The comparative effects of Multi-Modality Aphasia Therapy and Constraint-Induced Aphasia Therapy-Plus for severe chronic Broca's aphasia: An in-depth pilot study

Attard, Michelle; Rose, Miranda; Lanyon, Lucette

doi:10.1080/02687038.2012.725242

Cited by 30 publications

(26 citation statements)

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“…This pattern is consistent with other studies where data has been examined at the level of the individual and direct comparison made of treated and untreated stimuli (e.g. Attard et al, 2013;Osborne & Nickels, 2012;in preparation). As Attard et al (2013) used an intensive protocol and with a larger overall dose of treatment (32 hours in total across two weeks), we believe that it is unlikely that these results are due to either the dose or the less intensive delivery.…”

Section: Discussionsupporting

confidence: 79%

“…Attard et al, 2013;Osborne & Nickels, 2012;in preparation). As Attard et al (2013) used an intensive protocol and with a larger overall dose of treatment (32 hours in total across two weeks), we believe that it is unlikely that these results are due to either the dose or the less intensive delivery. Instead, it is likely to reflect the well attested pattern of item specific improvements when treatments target lexical retrieval in aphasia (Nickels, 2002).…”

Section: Discussionmentioning

confidence: 99%

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Constraint Induced Aphasia Therapy: Volunteer-led, unconstrained and less intense delivery can be effective

Nickels

Osborne

2016

NRE

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Abstract.BACKGROUND: Constraint Induced Aphasia Therapy (CIAT) has been shown to be effective in the treatment of aphasia, but clinicians have expressed concern regarding how far CIAT is practical to implement in clinical practice. OBJECTIVE: To determine whether CIAT delivered in a less-intense, lower dose, reduced constraint and volunteer-led format could produce positive outcomes in people with chronic aphasia. METHODS: Two groups were run, each with two people with chronic aphasia. Treatment involved a standard CIAT cardexchange game, supplemented by a home activity. Spoken language was required for responses but alternative modalities of communication were also permitted. Each group was led by a trained volunteer, lasted 90 minutes and was delivered twice a week for four weeks. RESULTS: Three of the four participants showed significant improvements in target word retrieval following treatment. No significant improvements were observed for untreated stimuli or language tasks. Two participants showed increases in the elaboration of their responses, and the same two showed an increase in the frequency with which they engaged in communication activities. CONCLUSIONS: Clear gains in performance were observed for the majority of people with aphasia who participated in a less intense format, considerably lower dose and less constrained form of CIAT led by trained volunteers. This suggests that this 'clinically realistic' service delivery model for CIAT could be added to the clinical repertoire of speech pathologists.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Constraint Induced Aphasia Therapy: Volunteer-led, unconstrained and less intense delivery can be effective

Nickels

Osborne

2016

NRE

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“…It would be a logical step then, to look for other levels of evidence to guide clinical practice in aphasia therapy after stroke. It is here that we find an abundance of high quality single-case design [13][14][15] and small group studies [16][17][18] to support the provision of different types of aphasia therapy provided at various phases in the recovery journey. The vast majority of this research, however, does not include people with aphasia in the very early (within two weeks) and early (two to six weeks) post-stroke recovery phases (See examples of studies investigating very early and early intervention).…”

Section: Introductionmentioning

confidence: 99%

“…The vast majority of this research, however, does not include people with aphasia in the very early (within two weeks) and early (two to six weeks) post-stroke recovery phases (See examples of studies investigating very early and early intervention). [13][14][15][16][17][18] Given the constant high demand for limited speech pathology services during (very) early recovery combined with the need to comply with health-funding regulators and the potential for therapy-induced recovery, 19,20 it is crucial that speech pathologists deliver evidence-based efficient and efficacious aphasia therapy interventions.…”

Section: Introductionmentioning

confidence: 99%

Amount of Therapy Matters in Very Early Aphasia Rehabilitation after Stroke: A Clinical Prognostic Model

et al. 2013

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“…The researchers recommend the test, not only for aphasics, but also "for identifying patients who require further evaluation." (Cobley, et al, 2012: p.373) Attard, et al, (2013) compare the validity and the reliability of two evaluative techniques, namely constraint-induced aphasia therapy-plus and multi-modality aphasia therapy to identify to what extent they assess aphasics' language abilities. The research team found that both techniques can be used as means of evaluating aphasics' linguistic abilities.…”

Section: Introductionmentioning

confidence: 99%

Validation of Communication Activities of Daily Living- Second Edition (CADL-2) on Arab Aphasics: Controlled Study

Yaari¹,

Al-Maflehi²

2013

JSEL

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Background: While language-related tests including communication activities of daily living-second edition (CADL-2) test showed that alike were able to test language-related functional and communication skills, psychoneurolinguists and speech language pathologists/ Therapists (SLP/Ts)'s responses varied between accepting or rejecting the results of this test.Purpose: Previous studies suggest that results of CADL-2 do not differ with both gender aphasics suffering from different language impairments. Thus, the current study tested the validity and reliability of this test among Arab aphasics.Design: CADL-2 Pre-and-posttest was administered twice in three weeks to test the communication activities of daily living of 100 aphasic participants of both sexes. Settings: Al Khars hospital in Al Ahsa'a, Kingdom of Saudi Arabia (KSA). Participants:A total of 100 (50 men and 50 women) gender aphasic participants who suffer from different language deficits were enrolled in this experimental study. Procedures: Having the English version of CADL-2 translated into Arabic and standardized by three Arabic language experts, the first CADL-2 (Arabic version) test (pre-test) was administered to the participants under investigation in the first week and after two weeks (exactly at the end of the third week)., the second CADL-2 (posttest) was administered. Both tests were conducted in natural environment without any influence from testers or participants' families. Interventions:Results including gender-specific differences were qualitatively and statistically analyzed and comparisons were made to illustrate these results. Main outcomes & Results:The analysis results of each aphasic participant show that no significant differences were observed in CADL-2 pre-and-posttest. The test could test what it was supposed to test. Moreover, the results of the participants' pre-and-posttest are similar with mean of percentile in the pre-and-posttest surging 29.5% and 28.6% and Stanine scores surging 3.4% and 3.32% for males in comparison to the female aphasic participants who scored 28.16% and 28.78% in the percentile and 3.38% and 3.38% in the Stanine scores. Taken together, the results demonstrate that the level of aphasics' communication activities is low. Such results prove that the test is also reliable. Conclusions & Implications:CADL-2 is considered to be a validated tool for the assessment of Arab aphasic patients of both sexes. These results also provide much needed quantitative data for the diagnosis of language impairments in Arab aphasic patients.

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The comparative effects of Multi-Modality Aphasia Therapy and Constraint-Induced Aphasia Therapy-Plus for severe chronic Broca's aphasia: An in-depth pilot study

Cited by 30 publications

References 50 publications

Constraint Induced Aphasia Therapy: Volunteer-led, unconstrained and less intense delivery can be effective

Constraint Induced Aphasia Therapy: Volunteer-led, unconstrained and less intense delivery can be effective

Amount of Therapy Matters in Very Early Aphasia Rehabilitation after Stroke: A Clinical Prognostic Model

Validation of Communication Activities of Daily Living- Second Edition (CADL-2) on Arab Aphasics: Controlled Study

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