Response to Speech and Language Therapy According to Artery Involvement and Lesion Location in Post-stroke Aphasia
Küçük Resim Yok
Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: Aphasia is one of the most common complications after stroke and occurs in 21-38% of the patients during acute period. The present study aimed to investigate the response to speech and language therapy according to artery involvement and lesion location in patients with post-stroke aphasia. Method: The medical records of 107 patients with post-stroke aphasia (mean age, 58.8 +/- 14.8 years) who were admitted to a single rehabilitation center for usual care after stroke were reviewed. Location of the ischemic lesion and involved artery was determined assessing the brain MRI of the patients. All the patients received 24 sessions speech and language therapy (3 days a week) as a part of 8-week rehabilitation program. Evaluation of the aphasia was performed with Gulhane Aphasia Test-2 (GAT-2) at baseline and at the end of the rehabilitation program. Results: Baseline GAT-2 scores was significantly worse in patients with middle cerebral artery (MCA) involvement compared to patients with other artery involvements (p = 0.007). While the GAT-2 scores of patients with MCA involvement were improved significantly after speech and language therapy (p < 0.001), the changes in those with anterior cerebral artery (ACA) and posterior cerebral artery (PCA) involvements were not significant (p > 0.05). Conclusions: The present findings suggested that speech functions might be more affected in ischemic lesion of MCA and response to SLT might be better in patients with MCA involvement. (c) 2020 Elsevier Inc. All rights reserved.
Açıklama
Anahtar Kelimeler
Aphasia, Stroke, Speech And Language Therapy, Vascular Involvement, Cognitive Impairment, Parallel-Group, Stroke, Infarction, Severity, Epidemiology, Intensity, Recovery, Etiology, Age
Kaynak
Journal Of Stroke & Cerebrovascular Diseases
WoS Q Değeri
Q4
Scopus Q Değeri
Q1
Cilt
29
Sayı
10
