EBP Compendium: Summary of Systematic Review
Ontario Ministry of Health and Long-Term Care; the Heart and Stroke Foundation of Ontario; Canadian Stroke Network
Rehabilitation of Aphasia: More Is Better
Bhogal, S. K., Teasell, R. W., et al.
(2003).
Topics in Stroke Rehabilitation, 10(2), 66-76.
Indicators of Review Quality:
|
The review addresses a clearly focused question
| No |
|
Criteria for inclusion of studies are provided
| No |
|
Search strategy is described in sufficient detail for replication
| Yes |
|
Included studies are assessed for study quality
| No |
|
Quality assessments are reproducible
| No |
Description: This is a review of studies investigating the effects of aphasia speech and language therapy on post-stroke aphasics.
Question(s) Addressed:
Question not specifically stated.
Population: Persons with aphasia post-stroke
Intervention/Assessment: Constraint-induced language therapy (CILT) was examined separately from other treatment approaches, as was volunteer-delivered treatment.
Number of Studies Included: Not stated
Years Included: 1970 – June 2002
Findings:
Conclusions:
- Service Delivery
- Dosage
- Intensity
- The authors found that studies demonstrating a significant treatment effect "provided an average of 8.8 hours of therapy per week for 11.2 weeks compared with the 4 negative studies that only provided two 1-hour sessions per week for 22.9 weeks" (p. 991).
- The authors conclude that intense therapy over a short amount of time can improve outcomes of speech and language therapy for individuals with stroke-induced aphasia.
Keywords: Aphasia, Stroke, Service Delivery Models
Access the Review
Added to Compendium: March 2012