Where is the protocol located and have you delivered it to all 10 million yearly stroke survivors and created a method to continue to do that in the future?
Cognitive Intervention Strategies Directed to Speech and Language Deficits in Primary Progressive Aphasia: Practice-Based Evidence from 18 Cases
by
1,2,3,*, 4,5,6
, 2 and 1,2
, 2 and 1,2
1 Programa de Pós-Graduação em Ciências
Aplicadas à Saúde do Adulto, Faculdade de Medicina, Universidade Federal
de Minas Gerais, Belo Horizonte MG 30130-100, Brazil
2 Grupo de Pesquisa em Neurologia Cognitiva
e do Comportamento, Departamento de Clínica Médica, Faculdade de
Medicina, Universidade Federal de Minas Gerais, Belo Horizonte MG
30130-100, Brazil
3 Av Prudente de Morais, 290-Sala 1106, Belo Horizonte MG 30380-002, Brazil
4 Grupo de Estudos em Neurociência da
Linguagem e Cognição, Núcleo Interdisciplinar de Neurociência Aplicada,
Centro de Matemática, Computação e Cognição da Universidade Federal do
ABC, São Bernardo do Campo SP 09210-580, Brazil
5 Grupo de Neurologia Cognitiva e do
Comportamento, Divisão de Clínica Neurológica, Hospital das Clínicas da
Faculdade de Medicina da Universidade de São Paulo, São Paulo SP
05403-000, Brazil
6 INCT-ECCE (Instituto Nacional de Ciência e
Tecnologia sobre Comportamento, Cognição e Ensino), Rodovia Washington
Luís, Km 235, São Carlos SP 13565-905, Brazil
* Author to whom correspondence should be addressed.
Academic Editors: Jordi A. Matias-Guiu, Robert Jr Laforce and Rene L. Utianski
Brain Sci. 2021, 11(10), 1268; https://doi.org/10.3390/brainsci11101268
Received: 11 August 2021 / Revised: 16 September 2021 / Accepted: 18 September 2021 / Published: 25 September 2021
(This article belongs to the Special Issue Advances in Primary Progressive Aphasia)
Background:
Practice-based evidence can inform and support clinical
decision making. Case-report series about the implementation of programs
in real-world clinical settings may contribute to verifying the
effectiveness of interventions for treating PPA in specific contexts, as
well as illustrating challenges that need to be overcome.
Objective:
To
describe and provide practice-based evidence on the effectiveness of
four cognitive rehabilitation programs designed for individuals with PPA
and directed to speech and language impairments, which were implemented
in a specialized outpatient clinic.
Methods:
Multiple single-case
study. Eighteen individuals with different subtypes of PPA were each
assigned to one out of four training programs based on comprehensive
speech and language assessments. The treatments targeted naming
deficits, sentence production, speech apraxia, and phonological
deficits. Pre- and post-treatment assessments were undertaken to compare
trained and untrained items. Gains were generalized to a different task
in the first two types of intervention (naming and sentence
production). A follow-up assessment was conducted 1–8 months after
treatment among 7 participants.
Results:
All individuals presented
better performance in the trained items at the post-test for each
rehabilitation program accomplished, demonstrating that learning of the
trained strategies was achieved during the active phase of treatment.
For 13 individuals, statistical significance was reached; while for
five, the results were maintained. Results about untrained items,
generalization to other tasks, and follow-up assessments are presented.
Conclusion:
The positive results found in our sample bring some
practice-based evidence for the benefits of speech and language
treatment strategies for clinical management of individuals with PPA.
View Full-Text
Keywords:
primary progressive aphasia; treatment; speech and language therapy; intervention; cognitive rehabilitation
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
No comments:
Post a Comment