| Titre : | Amount of Therapy Matters in Very Early Aphasia Rehabilitation after Stroke: A Clinical Prognostic Model (2013) |
| Auteurs : | Erin Godecke, Auteur ; Tapan Rai, Auteur ; Natalie Ciccone, Auteur ; Elizabeth Armstrong, Auteur ; Andrew Granger, Auteur ; Graeme J. Hankey, Auteur |
| Type de document : | Article |
| Dans : | Seminars in Speech and Language (Vol. 34, n°3, [July 2013]) |
| Article en page(s) : | p. 129-141 |
| Note générale : | DOI: 10.1055/s-0033-1358369 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Aphasie ; Intervention précoce ; Réadaptation |
| Résumé : |
Background and Aim The effects of very early aphasia therapy on recovery are equivocal. This article examines predictors of very early aphasia recovery through statistical modeling.
Methods This study involved a secondary analysis of merged data from two randomized, single-blind trials conducted in Australian acute and subacute hospitals. Study 1 (n = 59) compared daily therapy to usual ward care for up to 4 weeks poststroke in patients with moderate to severe aphasia. Study 2 (n = 20) compared daily group therapy to daily individual therapy for 20 1-hour sessions over 5 weeks, in patients with mild to severe aphasia. The primary outcome measure was the Western Aphasia Battery Aphasia Quotient (AQ) at therapy completion. This analysis used regression modeling to examine the effects of age, baseline AQ and baseline modified Rankin Scale (mRS), average therapy amount, therapy intensity, and number of therapy sessions on aphasia recovery. Results Baseline AQ (p = 0.047), average therapy amount (p = 0.030), and baseline mRS (p = 0.043) were significant predictors in the final regression model, which explained 30% (p Conclusion The amount of very early aphasia therapy could significantly affect communication outcomes at 4 to 5 weeks poststroke. Further studies should include amount of therapy provided to enhance reliability of prognostic modeling in aphasia recovery. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://medone-comsci.thieme.com/ejournals/1098-9056_2013_03?context=search#/10.1055-s-0033-1358369 |
Bibliothèques HE Vinci
