Characterizing speech and language pathology outcomes in stroke rehabilitation.
Arch Phys Med Rehabil
; 86(12 Suppl 2): S61-S72, 2005 Dec.
Article
em En
| MEDLINE
| ID: mdl-16373141
ABSTRACT
UNLABELLED Hatfield B, Millet D, Coles J, Gassaway J, Conroy B, Smout RJ. Characterizing speech and language pathology outcomes in stroke rehabilitation. OBJECTIVES:
To describe a subset of speech-language pathology (SLP) patients in the Post-Stroke Rehabilitation Outcomes Project and to examine outcomes for patients with low admission FIM levels of auditory comprehension and verbal expression.DESIGN:
Observational cohort study.SETTING:
Five inpatient rehabilitation hospitals.PARTICIPANTS:
Patients (N=397) receiving post-stroke SLP with admission FIM cognitive components at levels 1 through 5.INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURE:
Increase in comprehension and expression FIM scores from admission to discharge.RESULTS:
Cognitively and linguistically complex SLP activities (problem-solving and executive functioning skills) were associated with greater likelihood of success in low- to mid-level functioning communicators in the acute post-stroke rehabilitation period.CONCLUSIONS:
The results challenge common clinical practice by suggesting that use of high-level cognitively and linguistically complex SLP activities early in a patient's stay may result in more efficient practice and better outcomes regardless of the patient's functional communication severity level on admission.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fonoterapia
/
Reabilitação do Acidente Vascular Cerebral
/
Terapia da Linguagem
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Ano de publicação:
2005
Tipo de documento:
Article