Computerised speech and language therapy can help people with aphasia find words following a stroke

Cook, Rob; Davidson, Peter; Martin, Rosie

doi:10.1136/bmj.m520

Cited by 3 publications

(3 citation statements)

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“…The commonly used interventions in treating aphasia focused on promoting the plasticity of the remaining brain 23 , including SLT 7,24 , noninvasive brain stimulation such as transcranial stimulation 25 . The effects of these methods were reported to be beneficial, but further improvement was still needed [26][27][28] . As these interventions could vigor the compensational network for the language function, combining these methods with the CC7 nerve transfer or a simplified surgery is promising 29 .…”

Section: Discussionmentioning

confidence: 99%

Improvement of language function after Contralateral Seventh Cervical Nerve Transfer in hemiplegic patients combined with post-stroke aphasia: a prospective observational cohort study

Feng

et al. 2023

Preprint

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Background While the contralateral seventh cervical nerve (CC7) cross transfer was designed to reconstruct paralyzed arm function after stroke, improvement in language function was found in patients combined with aphasia. Objective To evaluate the effect of improvement in language function after CC7 cross transfer in stroke patients with chronic aphasia and explore its potential mechanism. Methods In a prospective observative cohort, patients diagnosed with hemiplegia combined with aphasia were included. The language function was evaluated through the changes of Aphasia Quotient evaluated by Western Aphasia Battery (WAB-AQ) as well as its four subtests from baseline to 1 week and 6 months after the surgery. Patients also received oral agility test by Boston Diagnostic Aphasia Examination (BDAE-OA). Resting-state functional MRI (rs-fMRI) was scanned before and over 6 months after the surgery to explore the potential central mechanism in language improvements. Results The average increase of WAB-AQ was 8.08 points from baseline to 1 week post-operatively (P<0.001, 95%CI: 5.05-11.10), and 9.51 from baseline to 6-month (P<0.001, 95%CI: 6.75-12.27). In 8 patients who participant in BDAE-OA, the average increase was 3.7 points (95%CI: 0.56-6.84; corrected P =0.023) from baseline to 1-week follow-up, and 5.3 points from baseline to 6 months follow-up. Significant higher local activity was detected at right precentral cortex, right gyrus rectus, and right anterior cingulate cortex after the surgery from rs-fMRI. Conclusions Immediate and stable improvement in language function was detected after CC7 cross transfer in hemiplegic patients combined with aphasia, which may be realized through enhanced function of language network in the right hemisphere.

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Section: Discussionmentioning

confidence: 99%

Improvement of language function after Contralateral Seventh Cervical Nerve Transfer in hemiplegic patients combined with post-stroke aphasia: a prospective observational cohort study

Feng

et al. 2023

Preprint

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“…Aphasia is the most common sequela in stroke patients. About one-third of stroke survivors suffer from aphasia ( 8 , 9 ), which persists in approximately 30–43% of these patients ( 10 ). Non-fluent aphasia is one of the most common types of aphasia, presenting as damage to the speech center in the left hemisphere ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Neurologic music therapy for non-fluent aphasia: a systematic review and meta-analysis of randomized controlled trials

Gu,

Long,

Zeng

et al. 2024

Front. Neurol.

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IntroductionThe efficacy of neurologic music therapy (NMT) techniques for the treatment of non-fluent aphasia has been widely accepted by the rehabilitation medical community. However, consensus on which dimensions of speech function can be improved by NMT techniques and standardized intervention dosage remains elusive. This study aimed to provide evidence regarding the efficacy of NMT in improving speech function and explore the optimal intervention dose. A systematic review and meta-analysis were conducted to search for randomized clinical trials and open-label trials that evaluated speech functions after NMT.MethodsWe searched all papers and reviews published from database inception to July 2023, including PubMed, Cochrane Library, Web of Science, Embase, and CNKI. Statistical analyses were mainly carried out on RevManV5.4.1 and pooled using a random-effects model. The primary outcome was the standardized mean difference (SMD) in speech functions, determined by calculating the change in speech functions score from baseline to the primary endpoint in the NMT group versus the control arm.ResultsA total of 11 studies with 329 patients were included. NMT had a positive effect on repetition ability (SMD = 0.37, 95%CI [0.12, 0.62], p < 0.05), but did not lead to significant differences in naming, comprehension, spontaneous speech, or communication. When the intervention time was >20 h, NMT exhibited a significant advantage at improving repetition ability (SMD = 0.43, 95%CI [0.06, 0.79], p < 0.05).DiscussionThis study provides evidence supporting the NMT enhancement of repetition ability in patients with non-fluent aphasia. Future large-sample studies are required to determine the optimal intervention dose of music therapy for different subtypes of non-fluent aphasia.Systematic review registrationPROSPERO, identifier CRD42023470313.

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“…In recent years, an increasing number of studies have focused on the use of mobile applications, such as computers and tablets, to enhance the expressive language skills of individuals with aphasia ( 9 , 10 ). For example, Zhou et al ( 11 ) found that a 14-day, 30-min-a-day computer-based training session resulted in more significant speech improvements compared to traditional treatments.…”

Section: Introductionmentioning

confidence: 99%

The effect of mobile application-based technology on post-stroke aphasia: a systematic review

Jiang,

He,

Zhang

et al. 2024

Front. Neurol.

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BackgroundEnhancing speech-language therapy remains the most effective strategy for improving post-stroke aphasia, However, conventional face-to-face interventions often lack the necessary therapeutic intensity. In recent years, mobile application-based speech-language therapy has emerged progressively, offering new opportunities for independent rehabilitation among aphasic patients. This review aims to evaluate the impact of mobile application-based interventions on post-stroke aphasic.MethodsBy conducting a systematic search across five databases (PubMed, Web of Science, EMBASE, CINAHL, and Scopus), we identified and included studies that investigated the utilization of mobile application-based technologies (such as computers, iPads, etc.) for treating post-stroke aphasia.ResultsThis study included 15 research investigations, including 10 randomized controlled trials (RCTs), four self-controlled studies and one cross-over experimental design study. Among these, eight studies demonstrated the efficacy of mobile application-based therapy in enhancing overall language functionality for post-stroke aphasia patients, three studies highlighted its potential for improving communication skills, three studies observed its positive impact on spontaneous speech expression. Moreover, four studies indicated its effectiveness in enhancing naming abilities, two studies underscored the positive influence of mobile application-based interventions on the quality of life for individuals with aphasia. Six studies noted that speech improvement effects were maintained during the follow-up period.ConclusionThe results of this review demonstrate the potential of mobile application-based interventions for improving speech-language function in individuals with aphasia. However, further high-quality research is needed to establish their effects across different domains and to delve into the comparative advantages of various treatment approaches.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=405248

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Computerised speech and language therapy can help people with aphasia find words following a stroke

Cited by 3 publications

References 1 publication

Improvement of language function after Contralateral Seventh Cervical Nerve Transfer in hemiplegic patients combined with post-stroke aphasia: a prospective observational cohort study

Improvement of language function after Contralateral Seventh Cervical Nerve Transfer in hemiplegic patients combined with post-stroke aphasia: a prospective observational cohort study

Neurologic music therapy for non-fluent aphasia: a systematic review and meta-analysis of randomized controlled trials

The effect of mobile application-based technology on post-stroke aphasia: a systematic review

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