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All fields Title Creator / Publisher Keyword Year AND OR AND NOT All fields Title Creator / Publisher Keyword Year AND OR AND NOT All fields Title Creator / Publisher Keyword Year AND OR AND NOT All fields Title Creator / Publisher Keyword Year AND OR AND NOT All fields Title Creator / Publisher Keyword Year Sort by creator [A → Z]' creator [Z → A]' publishing year ↑ (asc)' publishing year ↓ (desc)' title [A → Z]' title [Z → A]' Simple Search Hits 1 – 2 of 2 1 A comparison of aphasia therapy outcomes before and after a Very Early Rehabilitation programme following stroke Ciccone, Natalie A; West, Deborah; Rai, Tapan; Cartwright, Jade; Godecke, Erin; Hankey, Graeme J; Granger, Andrew S; Cream, Angela In: Research outputs 2014 to 2021 (2014) Abstract: Background Very early aphasia rehabilitation studies have shown mixed results. Differences in therapy intensity and therapy type contribute significantly to the equivocal results. Aims To compare a standardized, prescribed very early aphasia therapy regimen with a historical usual care control group at therapy completion (4-5 weeks post-stroke) and again at follow-up (6 months). Methods & Procedures This study compared two cohorts from successive studies conducted in four Australian acute/sub-acute hospitals. The studies had near identical recruitment, blinded assessment and data-collection protocols. The Very Early Rehabilitation (VER) cohort (N = 20) had mild-severe aphasia and received up to 20 1-h sessions of impairment-based aphasia therapy, up to 5 weeks. The control cohort (n = 27) also had mild-severe aphasia and received usual care (UC) therapy for up to 4 weeks post-stroke. The primary outcome measure was the Aphasia Quotient (AQ) and a measure of communicative efficiency (DA) at therapy completion. Outcomes were measured at baseline, therapy completion and 6 months post-stroke and were compared using Generalised Estimating Equations (GEE) models. Outcomes & Results After controlling for initial aphasia and stroke disability, the GEE models demonstrated that at the primary end-point participants receiving VER achieved 18% greater recovery on the AQ and 1.5% higher DA scores than those in the control cohort. At 6 months, the VER participants maintained a 16% advantage in recovery on the AQ and 0.6% more on DA scores over the control cohort participants. Conclusions & Implications A prescribed, impairment-based aphasia therapy regimen, provided daily in very early post-stroke recovery, resulted in significantly greater communication gains in people with mild-severe aphasia at completion of therapy and at 6 months, when compared with a historical control cohort. Further research is required to demonstrate large-scale and long-term efficacy. Keyword: 80 and over; [speech pathology]; aged; aphasia; article; brain hemorrhage; brain ischemia; Cerebral Hemorrhage; cerebrovascular accident; cohort analysis; Cohort Studies; Communication Sciences and Disorders; comparative study; disability; Disability Evaluation; female; follow up; Follow-Up Studies; human; Humans; Language Therapy; male; methodology; middle aged; speech therapy; stroke; time to treatment; Time-to-Treatment; treatment outcome; Very Early Rehabilitation; very elderly URL: https://ro.ecu.edu.au/cgi/viewcontent.cgi?article=1316&context=ecuworkspost2013 https://ro.ecu.edu.au/ecuworkspost2013/317 BASE Hide details 2 Amount of therapy matters in very early aphasia rehabilitation after stroke: A clinical prognostic model Hankey, Graeme J.; Granger, Andrew; Rai, Tapan... In: Research outputs 2013 (2013) BASE Show details

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