Dysarthria following stroke – the patient’s perspective on management and rehabilitation

Brady, Marian; Clark, Alexander M.; Dickson, Sylvia; Paton, Gillian; Barbour, Rosaline S.

doi:10.1177/0269215511405079

Cited by 24 publications

(31 citation statements)

References 16 publications

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“…For example, personal accounts suggest that speech treatment for dysarthria was the most stressful of all therapies (Cant, 1997). In another example, survey data indicate that people with Parkinson's disease reported a lack of attention to psychosocial issues, and interviews suggest that if treatment activities were not challenging and reflective of patients' interests, they were abandoned (Brady, Clark, Dickson, Paton, & Barbour, 2011a).…”

Section: Discussionmentioning

confidence: 99%

Speech Versus Speaking: The Experiences of People With Parkinson's Disease and Implications for Intervention

Yorkston

Baylor

Britton

2017

Am J Speech Lang Pathol

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Purpose In this project, we explore the experiences of people who report speech changes associated with Parkinson's disease as they describe taking part in everyday communication situations and report impressions related to speech treatment. Method Twenty-four community-dwelling adults with Parkinson's disease took part in face-to-face, semistructured interviews. Qualitative research methods were used to code and develop themes related to the interviews. Results Two major themes emerged. The first, called “speaking,” included several subthemes: thinking about speaking, weighing value versus effort, feelings associated with speaking, the environmental context of speaking, and the impact of Parkinson's disease on speaking. The second theme involved “treatment experiences” and included subthemes: choosing not to have treatment, the clinician, drills and exercise, and suggestions for change. Conclusions From the perspective of participants with Parkinson's disease, speaking is an activity requiring both physical and cognitive effort that takes place in a social context. Although many report positive experiences with speech treatment, some reported dissatisfaction with speech drills and exercises and a lack of focus on the social aspects of communication. Suggestions for improvement include increased focus on the cognitive demands of speaking and on the psychosocial aspects of communication.

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Section: Discussionmentioning

confidence: 99%

Speech Versus Speaking: The Experiences of People With Parkinson's Disease and Implications for Intervention

Yorkston

Baylor

Britton

2017

Am J Speech Lang Pathol

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“…However, the TIA research which has been conducted has reported outcomes which, while less severe, are similar to those that result from full stroke. For example, fatigue [9, 19], cognitive dysfunction [11], dysarthria [18], and quality of life [12] have all been reported for TIA patients and mirror the experiences reported by stroke patients. The core theme of factor 2, while corroborating these research findings, also challenges the notion that TIA is transitory.…”

Section: Discussionmentioning

confidence: 99%

“…Some work has been conducted on stroke patients' experiences, but this has tended to use either established psychometric questionnaires [17], which therefore prescribe the issues to be investigated, or alternatively open-response approaches which have focused on a single element of the poststroke experience, such as dysarthria [18], or fatigue [19]. Such studies, therefore, define the area of interest and the outcomes to be measured and consequently are not a comprehensive account of the spectrum of factors that may be perceived to be pertinent by patients themselves.…”

Section: Introductionmentioning

confidence: 99%

A Q-Methodology Study of Patients’ Subjective Experiences of TIA

Spurgeon

Humphreys

James

et al. 2012

Stroke Research and Treatment

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Background. An expanding body of research has focused on a range of consequences of TIA. However, no work has been conducted on the patient's subjective experience of TIA. Aim. To capture patients' first-hand experiences of TIA. Method. Using Q-methodology which employs both qualitative and quantitative approaches, 39 statements relating to the clinical, physical, affective, and psychological impact of TIA were distilled from the literature and from patient narratives. Consistent with conventional Q-methodology, a purposive sample of twentythree post-TIA patients sorted these statements into a normally-distributed 39-cell grid, according to the extent to which each represented their experience of TIA. Results. Casewise factoranalysis was conducted on the sorted statements. Eight factors emerged which were labelled: lack of knowledge/awareness of TIA; life impact; anxiety; interpersonal impact; depression; physical consequences; cognitive avoidance/denial; constructive optimism. Conclusions. Five of the eight factors confirmed existing research on the impact of TIA, but three new issues emerged: deep-seated anxiety, denial and constructive optimism. The emerging perspectives highlight areas to target in the management of TIA and could inform health education messages, patient information, individualised caremanagement, and enhancement of coping strategies. With development, the findings could be used as a basis for psychometric risk assessment of TIA patients.

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“…Despite its frequency, non‐progressive dysarthria management tends to receive less specific attention in the literature (Brady et al . , Dickson et al . ).…”

Section: Introductionmentioning

confidence: 99%

Management of non‐progressive dysarthria: practice patterns of speech and language therapists in the Republic of Ireland

Conway

Walshe

2015

Intl J Lang & Comm Disor

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The use of specific treatment programmes varies amongst SLTs. A lack of resources is reported to restrict practice in both assessment and management. Ongoing research into the effectiveness of SLT interventions with adults with non-progressive dysarthria is required to guide clinical decision-making. SLTs identified further training needs which may provide direction for the development of professional training courses in the future.

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Dysarthria following stroke – the patient’s perspective on management and rehabilitation

Cited by 24 publications

References 16 publications

Speech Versus Speaking: The Experiences of People With Parkinson's Disease and Implications for Intervention

Speech Versus Speaking: The Experiences of People With Parkinson's Disease and Implications for Intervention

A Q-Methodology Study of Patients’ Subjective Experiences of TIA

Management of non‐progressive dysarthria: practice patterns of speech and language therapists in the Republic of Ireland

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