Computerized Training in Poststroke Aphasia

What About the Long-Term Effects? A Randomized Clinical Trial

Rosaria De Luca, Bianca Aragona, Simona Leonardi, Michele Torrisi, Bruno Galletti, Franco Galletti, Maria Accorinti, Placido Bramanti, Maria Cristina De Cola, Rocco Salvatore Calabrò

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Poststroke aphasia is a very disabling disorder, which may affect speech expression, comprehension, and reading or writing. Treatment of aphasia should be initiated as soon as possible after the brain injury; however, the improvement of language functions can occur also in the chronic phase.

MATERIALS AND METHODS: Thirty-two patients were randomly assigned to either an experimental group (17 patients) treated with computerized rehabilitation training (Power-Afa, Maddaloni, Campania, Italy) or a control group (15 patients), submitted to conventional speech therapy. Patients were trained 3 times a week for 8 weeks, (i.e., 24 sessions of 45 minutes each), and assessed at baseline (T0), at the end of each training (T1), and 3 months after the end of the treatment (T2).

RESULTS: The experimental group had a significant improvement from T0 to T1 in all the outcomes, whereas for the control group patients such an improvement was significant only concerning Functional Independence Measure and ideomotor praxis. Notably, the improvements in cognitive and language functions were maintained at 3-month follow-up only in the experimental group.

CONCLUSIONS: The software Power-Afa can be considered a valuable tool in improving the linguistic and cognitive recovery in patients affected by poststroke aphasia in the chronic phase. Further studies with larger samples and longer follow-up periods are needed to confirm such promising findings.

Original languageEnglish
Pages (from-to)2271-2276
Number of pages6
JournalJournal of Stroke and Cerebrovascular Diseases
Volume27
Issue number8
DOIs
Publication statusPublished - Aug 2018

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Aphasia
Randomized Controlled Trials
Language
Speech Therapy
Control Groups
Linguistics
Brain Injuries
Cognition
Italy
Reading
Software
Rehabilitation
Therapeutics

Keywords

  • Aphasia/etiology
  • Female
  • Humans
  • Least-Squares Analysis
  • Linear Models
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Single-Blind Method
  • Software
  • Speech Therapy
  • Stroke/complications
  • Stroke Rehabilitation
  • Therapy, Computer-Assisted
  • Treatment Outcome

Cite this

Computerized Training in Poststroke Aphasia : What About the Long-Term Effects? A Randomized Clinical Trial. / De Luca, Rosaria; Aragona, Bianca; Leonardi, Simona; Torrisi, Michele; Galletti, Bruno; Galletti, Franco; Accorinti, Maria; Bramanti, Placido; De Cola, Maria Cristina; Calabrò, Rocco Salvatore.

In: Journal of Stroke and Cerebrovascular Diseases, Vol. 27, No. 8, 08.2018, p. 2271-2276.

Research output: Contribution to journalArticle

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abstract = "BACKGROUND: Poststroke aphasia is a very disabling disorder, which may affect speech expression, comprehension, and reading or writing. Treatment of aphasia should be initiated as soon as possible after the brain injury; however, the improvement of language functions can occur also in the chronic phase.MATERIALS AND METHODS: Thirty-two patients were randomly assigned to either an experimental group (17 patients) treated with computerized rehabilitation training (Power-Afa, Maddaloni, Campania, Italy) or a control group (15 patients), submitted to conventional speech therapy. Patients were trained 3 times a week for 8 weeks, (i.e., 24 sessions of 45 minutes each), and assessed at baseline (T0), at the end of each training (T1), and 3 months after the end of the treatment (T2).RESULTS: The experimental group had a significant improvement from T0 to T1 in all the outcomes, whereas for the control group patients such an improvement was significant only concerning Functional Independence Measure and ideomotor praxis. Notably, the improvements in cognitive and language functions were maintained at 3-month follow-up only in the experimental group.CONCLUSIONS: The software Power-Afa can be considered a valuable tool in improving the linguistic and cognitive recovery in patients affected by poststroke aphasia in the chronic phase. Further studies with larger samples and longer follow-up periods are needed to confirm such promising findings.",
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T2 - What About the Long-Term Effects? A Randomized Clinical Trial

AU - De Luca, Rosaria

AU - Aragona, Bianca

AU - Leonardi, Simona

AU - Torrisi, Michele

AU - Galletti, Bruno

AU - Galletti, Franco

AU - Accorinti, Maria

AU - Bramanti, Placido

AU - De Cola, Maria Cristina

AU - Calabrò, Rocco Salvatore

N1 - Copyright © 2018 National Stroke Association. Published by Elsevier Inc. All rights reserved.

PY - 2018/8

Y1 - 2018/8

N2 - BACKGROUND: Poststroke aphasia is a very disabling disorder, which may affect speech expression, comprehension, and reading or writing. Treatment of aphasia should be initiated as soon as possible after the brain injury; however, the improvement of language functions can occur also in the chronic phase.MATERIALS AND METHODS: Thirty-two patients were randomly assigned to either an experimental group (17 patients) treated with computerized rehabilitation training (Power-Afa, Maddaloni, Campania, Italy) or a control group (15 patients), submitted to conventional speech therapy. Patients were trained 3 times a week for 8 weeks, (i.e., 24 sessions of 45 minutes each), and assessed at baseline (T0), at the end of each training (T1), and 3 months after the end of the treatment (T2).RESULTS: The experimental group had a significant improvement from T0 to T1 in all the outcomes, whereas for the control group patients such an improvement was significant only concerning Functional Independence Measure and ideomotor praxis. Notably, the improvements in cognitive and language functions were maintained at 3-month follow-up only in the experimental group.CONCLUSIONS: The software Power-Afa can be considered a valuable tool in improving the linguistic and cognitive recovery in patients affected by poststroke aphasia in the chronic phase. Further studies with larger samples and longer follow-up periods are needed to confirm such promising findings.

AB - BACKGROUND: Poststroke aphasia is a very disabling disorder, which may affect speech expression, comprehension, and reading or writing. Treatment of aphasia should be initiated as soon as possible after the brain injury; however, the improvement of language functions can occur also in the chronic phase.MATERIALS AND METHODS: Thirty-two patients were randomly assigned to either an experimental group (17 patients) treated with computerized rehabilitation training (Power-Afa, Maddaloni, Campania, Italy) or a control group (15 patients), submitted to conventional speech therapy. Patients were trained 3 times a week for 8 weeks, (i.e., 24 sessions of 45 minutes each), and assessed at baseline (T0), at the end of each training (T1), and 3 months after the end of the treatment (T2).RESULTS: The experimental group had a significant improvement from T0 to T1 in all the outcomes, whereas for the control group patients such an improvement was significant only concerning Functional Independence Measure and ideomotor praxis. Notably, the improvements in cognitive and language functions were maintained at 3-month follow-up only in the experimental group.CONCLUSIONS: The software Power-Afa can be considered a valuable tool in improving the linguistic and cognitive recovery in patients affected by poststroke aphasia in the chronic phase. Further studies with larger samples and longer follow-up periods are needed to confirm such promising findings.

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KW - Humans

KW - Least-Squares Analysis

KW - Linear Models

KW - Male

KW - Middle Aged

KW - Neuropsychological Tests

KW - Single-Blind Method

KW - Software

KW - Speech Therapy

KW - Stroke/complications

KW - Stroke Rehabilitation

KW - Therapy, Computer-Assisted

KW - Treatment Outcome

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DO - 10.1016/j.jstrokecerebrovasdis.2018.04.019

M3 - Article

VL - 27

SP - 2271

EP - 2276

JO - Journal of Stroke and Cerebrovascular Diseases

JF - Journal of Stroke and Cerebrovascular Diseases

SN - 1052-3057

IS - 8

ER -