Therapeutic Interventions for Aphasia Initiated More than Six Months Post Stroke: A Review of the Evidence

Allen, Laura; Mehta, Swati; McClure, Andrew; Teasell, Robert

doi:10.1310/tsr1906-523

Cited by 103 publications

(72 citation statements)

References 38 publications

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“…Also, the effects of speech and language therapy continued up to six months after stroke onset (chronic stage). A systematic review of interventions for patients with chronic aphasia greater than 6 months after stroke onset showed computer based treatment, constraint induced aphasia treatment, high intensity speech and language therapy, and group speech and language training showed effective for increasing functional communication capacity [5]. Based on several studies and systematic review, we cannot conclude when treatment should be started or how long it should be continued for people with aphasia after stroke, now.…”

Section: Speech Language Therapymentioning

confidence: 90%

Current Evidence for Post Stroke Aphasia Treatment

Yang

2017

Brain Neurorehabil

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Aphasia is a major devastating symptom in stroke survivors that deteriorates patient quality of life. Various treatment methods are applied for aphasia patients after stroke. Evidence is required to assess the effectiveness of variable therapy for aphasia. Results of a meta-analysis have concluded that speech and language treatment is effective post stroke. Better outcomes are expected with high dose and high intensity speech and language therapy within tolerable ranges. Computerized and group treatments can supplement classic one to one speech and language therapy. Pharmacotherapy and non-invasive brain stimulation combined with speech and language therapy have been well-studied and better outcomes are expected, however testing in a large number of subjects is required to validate the efficacy of these combined modalities.

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Section: Speech Language Therapymentioning

confidence: 90%

Current Evidence for Post Stroke Aphasia Treatment

Yang

2017

Brain Neurorehabil

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“…Second, effi cacy research requires still little evidence for the superior effi cacy or effectiveness of particular treatment approaches over others. 5,51,52 Clearly, the relative potency of different potential ICAP components in relation to patient characteristics and specifi c outcomes should be the object of continued empirical study. Is family and patient education the vital component for long-term maintenance of gains?…”

Section: Phase Ii: Effi Cacymentioning

confidence: 99%

Setting a Research Agenda to Inform Intensive Comprehensive Aphasia Programs

Hula¹,

Cherney²,

Worrall³

2013

Topics in Stroke Rehabilitation

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Research into intensive comprehensive aphasia programs (ICAPs) has yet to show that this service delivery model is effi cacious, effective, has cost utility, or can be broadly implemented. This article describes a phased research approach to the study of ICAPs and sets out a research agenda that considers not only the specifi c issues surrounding ICAPs, but also the phase of the research. Current ICAP research is in the early phases, with dosing and outcome measurement as prime considerations as well as refi nement of the best treatment protocol. Later phases of ICAP research are outlined, and the need for larger scale collaborative funded research is recognized. The need for more rapid translation into practice is also acknowledged, and the use of hybrid models of phased research is encouraged within the ICAP research agenda.

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“…Treatment of aphasia is indicated in the very early phases after stroke (at 3 days) [8] or after TBI, but continues to be efficacious also in chronic phases (after 6 months) [9]. Intensive sessions of aphasia therapy are, in some opinions, more efficacious, but there is no consensus regarding the frequency, duration or distribution of séances.…”

mentioning

confidence: 99%

Cognitive rehabilitation: an important tool in disability improvement after brain injuries

Stănescu¹,

Gabriela²

2016

BALNEO

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Cognitive rehabilitation is as an important goal of rehabilitation therapy, which aims to help the person with neurological disability to acquire the highest level of cognitive functioning and of functional autonomy. Cognitive impairments in memory, language, judgement, attention, visuo-spatial perception are important blocks in acquiring functional independence. Cognitive rehabilitation therapy is "a systematic, functionally oriented service of therapeutic cognitive activities directed to achieve functional changes by reinforcing, strengthening or establishing previously learned patterns of behavior or establishing new patterns of cognitive activity or mechanisms to compensate ". The cognitive treatment programs include retraining strategies or the use of compensatory skills, but also counseling, environmental reorganization and use of educational and vocational training facilities. Cognitive rehabilitation requires a sustained and coordinated effort from a large team, including the patient, family and caregivers. There is an increasing evidence supporting the role and efficacy of cognitive rehabilitationin each cognitive domain. In the future, there is a need to develop innovative treatments, aiming to modulate cortical networks and to obtain long term improvements of all cognitive functions.

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Therapeutic Interventions for Aphasia Initiated More than Six Months Post Stroke: A Review of the Evidence

Abstract: There is evidence to support the use of a number of treatments for chronic aphasia post stroke. Further research is required to fully support the use of these interventions and to explore the effectiveness of other aphasia interventions in the chronic stage.

Cited by 103 publications

References 38 publications

Current Evidence for Post Stroke Aphasia Treatment

Current Evidence for Post Stroke Aphasia Treatment

Setting a Research Agenda to Inform Intensive Comprehensive Aphasia Programs

Cognitive rehabilitation: an important tool in disability improvement after brain injuries

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