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Stroke: Has Speech and Language Therapy Been Shown Not to Work?

Overview
Journal Nat Rev Neurol
Specialty Neurology
Date 2012 Oct 17
PMID 23070615
Citations 4
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Abstract

In a recent trial investigating the effectiveness of speech and language therapy versus a control intervention in poststroke aphasia, patient outcome improved equally in both groups. However, flaws in the study relating to design of the control intervention, inadequate therapy 'dose', and the interpretation of null results should be highlighted.

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References
1.
Bowen A, Hesketh A, Patchick E, Young A, Davies L, Vail A . Effectiveness of enhanced communication therapy in the first four months after stroke for aphasia and dysarthria: a randomised controlled trial. BMJ. 2012; 345:e4407. PMC: 3396461. DOI: 10.1136/bmj.e4407. View

2.
Code C, Heron C . Services for aphasia, other acquired adult neurogenic communication and swallowing disorders in the United Kingdom, 2000. Disabil Rehabil. 2003; 25(21):1231-7. DOI: 10.1080/09638280310001599961. View

3.
Bhogal S, Teasell R, Speechley M . Intensity of aphasia therapy, impact on recovery. Stroke. 2003; 34(4):987-93. DOI: 10.1161/01.STR.0000062343.64383.D0. View

4.
Sommerville J . A symposium on the rehabilitation of the stroke patient. Rebuilding the stroke patient's life. Nurs Mirror Midwives J. 1974; 139(6):57-8. View

5.
Bowen A, Hesketh A, Patchick E, Young A, Davies L, Vail A . Clinical effectiveness, cost-effectiveness and service users' perceptions of early, well-resourced communication therapy following a stroke: a randomised controlled trial (the ACT NoW Study). Health Technol Assess. 2012; 16(26):1-160. DOI: 10.3310/hta16260. View