EFFECTIVENESS OF SPEECH THERAPY FOR APHASIC STROKE PATIENTS

Twenty-four moderately asphasic stroke patients attending a rehabilitation centre were treated for 4 weeks with speech therapy and for 4 weeks with either an operant training procedure, based on that devised by Goodkin (1966), or an attention placebo non-specific treatment. Speech therapy was given first to half the patients, while a quarter received operant training first and a quarter non-specific treatment. Results indicated no significant differences between the treatments. These treated patients were also compared in improvements in language abilities with nine moderately aphasic patients from hospitals with very limited speech therapy services. No significant differences between “treated” and “untreated” groups were found over a 4-week period. All groups of patients, however, showed some significant improvements in language abilities.

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Rehabilitation of Stroke Patients - Effects of Early Intervention of Physical Therapy on Functional Outcome

Bangladesh Journal of Anatomy ◽

10.3329/bja.v7i1.3028 ◽

1970 ◽

Vol 7 (1) ◽

pp. 62-67

Author(s):

Jebun Nessa ◽

Md Abdul Khaleque ◽

Shahanaz Begum ◽

AH Hamid Ahmed ◽

Shafiqul Islam ◽

...

Keyword(s):

Physical Therapy ◽

Speech Therapy ◽

Functional Independence Measure ◽

Functional Independence ◽

Acute Onset ◽

First Episode ◽

P Value ◽

Stroke Patients ◽

Term Outcome ◽

Long Term Outcome

Context: Early initiation of rehabilitation procedures in stroke patients can enable greater return of neurological functions and prevents complication, thereby improves long term outcome and quality of life. Functional Independence measure (FIM) score is one of the commonest scale used to measure outcome. Study design: Prospective type of study. Place of study: Dept. of Physical Medicine and Rehabilitation, BSMMU. Method: 48 acute onset first episode stroke patients were assessed Rehabilitation procedures started immediately after attending the Dept. According to a comprehensive rehabilitation plan physical therapy, speech therapy, occupational therapy was given and continued for 8 weeks, with proper education to the patient and the attendant. Result: Outcome was measured and the result showed significant improvements (p value <0.001) in early treatment group of patients. Key words: Stroke, FIM, Outcome. doi: 10.3329/bja.v7i1.3028 Bangladesh Journal of Anatomy January 2009, Vol. 7 No. 1 pp. 62-67

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A meta-analysis of the effects of repetitive transcranial magnetic stimulation on aphasia rehabilitation in stroke patients

Neurology Asia ◽

10.54029/2021xjx ◽

2021 ◽

Vol 26 (3) ◽

pp. 491-500

Author(s):

Mehrnaz Gholami ◽

Noushin Pourbaghi ◽

Samaneh Taghvatalab

Keyword(s):

Transcranial Magnetic Stimulation ◽

Magnetic Stimulation ◽

Speech Therapy ◽

Repetitive Transcranial Magnetic Stimulation ◽

Meta Analysis ◽

Cochrane Central Register ◽

Inclusion Criteria ◽

Stroke Patients ◽

Standard Mean Difference ◽

Meta Analyses

Background & Objective: Aphasia—acquired loss of the ability to understand or express language—is a common and debilitating neurological consequence of stroke. Evidence suggests that transcranial magnetic stimulation (TMS) can signiﬁcantly improve language outcomes in patients with aphasia. Repetitive transcranial magnetic stimulation (rTMS) has been reported to improve naming in chronic stroke patients with nonﬂuent aphasia since 2005. Methods: We conducted a systematic review and meta-analyses of TMS treatment studies in patients with aphasia. Eight electronic databases (PubMed, Medline, Embase, Scopus, ScienceDirect, Cochrane Central Register of Controlled Trials, Journals@ Ovid, and clinicaltrials.gov) were searched for articles. Relevant studies were further evaluated and studies that met inclusion criteria were reviewed. We included studies if were: randomized controlled blinded clinical trials, meta-analyses or crossover designs of rTMS alone or with speech therapy or any other therapy tested with rTMS. Standard mean difference (SMD) for changes in picture naming accuracy was estimated. Results: The literature search yielded 423 studies. Fifty articles were further evaluated to be included. Eleven met all inclusion criteria and were chosen for review. Eleven eligible studies involving 301 stroke patients were identiﬁed in this meta-analysis. Further analyses demonstrated prominent effects for the naming subtest (SMD = 1.26, 95% CI = 0.80 to 1.71, P=0.01), with heterogeneity (I2 = 69.101%). The meta-analysis continued to show that there was a statistically signiﬁcant effect of rTMS compared with sham rTMS on the severity of aphasia. None of the patients from the 11 included articles reported adverse effects from rTMS. Conclusions: There are some strong studies evaluating the efﬁcacy of rTMS in stroke patients but further research is required to fully establish the usefulness of this treatment. This meta-analysis indicates a clinically positive effect of rTMS with or without speech and language therapy (SLT) for patients with aphasia following stroke in overall language function and expressive language, including naming, repetition, writing, and comprehension. Low-frequency (1 Hz) rTMS over the unaffected hemisphere is effective and compatible with the concept of interhemispheric inhibition. Moreover, the treatment of 1 Hz rTMS for patients with aphasia after stroke was safe.

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Predicting rehabilitation treatment helpfulness to stroke patients: A supervised learning approach

Artificial Intelligence Research ◽

10.5430/air.v6n2p1 ◽

2017 ◽

Vol 6 (2) ◽

pp. 1 ◽

Cited By ~ 4

Author(s):

Chia-Lun Lo ◽

Hsiao-Ting Tseng

Keyword(s):

Prediction Model ◽

Supervised Learning ◽

Speech Therapy ◽

Inpatient Admission ◽

Stroke Recurrence ◽

Stroke Patients ◽

Rehabilitation Treatment ◽

Recurrence Prediction ◽

Serious Disease ◽

Long Course

Stroke (Cerebral vascular accident, CVA) is a common and serious disease. Most of the survivals would be disabled after their illness recovery, causes serious burden on caregivers. It is said that rehabilitation could help functional recovery of stroke patients, regain independence after stroke. Due to the long course of stroke, how to prevent survivals from recurrence is an important issue. This study attempts to examine the relationship between stroke recurrence and strength of rehabilitation, and build a stroke recurrence prediction model utilizing a number of supervised learning techniques to assist physicians with making clinical decisions.In the past, most of the related work used the samples from a single hospital as a sample, but it cannot fully catch all the clinic information of the patients. Therefore, this study used the Longitudinal Health Insurance Database 2010 of the NHIRD as the data source, to examine the effectiveness of rehabilitation.In terms of accuracy rate of all classifiers, we get the best effectiveness (78%) while adopting the inpatient admission dataset and C4.5 to predict recurrence. We also find physical therapy, occupational therapy and speech therapy treatments during inpatient admission are the key factors to decrease the chance to recrudesce in the rehabilitation periods. The higher strength and frequency rehabilitation treatment is also the key influence variables in our high accuracy prediction model which means that is useful to lower the recurrence rate of stroke patients.

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