Background Effectiveness of early intensive aphasia rehabilitation after stroke is unknown. The V... more Background Effectiveness of early intensive aphasia rehabilitation after stroke is unknown. The Very Early Rehabilitation for SpEech trial (VERSE) aimed to determine whether intensive aphasia therapy, beginning within 14 days after stroke, improved communication recovery compared to usual care. Methods Prospective, randomized, single-blinded trial conducted at 17 acute-care hospitals across Australia/New Zealand from 2014 to 2018. Participants with aphasia following acute stroke were randomized to receive usual care (direct usual care aphasia therapy), or one of two higher intensity regimens (20 sessions of either non-prescribed (usual care-plus or prescribed (VERSE) direct aphasia therapy). The primary outcome was improvement of communication on the Western Aphasia Battery-Revised Aphasia Quotient (AQ) at 12 weeks after stroke. Our pre-planned intention to treat analysis combined high intensity groups for the primary outcome. Findings Among 13,654 acute stroke patients screened, 25...
5.4 Weathering and the Formation of Soil Soil is a mixture of fine mineral fragments (including q... more 5.4 Weathering and the Formation of Soil Soil is a mixture of fine mineral fragments (including quartz and clay minerals), organic matter, and empty spaces that may be partially filled with water. Soil formation is controlled by climate (especially temperature and humidity), the nature of the parent material, the slope (because soil can’t accumulate on steep slopes), and the amount of time available. Typical soils have layers called horizons which form because of differences in the conditions with depth.
Clinicians generally have limited time to evaluate their aphasic clients, and thus are often unab... more Clinicians generally have limited time to evaluate their aphasic clients, and thus are often unable to include discourse-level language in their assessments. Sampling and analyzing language at the discourse level by hand can be very time-consuming, but since it is the level at which day-to-day communication occurs, it provides important information about language use and competence in context. It can also point the way to functional goals for therapy. In this presentation we will illustrate the use of EVAL, a recent addition to the wide array of CLAN computerized language analysis programs freely available from TalkBank (MacWhinney, 2000). EVAL is designed for quick and simple use by clinicians. It measures 25 language characteristics in a transcription of discourse and displays them in an Excel spreadsheet. It can then compare the results with those of a comparison group selected from the AphasiaBank database, or it can compare the results with those of the same participant at earl...
ABSTRACT Primary objective: To investigate whether the degree of participation by people with sev... more ABSTRACT Primary objective: To investigate whether the degree of participation by people with severe Traumatic Brain Injury (TBI), and the degree of support by their communication partners (CPs) changes in conversation during subacute recovery. Methods and procedures: Seventeen pairs of participants with TBI and their CPs were video-recorded during a 10 min casual conversation at 3 and 6 months post-injury. Communication behaviors were rated using the adapted Measure of Participation in Conversation (MPC) and the adapted Measure of Support in Conversation (MSC) at both time points and compared. Results: Inferential analyses showed that there was no significant change in the degree of participation in conversation by participants with TBI and the degree of conversation support by their CPs from 3 to 6 months post. Comparison of qualitative field notes revealed that specific conversational behaviors changed over time, including better turn-taking and topic maintenance. Conclusion: Documenting early communication recovery is a complex and challenging endeavor. The lack of change in conversational effectiveness during the sub-acute period using global rating scales highlights the need for social communication tools that are sensitive to communication recovery following severe TBI.
American journal of speech-language pathology, 2018
The purpose of this study was to examine the relationship between picture naming performance and ... more The purpose of this study was to examine the relationship between picture naming performance and the ability to communicate the gist, or essential elements, of a story. We also sought to determine if this relationship varied according to Western Aphasia Battery-Revised (WAB-R; Kertesz, 2007) aphasia subtype. Demographic information, test scores, and transcripts of 258 individuals with aphasia completing 3 narrative tasks were retrieved from the AphasiaBank database. Narratives were subjected to a main concept analysis to determine gist production. A correlation analysis was used to investigate the relationship between naming scores and main concept production for the whole group of persons with aphasia and for WAB-R subtypes separately. We found strong correlations between naming test scores and narrative gist production for the large sample of persons with aphasia. However, the strength of the correlations varied by WAB-R subtype. Picture naming may accurately predict gist producti...
Page 1. 34 September 1994 AJSLP Speech-Language Pathology: Moving Toward the 21st Century A Look ... more Page 1. 34 September 1994 AJSLP Speech-Language Pathology: Moving Toward the 21st Century A Look Into a Cloudy Crystal Ball for Specialists in Neurogenic Language Disorders ... I believe we are going to be in the dementia management business in a big way very soon. ...
Background Effectiveness of early intensive aphasia rehabilitation after stroke is unknown. The V... more Background Effectiveness of early intensive aphasia rehabilitation after stroke is unknown. The Very Early Rehabilitation for SpEech trial (VERSE) aimed to determine whether intensive aphasia therapy, beginning within 14 days after stroke, improved communication recovery compared to usual care. Methods Prospective, randomized, single-blinded trial conducted at 17 acute-care hospitals across Australia/New Zealand from 2014 to 2018. Participants with aphasia following acute stroke were randomized to receive usual care (direct usual care aphasia therapy), or one of two higher intensity regimens (20 sessions of either non-prescribed (usual care-plus or prescribed (VERSE) direct aphasia therapy). The primary outcome was improvement of communication on the Western Aphasia Battery-Revised Aphasia Quotient (AQ) at 12 weeks after stroke. Our pre-planned intention to treat analysis combined high intensity groups for the primary outcome. Findings Among 13,654 acute stroke patients screened, 25...
5.4 Weathering and the Formation of Soil Soil is a mixture of fine mineral fragments (including q... more 5.4 Weathering and the Formation of Soil Soil is a mixture of fine mineral fragments (including quartz and clay minerals), organic matter, and empty spaces that may be partially filled with water. Soil formation is controlled by climate (especially temperature and humidity), the nature of the parent material, the slope (because soil can’t accumulate on steep slopes), and the amount of time available. Typical soils have layers called horizons which form because of differences in the conditions with depth.
Clinicians generally have limited time to evaluate their aphasic clients, and thus are often unab... more Clinicians generally have limited time to evaluate their aphasic clients, and thus are often unable to include discourse-level language in their assessments. Sampling and analyzing language at the discourse level by hand can be very time-consuming, but since it is the level at which day-to-day communication occurs, it provides important information about language use and competence in context. It can also point the way to functional goals for therapy. In this presentation we will illustrate the use of EVAL, a recent addition to the wide array of CLAN computerized language analysis programs freely available from TalkBank (MacWhinney, 2000). EVAL is designed for quick and simple use by clinicians. It measures 25 language characteristics in a transcription of discourse and displays them in an Excel spreadsheet. It can then compare the results with those of a comparison group selected from the AphasiaBank database, or it can compare the results with those of the same participant at earl...
ABSTRACT Primary objective: To investigate whether the degree of participation by people with sev... more ABSTRACT Primary objective: To investigate whether the degree of participation by people with severe Traumatic Brain Injury (TBI), and the degree of support by their communication partners (CPs) changes in conversation during subacute recovery. Methods and procedures: Seventeen pairs of participants with TBI and their CPs were video-recorded during a 10 min casual conversation at 3 and 6 months post-injury. Communication behaviors were rated using the adapted Measure of Participation in Conversation (MPC) and the adapted Measure of Support in Conversation (MSC) at both time points and compared. Results: Inferential analyses showed that there was no significant change in the degree of participation in conversation by participants with TBI and the degree of conversation support by their CPs from 3 to 6 months post. Comparison of qualitative field notes revealed that specific conversational behaviors changed over time, including better turn-taking and topic maintenance. Conclusion: Documenting early communication recovery is a complex and challenging endeavor. The lack of change in conversational effectiveness during the sub-acute period using global rating scales highlights the need for social communication tools that are sensitive to communication recovery following severe TBI.
American journal of speech-language pathology, 2018
The purpose of this study was to examine the relationship between picture naming performance and ... more The purpose of this study was to examine the relationship between picture naming performance and the ability to communicate the gist, or essential elements, of a story. We also sought to determine if this relationship varied according to Western Aphasia Battery-Revised (WAB-R; Kertesz, 2007) aphasia subtype. Demographic information, test scores, and transcripts of 258 individuals with aphasia completing 3 narrative tasks were retrieved from the AphasiaBank database. Narratives were subjected to a main concept analysis to determine gist production. A correlation analysis was used to investigate the relationship between naming scores and main concept production for the whole group of persons with aphasia and for WAB-R subtypes separately. We found strong correlations between naming test scores and narrative gist production for the large sample of persons with aphasia. However, the strength of the correlations varied by WAB-R subtype. Picture naming may accurately predict gist producti...
Page 1. 34 September 1994 AJSLP Speech-Language Pathology: Moving Toward the 21st Century A Look ... more Page 1. 34 September 1994 AJSLP Speech-Language Pathology: Moving Toward the 21st Century A Look Into a Cloudy Crystal Ball for Specialists in Neurogenic Language Disorders ... I believe we are going to be in the dementia management business in a big way very soon. ...
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