Comparison of Formal Language Therapy With Supportive Counseling for Aphasia due to Acute Vascular Accident

Hartman, Jacqueline; Landau, William M.

doi:10.1001/archneur.1987.00520180064018

Cited by 113 publications

(20 citation statements)

References 18 publications

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“…Four of the 8 reviewed studies that reported significantly positive results 5,6,13,15 provided an average of 8.8 hours of therapy per week for 11.2 weeks compared with the 4 negative studies 10,11,14,16 that only provided approximately two 1-hour sessions per week for 22.9 weeks. Analysis revealed that the more intensive therapies (those that provided greater hours of therapy per week) resulted in the improved outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Because no significant differences in FCP scores were noted between the negative and positive trials, no further analysis using the FCP was attempted. Analysis revealed that the total length of therapy was significantly inversely correlated with mean change in PICA 11,13,14,15 scores (rϭϪ0.948, Pϭ0.0001, nϭ9). That is, the shorter the therapy period, the greater the change in PICA scores.…”

Section: Relationship Between Intensity Of Therapy Provided and Outcomentioning

confidence: 99%

“…10,11,14,16 Of the 4 positive trials analyzed, 5,6,13,15 intensive practice (mean, 8.8 hours a week) was provided over a short amount of time (mean, 11.2 weeks), thereby accumulating an average of 98.4 hours of total therapy time. In the 4 negative studies analyzed, 10,11,14,16 less intense practice (mean, 2.0 hours a week) was provided for a longer duration (mean, 22.9 weeks), accumulating an average of 43.6 hours of total therapy time (see Table 3). In the positive studies, significantly more hours of therapy per week and significantly more total therapy hours in a significantly shorter period of time were provided, as compared with the negative studies.…”

Section: Relationship Between Intensity Of Therapy Provided and Outcomentioning

confidence: 99%

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Intensity of Aphasia Therapy, Impact on Recovery

Bhogal

Teasell

Speechley

2003

Stroke

626

342

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Background-It has been speculated that the conflicting results demonstrated across poststroke aphasia therapy studies might be related to differences in intensity of therapy provided across studies. The aim of this study is to investigate the relationship between intensity of aphasia therapy and aphasia recovery. Methods-A MEDLINE literature search was conducted to retrieve clinical trials investigating aphasia therapy after stroke.Changes in mean scores from each study were recorded. Intensity of therapy was recorded in terms of length of therapy, hours of therapy provided per week, and total hours of therapy provided. Pearson correlation was used to assess the relationship between changes in mean scores of outcome measures and intensity of therapy. Results-Studies that demonstrated a significant treatment effect provided 8.8 hours of therapy per week for 11.2 weeks versus the negative studies that only provided Ϸ2 hours per week for 22.9 weeks. On average, positive studies provided a total of 98.4 hours of therapy, whereas negative studies provided 43.6 hours of therapy. Total length of therapy time was found to be inversely correlated with hours of therapy provided per week (Pϭ0.003) and total hours of therapy provided (Pϭ0.001). define aphasia as "the loss of ability to communicate orally, through signs, or in writing, or the inability to understand such communications; the loss of language usage ability." Darley 2 noted that aphasia is generally described as an impairment of language resulting from focal brain damage to the language-dominant cerebral hemisphere. This serves to distinguish aphasia from the language and cognitivecommunication problems associated with non-languagedominant hemisphere damage, dementia, and traumatic brain injury. 3 However, defining aphasia as purely a disorder of language may oversimplify a complex clinical entity. Kertesz 4 clinically described aphasia as a "neurologically central disturbance of language characterized by paraphasias, word finding difficulty, and variably impaired comprehension, associated with disturbance of reading and writing, at times with dysarthria, non-verbal constructional and problemsolving difficulty and impairment of gesture."The most effective means of treating aphasia after stroke has yet to be determined, and studies investigating the efficacy of speech and language therapy (SLT) for patients See Editorial Comment, page 992 suffering aphasia after stroke have yielded conflicting results. One possible explanation for the observed heterogeneity of findings across studies is a difference in intensity of therapy. 5,6 We have noted that the failure to identify a consistent benefit might have been due to the low intensity of SLT applied in the negative studies, whereas higher intensities of therapy were present in positive studies. 7 A meta-analysis that included all patients suffering from aphasia, not just stroke patients, revealed that the more intensive the therapy, the greater the improvement. 8 The objective of the present study is to investiga...

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Section: Discussionmentioning

confidence: 99%

Section: Relationship Between Intensity Of Therapy Provided and Outcomentioning

confidence: 99%

Section: Relationship Between Intensity Of Therapy Provided and Outcomentioning

confidence: 99%

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Intensity of Aphasia Therapy, Impact on Recovery

Bhogal

Teasell

Speechley

2003

Stroke

626

342

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“…Except for two studies [92,96], all other trials comparing formal professional speech therapy with trained or untrained volunteers [95,97,98] failed to show the advantage of training by a professional (table 1). No difference was detected between individual or group therapy [99], nor between formal language therapy and supportive counselling [100]. More global aphasics reached significant improvement in intensive (daily) than in regular (3 times/week) speech therapy [101].…”

Section: Treated Vs Non-treated Patientsmentioning

confidence: 99%

Recovery from Aphasia and Neglect

1999

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“…In this respect the communication handicap and the psychological consequences described above can be considered as great a threat to the aphasic person's quality of life as the linguistic disability itself. This opinion is supported by a study by Hartman and Landau (1987) where a total of 60 patients with acute aphasia due to left hemispheral stroke were randomly assigned to two modes of therapy for six months, beginning one month after the onset. Conventional speech therapy provided by professional speech pathologists twice weekly was compared with emotionally supportive counselling therapy, also provided by professional speech pathologists at the same intervals.…”

mentioning

confidence: 97%

Aphasia and family therapy

Währborg¹

1989

Aphasiology

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Comparison of Formal Language Therapy With Supportive Counseling for Aphasia due to Acute Vascular Accident

Cited by 113 publications

References 18 publications

Intensity of Aphasia Therapy, Impact on Recovery

Intensity of Aphasia Therapy, Impact on Recovery

Recovery from Aphasia and Neglect

Aphasia and family therapy

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