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Characterizing speech and language pathology outcomes in stroke rehabilitation
HATFIELD B; MILLET D; COLES J; GASSAWAY J; CONROY B; SMOUT RJ
ARCH PHYS MED REHABIL , 2005, vol. 86, n° 12, p. S61-S72 Doc n°: 124048 Localisation : Documentation IRR Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, KC2 - PATHOLOGIE DU LANGAGE
Article consultable sur : http://www.archives-pmr.org
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 poststroke SLP with admission FIM cognitive components at levels 1 through 5. Interventions: Not applicable. Main Outcome Measure: 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 midlevel functioning communicators in the acute poststroke 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 oil admission. Langue : ANGLAIS |
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