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A randomized control trial of intensive aphasia therapy after acute stroke: The Very Early Rehabilitation for SpEech (VERSE) study
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In: Research outputs 2014 to 2021 (2020)
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sj-pdf-1-wso-10.1177_1747493020961926 - Supplemental material for A randomized control trial of intensive aphasia therapy after acute stroke: The Very Early Rehabilitation for SpEech (VERSE) study ...
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sj-pdf-1-wso-10.1177_1747493020961926 - Supplemental material for A randomized control trial of intensive aphasia therapy after acute stroke: The Very Early Rehabilitation for SpEech (VERSE) study ...
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A randomized control trial of intensive aphasia therapy after acute stroke: The Very Early Rehabilitation for SpEech (VERSE) study ...
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sj-pdf-1-wso-10.1177_1747493020961926 - Supplemental material for A randomized control trial of intensive aphasia therapy after acute stroke: The Very Early Rehabilitation for SpEech (VERSE) study ...
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A randomized control trial of intensive aphasia therapy after acute stroke: The Very Early Rehabilitation for SpEech (VERSE) study ...
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A randomized control trial of intensive aphasia therapy after acute stroke: The Very Early Rehabilitation for SpEech (VERSE) study ...
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A randomized control trial of intensive aphasia therapy after acute stroke: The Very Early Rehabilitation for SpEech (VERSE) study
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In: Int J Stroke (2020)
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Constraint-induced or multi-modal personalized aphasia rehabilitation (COMPARE): A randomized controlled trial for stroke-related chronic aphasia
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In: Research outputs 2014 to 2021 (2019)
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Constraint-induced or multi-modal personalized aphasia rehabilitation (COMPARE): a randomized controlled trial for stroke-related chronic aphasia
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Treatment for people with chronic aphasia - investigation of high and low intensity, constraint and multimodal treatments
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Constraint-induced aphasia therapy (CIAT): a randomised controlled trial in very early stroke rehabilitation
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In: Research outputs 2014 to 2021 (2016)
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A randomized controlled trial of very early rehabilitation in speech after stroke
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In: Research outputs 2014 to 2021 (2016)
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A comparison of aphasia therapy outcomes before and after a Very Early Rehabilitation programme following stroke
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In: Research outputs 2014 to 2021 (2014)
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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.
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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
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URL: https://ro.ecu.edu.au/cgi/viewcontent.cgi?article=1316&context=ecuworkspost2013 https://ro.ecu.edu.au/ecuworkspost2013/317
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Amount of therapy matters in very early aphasia rehabilitation after stroke: A clinical prognostic model
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In: Research outputs 2013 (2013)
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Very early poststroke aphasia therapy: A pilot randomized controlled efficacy trial
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In: Research outputs 2011 (2011)
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Very early poststroke aphasia therapy: A pilot randomized controlled efficacy trial
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In: Medical Papers and Journal Articles (2011)
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