ERIC Number: EJ947151
Record Type: Journal
Publication Date: 2011-Sep
Abstractor: As Provided
Reference Count: 0
A 3-Year Evolution of Linguistic Disorders in Aphasia after Stroke
El Hachioui, Hanane; van de Sandt-Koenderman, Mieke W. M. E.; Dippel, Diederik W. J.; Koudstaal, Peter J.; Visch-Brink, Evy G.
International Journal of Rehabilitation Research, v34 n3 p215-221 Sep 2011
Aphasia recovery after stroke has been the subject of several studies, but in none the deficits on the various linguistic levels were examined, even though in the diagnosis and treatment of aphasia the emphasis lays more and more on these linguistic level disorders. In this observational prospective follow-up study, we explored whether it is meaningful to investigate the recovery of semantics, phonology, and syntax separately. Fifteen patients with aphasia poststroke were assessed at 3 and 10 days, 7 weeks, 4 and 7 months, and 3 years postonset with the ScreeLing, a linguistic level test, the Aphasia Severity Rating Scale (spontaneous speech) and the Token Test. Group results showed improvement for the overall ScreeLing (P less than 0.01) and its subparts semantics (P less than 0.01) and syntax (P less than 0.01) up to 7 weeks, just as the Token Test (P less than 0.01). Phonology improved up to 4 months (P less than 0.05) and spontaneous speech up to 7 months (P less than 0.05). The recovery pattern of the three linguistic levels did not follow a parallel course, with a great deal of variability in linguistic recovery curves between and within patients. These results suggest that it is meaningful to assess the recovery of the linguistic levels separately, starting from the acute stage poststroke.
Descriptors: Aphasia, Neurological Impairments, Phonology, Semantics, Syntax, Patients, Followup Studies
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Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
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