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post stroke aphasia

Sanaz Pornajaf, Michela Goffredo, Maurizio Agosti, Maurizio Massucci, Salvatore Ferro, Marco Franceschini
BACKGROUND: Despite the importance of walking recovery in real life contexts, only 7% of stroke survivors at discharge from neuro-rehabilitation units recover independent walking in the community. However, studies on outcome indicators of walking ability restoration following stroke rarely regard the community ambulation. AIM: To investigate how socio-demographic and sub-acute clinical characteristics of stroke survivors at admission and at discharge may predict a good participation in community walking activity 6 months post-stroke...
December 13, 2018: European Journal of Physical and Rehabilitation Medicine
Stephanie Jane Clunne, Brooke Jade Ryan, Annie Jane Hill, Caitlin Brandenburg, Ian Kneebone
BACKGROUND: Depression affects approximately 60% of people with aphasia 1 year post stroke and is associated with disability, lower quality of life, and mortality. Web-delivered mental health (e-mental health) programs are effective, convenient, and cost-effective for the general population and thus are increasingly used in the management of depression. However, it is unknown if such services are applicable and communicatively accessible to people with poststroke aphasia. OBJECTIVE: The aim of this study was to identify freely available e-mental health programs for depression and determine their applicability and accessibility for people with poststroke aphasia...
December 4, 2018: Journal of Medical Internet Research
I F Groeneveld, P H Goossens, W van Meijeren-Pont, H J Arwert, J J L Meesters, A D Rambaran Mishre, F Van Vree, T P M Vliet Vlieland
PURPOSE: Structured application of patient-reported outcome measures (PROMs) is a key element in Value Based Healthcare. This study aimed to evaluate the feasibility of a broad set of PROMs reflecting similar patient reported health domains as proposed within the International Standard Set of Patient-Centered Outcome Measures After Stroke within the first year after stroke. METHODS: The study included consecutive stroke patients admitted to inpatient or outpatient specialized rehabilitation...
November 29, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Stephanie Gillespie, Jacqueline Laures-Gore, Elliot Moore, Matthew Farina, Scott Russell, Benjamin Haaland
Purpose: The current study aimed to identify objective acoustic measures related to affective state change in the speech of adults with post-stroke aphasia. Method: The speech of 20 post-stroke adults with aphasia was recorded during picture description and administration of the Western Aphasia Battery-Revised (Kertesz, 2006). In addition, participants completed the Self-Assessment Manikin (Bradley & Lang, 1994) and the Stress Scale (Tobii Dynavox, 1981-2016) before and after the language tasks...
November 27, 2018: Journal of Speech, Language, and Hearing Research: JSLHR
Weihong Qiu, Hongli Guan, Zhaocong Chen, Yong Yu, Huixiang Wu, Wilson S Yu, Guorong Qiu, Xiaohuan Feng, Kathy Y S Lee
BACKGROUND AND PURPOSE: Aphasia is a common outcome of stroke affecting one-third of the post-stroke population in China. While the quality of life (QOL) may be affected, care is often inadequately guided due to lack of validated measure for Chinese population with stroke-induced aphasia. This study aimed to develop a Chinese-version of the Stroke and Aphasia Quality of Life-39 generic version (SAQOL-39g) and evaluate its feasibility, reliability, and validity in Chinese patients with stroke-induced aphasia...
November 19, 2018: Topics in Stroke Rehabilitation
Monica Lavoie, Nathalie Bier, Joël Macoir
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...
November 14, 2018: International Journal of Language & Communication Disorders
Adam Buchwald, Carolyn Falconer, Avrielle Rykman-Peltz, Mar Cortes, Alvaro Pascual-Leone, Gary W Thickbroom, Hermano Igo Krebs, Felipe Fregni, Linda M Gerber, Clara Oromendia, Johanna Chang, Bruce T Volpe, Dylan J Edwards
Objective: This study aimed to determine the extent to which robotic arm rehabilitation for chronic stroke may promote recovery of speech and language function in individuals with aphasia. Methods: We prospectively enrolled 17 individuals from a hemiparesis rehabilitation study pairing intensive robot assisted therapy with sham or active tDCS and evaluated their speech ( N = 17) and language ( N = 9) performance before and after a 12-week (36 session) treatment regimen. Performance changes were evaluated with paired t -tests comparing pre- and post-test measures...
2018: Frontiers in Neurology
Alessandra Baccaro, Yuan-Pang Wang, Miriam Candido, Adriana Bastos Conforto, André Russowsky Brunoni, Claudia da Costa Leite, Geraldo Busatto Filho, Paulo A Lotufo, Isabela M Benseñor, Alessandra Carvalho Goulart
BACKGROUND: Post-stroke depression (PSD) and cognitive impairment (PCI) are common conditions. This study aims to describe the protocol and preliminary findings of an investigation into factors associated with PSD and PCI 1-3 months after stroke (subacute phase) in survivors from the Study of Stroke Mortality and Morbidity (EMMA study). METHODS: Stroke patients underwent to clinical and neurological evaluations on admission to hospital. Cerebral magnetic resonance and biomarkers (serotonin, BDNF, IL-6 and IL-18) were carried out in the subacute phase...
October 12, 2018: Journal of Affective Disorders
Ana Dionísio, Isabel Catarina Duarte, Miguel Patrício, Miguel Castelo-Branco
BACKGROUND: Following a stroke event, patients often are severely affected by disabilities that hinder their quality-of-life. There are currently several rehabilitative options and strategies, and it is crucial to find the most effective interventions. The applicability of transcranial magnetic stimulation (TMS) to the recovery of nonmotor functions such as communication skills, swallowing ability and spatial attention after stroke remains important clinical questions. SUMMARY: We searched PubMed and ISI Web of Science for articles that used repetitive TMS protocols to rehabilitate post-stroke deficits...
2018: Cerebrovascular Diseases
Ronald Chu, Jed A Meltzer, Tali Bitan
Right-hemisphere involvement in language processing following left-hemisphere damage may reflect either compensatory processes, or a release from homotopic transcallosal inhibition, resulting in excessive right-to-left suppression that is maladaptive for language performance. Using fMRI, we assessed inter-hemispheric effective connectivity in fifteen patients with post-stroke aphasia, along with age-matched and younger controls during a sentence comprehension task. Dynamic Causal Modeling was used with four bilateral regions including inferior frontal gyri (IFG) and primary auditory cortices (A1)...
September 11, 2018: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
Sarah J Wallace, Linda Worrall, Tanya Rose, Guylaine Le Dorze, Caterina Breitenstein, Katerina Hilari, Edna Babbitt, Arpita Bose, Marian Brady, Leora R Cherney, David Copland, Madeline Cruice, Pam Enderby, Deborah Hersh, Tami Howe, Helen Kelly, Swathi Kiran, Ann-Charlotte Laska, Jane Marshall, Marjorie Nicholas, Janet Patterson, Gill Pearl, Elizabeth Rochon, Miranda Rose, Karen Sage, Steven Small, Janet Webster
Background A core outcome set (COS; an agreed, minimum set of outcomes) was needed to address the heterogeneous measurement of outcomes in aphasia treatment research and to facilitate the production of transparent, meaningful, and efficient outcome data. Objective The Research Outcome Measurement in Aphasia (ROMA) consensus statement provides evidence-based recommendations for the measurement of outcomes for adults with post-stroke aphasia within phases I-IV aphasia treatment studies. Methods This statement was informed by a four-year program of research, which comprised investigation of stakeholder-important outcomes using consensus processes, a scoping review of aphasia outcome measurement instruments, and an international consensus meeting...
October 10, 2018: International Journal of Stroke: Official Journal of the International Stroke Society
Sarah E Wallace, Elena V Donoso Brown, Anna Saylor, Erica Lapp
BACKGROUND: Upper extremity impairments post-stroke impact participation in valued occupations. Home programs are used to extend the frequency and amount of upper extremity practice for people post-stroke, but novel ways of increasing adherence to these programs is needed to ensure intense repetitive practice. OBJECTIVES: The purpose of this process evaluation, was to examine the perceptions of people with aphasia as it relates to modifications to home programs that could influence participation, specifically listening to music and aphasia-friendly adaptations of written materials...
October 8, 2018: Topics in Stroke Rehabilitation
Jing Guo, Mi Yang, Bharat B Biswal, Pu Yang, Wei Liao, Huafu Chen
Post-stroke aphasia (PSA), which refers to the loss or impairment of language, is typically caused by left hemisphere lesions. Previous neuroimaging studies have indicated that the pathology of PSA may be related to abnormalities in functional integration. In this study, we used resting-state functional magnetic resonance imaging (rs-fMRI) to examine functional connectivity density (FCD) in PSA. We compared short- and long-range FCD between individuals with PSA (n = 17) and healthy controls (HC, n = 20)...
October 6, 2018: Brain Topography
Meredith Fairbairn, Emily Wicks, Sabrina Ait-Ouali, Olivia Drodge, Dina Brooks, Maria Huijbregts, Diane Blonski
Purpose: Individuals with post-stroke aphasia (PSA) engage in inadequate levels of physical activity (PA), hindering physical and psychosocial recovery. The purpose of this study was to identify the extent to which community-based exercise programmes (CBEPs) in the Greater Toronto Area (GTA) are accessible to adults living with PSA and the characteristics of such programmes from the perspective of CBEP representatives. Methods: A cross-sectional, Web-based survey was administered to representatives of CBEPs open to adults post-stroke in the GTA to identify the CBEPs' relevant characteristics and perceived facilitators of and barriers to accessibility...
2018: Physiotherapy Canada. Physiothérapie Canada
Lena Mandl, Daniel Schindel, Johannes Deutschbein, Johann Frick, Liane Schenk
AIM: Evaluation of German-language guidelines for aphasia and dysarthria rehabilitation, and comparison with international guidelines. METHODS: The quality of the 6 included guidelines, as found through a comprehensive literature search, was sytematically evaluated using AGREE II. Quality ratings were compared to the results of a systematic review of 19 English-language guidelines. RESULTS: The quality of German-language guidelines was heterogeneous...
October 1, 2018: Die Rehabilitation
Louise Clancy, Rachel Povey, Karen Rodham
PURPOSE: Staff-patient communication in in-patient stroke settings is viewed as challenging for stroke survivors with aphasia and those supporting them. This study sought to explore these experiences from the perspectives of stroke survivors, their carers and healthcare professionals. METHODS: A qualitative study where stroke survivors with aphasia, carers and healthcare professionals were interviewed (audio-recorded) one-to-one or via focus group. Stroke survivors were at least 6 months post-stroke and had a self-reported mild to moderate level of post-stroke aphasia...
September 27, 2018: Disability and Rehabilitation
Emilie T McKinnon, Julius Fridriksson, Alexandra Basilakos, Gregory Hickok, Argye E Hillis, M Vittoria Spampinato, Ezequiel Gleichgerrcht, Chris Rorden, Jens H Jensen, Joseph A Helpern, Leonardo Bonilha
The types of errors during speech production can vary across individuals with chronic post-stroke aphasia, possibly due to the location and extent of brain damage. In this study, we evaluated the relationship between semantic vs. phonemic errors during confrontational naming, and their relationship with the degree of damage to ventral and dorsal white matter pathways extending beyond the necrotic stroke lesion. Based on the dual stream model of language processing, we tested the hypothesis that semantic errors would be associated with ventral stream damage, whereas phonemic errors would be associated with dorsal stream damage, but not vice-versa...
September 25, 2018: Scientific Reports
Ying Zhao, Matthew A Lambon Ralph, Ajay D Halai
Linking both structural lesions and the functional integrity of remaining brain tissue to patients' behavioural profile may be critical in discovering the limits of behavioural recovery post stroke. In the present study, we explored the relationship between temporal hemodynamic changes and language performance in chronic post-stroke aphasia. We collected detailed language and neuropsychological data for 66 patients with chronic (>1 year) post-stroke aphasia. We used principal component analysis to extract their core language-neuropsychological features...
2018: NeuroImage: Clinical
Fabiane Rodrigues da Silva, Ana Paula Machado Goyano Mac-Kay, John ChiiTyng Chao, Michele Devido Dos Santos, Rubens José Gagliadi
PURPOSE: Compare the results in naming tasks of after-stroke aphasic individuals divided into active and placebo groups pre- and post-transcranial direct current stimulation. METHODS: A double-blind, randomized, controlled study conducted with 14 individuals. Patients underwent five 20-min sessions with stimulation of 2mA's on consecutive days. The cathode was placed over the Broca's homologous area and the anode was placed over the supraorbital region of the left hemisphere...
August 30, 2018: CoDAS
Chiara Zavanone, Yves Samson, Céline Arbizu, Sophie Dupont, Didier Dormont, Charlotte Rosso
OBJECTIVES: To identify the critical brain regions associated with 7-days, 3 and 6-months aphasia severity using diffusion-weighted imaging (DWI) in acute post-stroke patients. MATERIALS AND METHODS: We performed a voxel-based ADC (Apparent Diffusion Coefficient) analysis to identify the critical brain areas correlated with aphasia at the acute (7-days outcome) and chronic stages (3 and 6-months). The location of these areas was compared with the trajectory of the dorsal (the arcuate fasciculus) and the ventral language pathways (the inferior fronto-occipital and the uncinate fasciculi)...
November 2018: Brain and Language
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