Article

Treatment intensity is a critical component to the delivery of speech-language
pathology and rehabilitation services. Within aphasia rehabilitation, however,
insufficient evidence currently exists to guide clinical decision making with
respect to the optimal treatment intensity. This review considers perspectives
from 2 key bodies of research, the neuroscience and cognitive psychology
literature, with respect to the scheduling of aphasia rehabilitation services.
Neuroscience research suggests that intensive training is a key element of
rehabilitation and is necessary to achieve functional and neurologic changes
after a stroke occurs. In contrast, the cognitive psychology literature suggests
that optimal long-term learning is achieved when training is provided in a
distributed or nonintensive schedule. These perspectives are evaluated and
discussed with respect to the current evidence for treatment intensity in aphasia
rehabilitation. In addition, directions for future research are identified,
including study design, methods of defining and measuring treatment intensity,
and selection of outcome measures in aphasia rehabilitation.
CI - Copyright (c) 2016 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS