Engin koyuncu iso

Fourth, this study involved 33 patients with subacute stroke, which might be a relatively small sample size for an intervention study. However, the use of a well-defined patient inclusion and exclusion criteria helped forming a homegenous group of patients and the results of the study were clear-cut. In our study, impairment-based therapy approach was applied, the aim of which was to improve functional communication by targeting the impaired brain region responsible for language function.

In a Cochrane review, Brady et al. The results showed that each SLT method examined contributed similarly to the functional communication outcomes. That is, none of the SLT methods was more effective than the other in terms of improving functional communication.

Results from their Cochrane review showed that there was no sound evidence to claim that one SLT method was more effective than the other, although the authors suggested that group therapy and therapist-delivered therapy were more effective than individual therapy and computer-mediated therapy, respectively Brady et al. The question when aphasia rehabilitation after stroke should start remains controversial.

In a randomized, controlled study performed by Laska et al. The patients were evaluated in the 3 rd week and the 6 th month. Their results demonstrated that an intensive SLT starting in the very early phase is not effective in aphasia treatment. In a study conducted by Bowen et al. The time window, intensity and duration of SLT were determined according to the clinical condition of the patient. At the 6-month evaluation, no significant differences were found between primary and secondary evaluation scales.

Godecke et al. Twenty sessions of impairment-based SLT, 1 hour per day, was applied to the patient group. A significant improvement was detected in the patient group compared to the control group just after treatment as well as at 6-month evaluations.

A previous study demonstrated that starting SLT at about the 2 nd day after stroke attack was effective and this early intervention had positive effects in the chronic phase as well Mattioli et al. There is evidence that it is more effective to start rehabilitation in the very early phase within average 3 days after stroke than later Godecke et al.

Fundamental evidence was not sufficient to declare that an early started aphasia rehabilitation was more effective than the later one Nouwens et al. In this study, we assessed the effectivity of SLT applied to patients with subacute stroke and concluded that SLT was effective in these patients. SLT has been reported to be effective in the treatment of aphasia, but the optimal duration and intensity remain controversial Dignam et al.

Although aphasia therapy 1—5 hours per week was used in the developed countries, the duration 9 hours per week was reported for an effective treatment Code et al. Robey et al. According to the results of a review paper by Bhogal et al. However, Dignam et al. Some scholars reported that an intensive therapy was more effective than a standard therapy Cherney et al. Bakheit et al. In this study, SLT, usually 2 days per week and 30—60 minutes per day for 8 weeks, was applied for stroke-related aphasia treatment, although the exact duration and intensity may sometimes differ based on the clinical condition of a patient.

Results showed that SLT applied at this intensity and duration was effective. A more intensive therapy has been shown to be more effective in some studies, but similar efficacy from intensive, non-intensive, or standard therapies was also reported.

The proportion of drop-outs was higher in highly intensive SLT than in less intensive program, suggesting that highly intensive SLT program is likely not to be suitable for every aphasia patient Brady et al. According to our findings, 16 sessions of SLT, 2 days per week and 30—60 minutes per day, is an effective method in the treatment of patients with subacute stroke presenting with moderate to severe aphasia.

Declaration of patient consent: The authors certify that they have obtained all appropriate patient consent forms. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Conflicts of interest: None declared. Plagiarism check: This paper was screened twice using CrossCheck to verify originality before publication. Peer review: This paper was double-blinded and stringently reviewed by international expert reviewers.

National Center for Biotechnology Information , U. Journal List Neural Regen Res v. Neural Regen Res. Engin Koyuncu , M. Author information Article notes Copyright and License information Disclaimer. Accepted Sep 7. This article has been cited by other articles in PMC. Abstract The aim of this study was to investigate the time window, duration and intensity of optimal speech and language therapy applied to aphasic patients with subacute stroke in our hospital.

Introduction Stroke is the second most common cause of death and third most common cause of disability in the world Mathers et al. Subjects and Methods Patients All patients or patient's relatives were informed about the study and each signed a written informed consent form before the study.

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