Determinants of living well with aphasia in the first year poststroke: A prospective cohort study.

You suggested the wrong solution of more targeted aphasia rehab, You probably would have much fewer problems if you had less dead and damaged areas from your stroke if your doctors had stopped the 5 causes of the neuronal cascade of death in the first week.You can prevent the problems or tackle them after the fact when they are much harder to solve. 
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Archives of Physical Medicine and Rehabilitation , Volume 98(2) , Pgs. 235-240.

NARIC Accession Number: J75347.  What's this?
ISSN: 0003-9993.
Author(s): Worrall, Linda E.; Hudson, Kyla; Khan, Asaduzzaman; Ryan, Brooke; Simmons-Mackie, Nina.
Publication Year: 2017.
Number of Pages: 6.
Abstract: Study identified factors that contribute to living well with aphasia in the first 12 months following stroke. Fifty-eight people with a first incidence of aphasia after stroke were assessed at 3, 6, 9, and 12 months postonset. Participants were recruited through speech-language pathologists in 2 capital cities in Australia. The presence of aphasia was determined through the Western Aphasia Battery-Revised by an experienced speech-language pathologist. The main outcomes were the 5 domains of the Assessment for Living with Aphasia at 3, 6, 9, and 12 months poststroke. The independent variables included demographics, physical functioning, social network, mood, aphasia severity, and a self-rating of successfully living with aphasia at the same time points. Mixed effects modeling was used to determine which factors contributed to the trajectory of each of the 5 domains of participation, impairment, environment, personal factors, and life with aphasia. Results indicated that higher household income, larger social network size, being a woman, and having milder aphasia were positively associated with the participation domain. Graduate or postgraduate educational levels, low mood, and poor physical functioning were negatively associated with the participation domain. Factors positively associated with other domains included higher income, self-ratings of successfully living with aphasia, and aphasia severity. Low mood was consistently negatively associated with all of the domains. In this study, psychosocial determinants were the most significant predictors of living well with aphasia in the first 12 months postonset. Aphasia rehabilitation needs to attend more to these factors to optimize outcomes.
Descriptor Terms: APHASIA, CLIENT CHARACTERISTICS, DEMOGRAPHICS, INTERNATIONAL REHABILITATION, LANGUAGE DISORDERS, PSYCHOSOCIAL FACTORS, QUALITY OF LIFE, SPEECH SYNTHESIS, STROKE.


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Citation: Worrall, Linda E., Hudson, Kyla, Khan, Asaduzzaman, Ryan, Brooke, Simmons-Mackie, Nina. (2017). Determinants of living well with aphasia in the first year poststroke: A prospective cohort study.  Archives of Physical Medicine and Rehabilitation , 98(2), Pgs. 235-240. Retrieved 3/10/2017, from REHABDATA database.