Abstract:
:Background and Purpose The severity of aphasic impairment in chronic stroke survivors is typically thought to be stable by 6 months postonset. However, a recent study showed that stroke survivors with aphasia experience language improvement or decline in the chronic phase, years beyond onset. Little is known about why some individuals improve whereas others remain stable or decline. Additionally, no study has tracked changes in aphasia from assessments completed at multiple time points across many years. The current study offers a comprehensive analysis of potential predictive demographic and health information to determine which factors predict dynamic changes in aphasia severity in chronic stroke. Methods Individuals in the chronic stage of a single-event, left-hemisphere ischemic stroke were identified from an archival database and included for study ( N = 39). Participants were included if they had undergone 2 or more standardized language assessments acquired at time points at least 6 months apart, with the 1st assessment at least 6 months postinjury. A linear mixed-effects model was used to determine the impact of treatment and a variety of demographic and health factors on language change. Results Over time, half of the participants improved (51%), whereas approximately a quarter (26%) decreased, and a quarter (23%) remained stable. A greater number of aphasia treatment hours significantly predicted language improvement ( p = .03), whereas older stroke age was associated with long-term decline ( p = .04). Two interactions were found to be significant in predicting improvement in individuals with diabetes: Increased exercise and younger age at stroke were significant in predicting outcomes ( p < .05). Conclusions Factors that significantly influence language recovery in chronic aphasia include stroke age and receiving aphasia treatment. For those with diabetes, increased exercise was shown to improve outcomes. Results from this study offer clinicians greater insight into the influence of patient factors on long-term recovery from stroke aphasia while suggesting a potential adjunct to language therapy: exercise. Supplemental Material https://doi.org/10.23641/asha.7849304.
journal_name
Am J Speech Lang Patholjournal_title
American journal of speech-language pathologyauthors
Johnson L,Basilakos A,Yourganov G,Cai B,Bonilha L,Rorden C,Fridriksson Jdoi
10.1044/2018_AJSLP-18-0123subject
Has Abstractpub_date
2019-05-27 00:00:00pages
639-649issue
2eissn
1058-0360issn
1558-9110journal_volume
28pub_type
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2013_AJSLP-13-0046
更新日期:2014-05-01 00:00:00
abstract::Two experiments examined whether listening to multiple presentations of recorded speech stimuli influences the reliability and accuracy of judgments of children's speech production accuracy. In Experiment 1, 10 listeners phonetically transcribed words produced by children with phonological impairments after a single p...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2004/034)
更新日期:2004-11-01 00:00:00
abstract:PURPOSE:Syntactic development in adolescents was examined using a spoken discourse task and standardized testing. The primary goal was to determine whether adolescents with a history of language impairments would differ from those with a history of typical language development (TLD). This is a companion study to one th...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2008/08-0022)
更新日期:2009-08-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2015_AJSLP-14-0160
更新日期:2015-11-01 00:00:00
abstract:Purpose:This article introduces and provides initial data supporting "The Early Development of Emotional Competence (EDEC): A tool for children with complex communication needs (CCNs)." The EDEC was developed to raise awareness about the relation of language and emotional competence and to maximize the likelihood that ...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2017_AJSLP-16-0058
更新日期:2018-02-06 00:00:00
abstract:Purpose:Dysphagia is common sequelae of chemical ingestion injury, resulting from damage to critical swallowing structures. From a speech-language pathology perspective, this study outlines the physiological deficits in 2 individuals with severe injury (1 woman, acid; 1 man, alkali) and the pattern of dysphagia rehabil...
journal_title:American journal of speech-language pathology
pub_type: 杂志文章
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更新日期:2016-11-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章,评审
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更新日期:2006-02-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2017_AJSLP-17-0045
更新日期:2018-02-06 00:00:00
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journal_title:American journal of speech-language pathology
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doi:10.1044/1058-0360(2005/016)
更新日期:2005-05-01 00:00:00
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journal_title:American journal of speech-language pathology
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更新日期:2018-02-06 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2020_AJSLP-19-00151
更新日期:2020-11-12 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2010/09-0083)
更新日期:2010-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-02-21 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2007/016)
更新日期:2007-05-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2008/013)
更新日期:2008-05-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章,meta分析
doi:10.1044/2019_AJSLP-18-0202
更新日期:2019-08-09 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2010/09-0014)
更新日期:2010-05-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2010/09-0001)
更新日期:2010-11-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 临床试验,杂志文章
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更新日期:2003-02-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
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更新日期:2015-11-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2003/077)
更新日期:2003-08-01 00:00:00
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journal_title:American journal of speech-language pathology
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更新日期:2016-12-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
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更新日期:2016-08-01 00:00:00
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journal_title:American journal of speech-language pathology
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更新日期:2015-11-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/1058-0360(2008/024)
更新日期:2008-08-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
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更新日期:2018-05-03 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
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更新日期:2015-08-01 00:00:00
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更新日期:2020-11-12 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
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更新日期:2015-05-01 00:00:00
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journal_title:American journal of speech-language pathology
pub_type: 杂志文章
doi:10.1044/2016_AJSLP-15-0068
更新日期:2016-11-01 00:00:00