulary in post‐stroke aphasia: a case‐series study

Efficacy of a self‐administered treatment using a smart tablet to improve functional vocabulary in post‐stroke aphasia: a case‐series study

Aphasia Recovery: When, How and Who to Treat?

Treatment of auditory processing in noise in individuals with mild aphasia: pilot study

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