Veterans Administration Cooperative Study on Aphasia
| Autor: | Thomas P. Friden, John F. Kurtzke, Ernesto Resurreccion, Pat Holtzapple, Gerald K. Morley, Bruce E. Porch, David J. Weiss, Joyce A. West, James M. Pierce, Robert T. Wertz, Dee Jay Hubbard, Larry E. Davis, Violet Matovitch, Michael Collins, Robert H. Brookshire |
|---|---|
| Rok vydání: | 1981 |
| Předmět: |
Adult
Linguistics and Language medicine.medical_specialty Time Factors medicine.medical_treatment Neuropsychological Tests Language and Linguistics Lateralization of brain function law.invention Group psychotherapy Speech and Hearing Randomized controlled trial law Aphasia medicine Group interaction Humans Speech Aged Language Cerebral vascular accident Gestures business.industry Middle Aged Clinical trial Outcome and Process Assessment Health Care Direct Treatment Language Therapy Physical therapy medicine.symptom business |
| Zdroj: | Journal of Speech, Language, and Hearing Research. 24:580-594 |
| ISSN: | 1558-9102 1092-4388 |
| DOI: | 10.1044/jshr.2404.580 |
| Popis: | Five Veterans Administration Medical Centers participated in an investigation designed to compare individual with group treatment for aphasic patients who had suffered a left hemisphere cerebral vascular accident. Patients who met selection criteria were assigned randomly to either traditional, individual, stimulus-response type treatment of specific language deficits or group therapy designed to improve communication through group interaction and discussion with no direct treatment of specific language deficits. All patients received eight hours of therapy each week beginning at four weeks postonset and continuing until 48 weeks postonset or until they dropped out of the study. A battery of language measures and a clinical neurologic evaluation were administered at intake and every 11 weeks a patient was in the study. Results show both individually and group-treated patients made significant improvement in language abilities. Individual treatment resulted in significantly better overall performance on the Porch Index of Communicative Ability; however, no significant differences were observed between groups on the other language measures. If the traditional belief is correct that significant spontaneous recovery is complete by three to six months postonset, significant improvement in both groups beyond 26 weeks postonset indicates both individual and group treatment are efficacious methods for managing aphasic patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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