Speech and language therapy for aphasia following stroke.

Abstract:

BACKGROUND:Aphasia describes language impairment associated with a brain lesion. OBJECTIVES:The objective of this review was to assess the effects of formal speech and language therapy and non-professional types of support from untrained providers for people with aphasia after stroke. SEARCH STRATEGY:We searched the Cochrane Stroke Group Trials Register (last searched: March 1999), and reference lists of relevant articles to December 1998. We also contacted academic institutions and other researchers to identify further published and unpublished trials. We searched The International Journal of Disorders of Communication by hand (known by other names in the past), from 1969 to 1998. Date of most recent searches: January 1999. SELECTION CRITERIA:Randomised controlled trials comparing: 1. Any type of formal speech and language therapy in any setting administered by trained speech and language therapists versus no treatment. 2. Any type of formal speech and language therapy in any setting administered by trained speech and language therapists versus any type of informal support for aphasia, given by speech and language therapists or volunteers, whether these were trained or untrained. 3. One type of speech and language therapy versus another type. Outcome measures included measures of any type of communication, other measures of functioning, numbers of drop-outs, and other non-clinical outcomes. DATA COLLECTION AND ANALYSIS:The principal reviewer collected the data, and assessed the quality of the trials with independent data checking and methodological advice. If we could not perform a statistical combination of different studies, we sought missing data. Failing that we provided a description. MAIN RESULTS:We considered sixty studies in detail, from which we identified twelve trials suitable for the review. Most of these trials were relatively old with poor or unassessable methodological quality. None of the trials was detailed enough for us to complete description and analysis. We could not determine whether formal speech and language therapy is more effective than informal support. REVIEWER'S CONCLUSIONS:The main conclusion of this review is that speech and language therapy treatment for people with aphasia after a stroke has not been shown either to be clearly effective or clearly ineffective within a RCT. Decisions about the management of patients must therefore be based on other forms of evidence. Further research is required to find out if effectiveness of speech and language therapy for aphasic patients is effective. If researchers choose to do a trial, this must be large enough to have adequate statistical power, and be clearly reported.

authors

Greener J,Enderby P,Whurr R

doi

10.1002/14651858.CD000425

keywords:

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

CD000425

issue

2

issn

1469-493X

pii

CD000425

pub_type

杂志文章,评审
  • Periurethral injection therapy for urinary incontinence in women.

    abstract:BACKGROUND:Periurethral or transurethral injection of bulking agents is a surgical procedure most often used for the treatment of stress urinary incontinence a common, troublesome symptom amongst adult women. OBJECTIVES:To assess the effects of periurethral/transurethral injection therapy in the treatment of urinary i...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003881.pub2

    authors: Keegan PE,Atiemo K,Cody J,McClinton S,Pickard R

    更新日期:2007-07-18 00:00:00

  • Inhaled steroids for acute asthma following emergency department discharge.

    abstract:BACKGROUND:Patients with acute asthma treated in the emergency department (ED) are frequently treated with inhaled beta(2)-agonists and systemic corticosteroids after discharge. The use of inhaled corticosteroids (ICS) following discharge may also be beneficial in improving patient outcomes after acute asthma. OBJECTI...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD002316.pub2

    authors: Edmonds ML,Milan SJ,Brenner BE,Camargo CA Jr,Rowe BH

    更新日期:2012-12-12 00:00:00

  • Combined surgery versus cataract surgery alone for eyes with cataract and glaucoma.

    abstract:BACKGROUND:Cataract and glaucoma are leading causes of blindness worldwide, and their co-existence is common in elderly people. Glaucoma surgery can accelerate cataract progression, and performing both surgeries may increase the rate of postoperative complications and compromise the success of either surgery. However, ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD008671.pub3

    authors: Zhang ML,Hirunyachote P,Jampel H

    更新日期:2015-07-14 00:00:00

  • Dexamethasone as an adjuvant to peripheral nerve block.

    abstract:BACKGROUND:Peripheral nerve block (infiltration of local anaesthetic around a nerve) is used for anaesthesia or analgesia. A limitation to its use for postoperative analgesia is that the analgesic effect lasts only a few hours, after which moderate to severe pain at the surgical site may result in the need for alternat...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD011770.pub2

    authors: Pehora C,Pearson AM,Kaushal A,Crawford MW,Johnston B

    更新日期:2017-11-09 00:00:00

  • Treatment for methaqualone dependence in adults.

    abstract:BACKGROUND:Methaqualone is a potent quinazoline, a class of sedative-hypnotics, that has a high potential for abuse. While the oral use of methaqualone (Quaalude, Mandrax) has waned in western countries since the mid-late 1980's, the practice of smoking methaqualone is a serious public health problem in South Africa, o...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD004146.pub2

    authors: McCarthy G,Myers B,Siegfried N

    更新日期:2005-04-18 00:00:00

  • Cognitive behaviour therapy for schizophrenia.

    abstract:BACKGROUND:Cognitive behavioural therapy (CBT) is now a recommended treatment for people with schizophrenia. This approach helps to link the person's feelings and patterns of thinking which underpin distress. OBJECTIVES:To review the effects of CBT for people with schizophrenia when compared to standard care, specific...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD000524.pub2

    authors: Jones C,Cormac I,Silveira da Mota Neto JI,Campbell C

    更新日期:2004-10-18 00:00:00

  • Interventions for helping to turn term breech babies to head first presentation when using external cephalic version.

    abstract:BACKGROUND:Breech presentation is associated with increased complications. Turning a breech baby to head first presentation using external cephalic version (ECV) attempts to reduce the chances of breech presentation at birth, and reduce the adverse effects of breech vaginal birth or caesarean section. Tocolytic drugs a...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD000184.pub3

    authors: Cluver C,Hofmeyr GJ,Gyte GM,Sinclair M

    更新日期:2012-01-18 00:00:00

  • Dietary fibre for the prevention of colorectal adenomas and carcinomas.

    abstract:BACKGROUND:Colorectal cancer (CRC) is a major cause of morbidity and mortality in industrialized countries. Experimental evidence has supported the hypothesis that dietary fibre may be protective for the development of CRC, although epidemiologic data have been inconclusive. OBJECTIVES:We have conducted a systematic r...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003430

    authors: Asano T,McLeod RS

    更新日期:2002-01-01 00:00:00

  • Prophylactic antibiotics for penetrating abdominal trauma.

    abstract:BACKGROUND:Penetrating abdominal trauma occurs when the peritoneal cavity is breached. Routine laparotomy for penetrating abdominal injuries began in the 1800s, with antibiotics first being used in World War II to combat septic complications associated with these injuries. This practice was marked with a reduction in s...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD007370.pub2

    authors: Brand M,Goosen J,Grieve A

    更新日期:2009-10-07 00:00:00

  • Corticosteroids for parasitic eosinophilic meningitis.

    abstract:BACKGROUND:Angiostrongylus cantonensis (A. cantonensis) is the major cause of infectious eosinophilic meningitis. Dead larvae of this parasite cause inflammation and exacerbate symptoms of meningitis. Corticosteroids are drugs used to reduce the inflammation caused by this parasite. OBJECTIVES:To assess the efficacy a...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD009088.pub3

    authors: Thanaviratananich S,Thanaviratananich S,Ngamjarus C

    更新日期:2015-02-17 00:00:00

  • Elective high frequency oscillatory ventilation versus conventional ventilation for acute pulmonary dysfunction in preterm infants.

    abstract:BACKGROUND:Respiratory failure due to lung immaturity is a major cause of mortality in preterm infants. Although the use of intermittent positive pressure ventilation (IPPV) in neonates with respiratory failure saves lives, its use is associated with lung injury and chronic lung disease (CLD). Conventional IPPV is prov...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD000104.pub2

    authors: Henderson-Smart DJ,Cools F,Bhuta T,Offringa M

    更新日期:2007-07-18 00:00:00

  • Diclofenac with or without an antiemetic for acute migraine headaches in adults.

    abstract:BACKGROUND:This review is an update of a previously published review in Issue 2, 2012 (Derry 2012a). Migraine is a common, disabling condition and a burden for the individual, health services and society. Many sufferers choose not to, or are unable to, seek professional help and rely on over-the-counter (OTC) analgesic...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD008783.pub3

    authors: Derry S,Rabbie R,Moore RA

    更新日期:2013-04-30 00:00:00

  • Posterior versus lateral surgical approach for total hip arthroplasty in adults with osteoarthritis.

    abstract:BACKGROUND:Osteoarthritis (OA) of the hip is a progressive condition that has no cure and often requires a total hip arthroplasty (THA). The principal methods for THA are the posterior and direct lateral approaches. The posterior approach is considered to be easy to perform, however, increased rates of dislocation have...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003828.pub3

    authors: Jolles BM,Bogoch ER

    更新日期:2006-07-19 00:00:00

  • Booster dose vaccination for preventing hepatitis B.

    abstract:BACKGROUND:Antibodies against hepatitis B surface antigen (HBsAg) wane over time following hepatitis B immunisation; hence, it is unclear whether people vaccinated in three-dose or four-dose schedules of the hepatitis B vaccine are still immune when the hepatitis B surface antibody (anti-HBs) level in their body is und...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD008256.pub3

    authors: Poorolajal J,Hooshmand E

    更新日期:2016-06-07 00:00:00

  • Antibiotic treatment for Burkholderia cepacia complex in people with cystic fibrosis experiencing a pulmonary exacerbation.

    abstract:BACKGROUND:Chronic pulmonary infection is a hallmark of lung disease in cystic fibrosis. Infections dominated by organisms of the Burkholderia cepacia complex, a group of at least 18 closely-related species of gram-negative bacteria, are particularly difficult to treat. These infections may be associated with a fulmina...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章

    doi:10.1002/14651858.CD009529.pub4

    authors: Lord R,Jones AM,Horsley A

    更新日期:2020-04-02 00:00:00

  • Spinal injuries centres (SICs) for acute traumatic spinal cord injury.

    abstract:BACKGROUND:The majority of complications in traumatic spinal cord injury (SCI) can occur in the first 24 hours and it has been suggested that spinal injury centres (SICs) may influence the pre-transfer care of people with SCI. The specialist SIC concept has been adopted in a number of high-income countries. However, ev...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD004442.pub2

    authors: Jones L,Bagnall A

    更新日期:2004-10-18 00:00:00

  • Prophylactic drug management for febrile seizures in children.

    abstract:BACKGROUND:Febrile seizures occurring in a child older than one month during an episode of fever affect 2% to 4% of children in Great Britain and the United States and recur in 30%. Rapid-acting antiepileptics and antipyretics given during subsequent fever episodes have been used to avoid the adverse effects of continu...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003031.pub3

    authors: Offringa M,Newton R,Cozijnsen MA,Nevitt SJ

    更新日期:2017-02-22 00:00:00

  • Intravenous or intramuscular parecoxib for acute postoperative pain in adults.

    abstract:BACKGROUND:Parecoxib was the first COX-2 available for parenteral administration, and may, given intravenously or intramuscularly, offer advantages over oral medication when patients have nausea and vomiting or are unable to swallow, such as in the immediate postoperative period. OBJECTIVES:Assess the efficacy of sing...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD004771.pub4

    authors: Lloyd R,Derry S,Moore RA,McQuay HJ

    更新日期:2009-04-15 00:00:00

  • Laparoscopic versus open liver resection for benign and malignant hepatic lesions in adults.

    abstract:BACKGROUND:Liver (hepatic) resection refers to removal of the whole liver, or one or more of its vascular segments. Elective liver resection is mainly performed for benign and malignant liver tumours. The operation can be performed as an open procedure or with a laparoscopic approach. With the advancement of laparoscop...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD010162.pub2

    authors: Rao AM,Ahmed I

    更新日期:2013-05-31 00:00:00

  • Anticoagulation for heart failure in sinus rhythm.

    abstract:BACKGROUND:Patients with chronic heart failure (heart failure) are at risk of thromboembolic events, including stroke, pulmonary embolism and peripheral arterial embolism, whilst coronary ischaemic events also contribute to the progression of heart failure. Long-term oral anticoagulation is established in certain group...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003336

    authors: Lip GY,Gibbs CR

    更新日期:2001-01-01 00:00:00

  • Intermittent oral iron supplementation during pregnancy.

    abstract:BACKGROUND:Anaemia is a frequent condition during pregnancy, particularly among women in low- and middle-income countries. Traditionally, gestational anaemia has been prevented with daily iron supplements throughout pregnancy, but adherence to this regimen due to side effects, interrupted supply of the supplements, and...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009997.pub2

    authors: Peña-Rosas JP,De-Regil LM,Gomez Malave H,Flores-Urrutia MC,Dowswell T

    更新日期:2015-10-19 00:00:00

  • Relaxation techniques for pain management in labour.

    abstract:BACKGROUND:Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute to the popularity of complementary methods of pain management. This review examined currently available evidence on the use of relaxation therapies for pain management in labour. This is an...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009514.pub2

    authors: Smith CA,Levett KM,Collins CT,Armour M,Dahlen HG,Suganuma M

    更新日期:2018-03-28 00:00:00

  • Interventions for American cutaneous and mucocutaneous leishmaniasis.

    abstract:BACKGROUND:On the American continent, cutaneous and mucocutaneous leishmaniasis (CL and MCL) are diseases associated with infection by several species of Leishmania parasites. Pentavalent antimonials remain the first-choice treatment. There are alternative interventions, but reviewing their effectiveness and safety is ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD004834.pub3

    authors: Pinart M,Rueda JR,Romero GA,Pinzón-Flórez CE,Osorio-Arango K,Silveira Maia-Elkhoury AN,Reveiz L,Elias VM,Tweed JA

    更新日期:2020-08-27 00:00:00

  • Risk of postoperative infectious complications from medical therapies in inflammatory bowel disease.

    abstract:BACKGROUND:Medications used to treat inflammatory bowel disease (IBD) have significantly improved patient outcomes and delayed time to surgery. However, some of these therapies are recognized to increase the general risk of infection and have an unclear impact on postoperative infection risk. OBJECTIVES:To assess the ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD013256.pub2

    authors: Law CC,Bell C,Koh D,Bao Y,Jairath V,Narula N

    更新日期:2020-10-24 00:00:00

  • Antifibrinolytic drugs for acute traumatic injury.

    abstract:BACKGROUND:Uncontrolled bleeding is an important cause of death in trauma victims. Antifibrinolytic treatment has been shown to reduce blood loss following surgery and may also be effective in reducing blood loss following trauma. OBJECTIVES:To assess the effect of antifibrinolytic drugs in patients with acute traumat...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD004896.pub4

    authors: Ker K,Roberts I,Shakur H,Coats TJ

    更新日期:2015-05-09 00:00:00

  • Zinc supplementation for the prevention of pneumonia in children aged 2 months to 59 months.

    abstract:BACKGROUND:Pneumonia is a leading cause of morbidity and mortality in children younger than five years of age. Most deaths occur during infancy and in low-income countries. Daily zinc supplements have been reported to prevent acute lower respiratory tract infection (LRTI) and reduce child mortality. This is an update o...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD005978.pub3

    authors: Lassi ZS,Moin A,Bhutta ZA

    更新日期:2016-12-04 00:00:00

  • Interventions in the workplace to support breastfeeding for women in employment.

    abstract:BACKGROUND:In recent years there has been a rise in the participation rate of women in employment. Some may become pregnant while in employment and subsequently deliver their babies. Most may decide to return early to work after giving birth for various reasons. Unless these mothers get support from their employers and...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD006177.pub2

    authors: Abdulwadud OA,Snow ME

    更新日期:2007-07-18 00:00:00

  • Pain management for sickle cell disease.

    abstract:BACKGROUND:Sickle cell disease is an inherited genetic disorder characterized by an abnormality of haemoglobin that predisposes to polymerization and consequent deformation ("sickling"). Sickle cell disease can cause episodes of acute severe pain. Chronic pain may also occur. Currently, pain is inadequately managed. O...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003350.pub2

    authors: Dunlop RJ,Bennett KC

    更新日期:2006-04-19 00:00:00

  • Progestogen for treating threatened miscarriage.

    abstract:BACKGROUND:Miscarriage is a common complication encountered during pregnancy. It is defined as spontaneous pregnancy loss before 20 weeks' gestation. Progesterone's physiological role is to prepare the uterus for the implantation of the embryo, enhance uterine quiescence and suppress uterine contractions, hence, it may...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD005943.pub5

    authors: Wahabi HA,Fayed AA,Esmaeil SA,Bahkali KH

    更新日期:2018-08-06 00:00:00

  • Transcutaneous electrical nerve stimulation (TENS) for pain relief in labour.

    abstract:BACKGROUND:Transcutaneous nerve stimulation (TENS) has been proposed as a means of reducing pain in labour. The TENS unit emits low-voltage electrical impulses which vary in frequency and intensity. During labour, TENS electrodes are generally placed on the lower back, although TENS may be used to stimulate acupuncture...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD007214.pub2

    authors: Dowswell T,Bedwell C,Lavender T,Neilson JP

    更新日期:2009-04-15 00:00:00