Interventions for apraxia of speech following stroke
- PMID: 16235357
- PMCID: PMC8769681
- DOI: 10.1002/14651858.CD004298.pub2
Interventions for apraxia of speech following stroke
Abstract
Background: Apraxia of speech is a communication disorder that can affect stroke patients. Several different intervention strategies are undertaken by speech and language therapists working with this patient group.
Objectives: To assess whether therapeutic interventions improve functional speech in stroke patients with apraxia of speech and which individual therapeutic interventions are effective.
Search strategy: We searched the Cochrane Stroke Group Trials Register (searched May 2004). In addition, we searched the following databases: the Cochrane Central Register of Controlled Trials (The Cochrane Library Issue 4, 2003); MEDLINE (1966 to April 2004); EMBASE (1980 to April 2004); CINAHL (1982 to April 2004); PsycINFO (1974 to April 2004); the National Research Register (searched April 2004); and Current Controlled Trials Register (searched May 2004). We reviewed reference lists of relevant articles and contacted authors and researchers in an effort to identify published and unpublished trials.
Selection criteria: We sought to include randomised controlled trials of non-drug interventions for adults with apraxia of speech following a stroke where the primary outcome was functional speech at six months follow up.
Data collection and analysis: One author searched the titles, abstracts and keywords. Two authors examined the abstracts that might meet the inclusion criteria. Four authors were available to assess trial quality and to extract data from eligible studies.
Main results: No trials were identified.
Authors' conclusions: There is no evidence from randomised trials to support or refute the effectiveness of therapeutic interventions for apraxia of speech. There is a need for high quality randomised trials to be undertaken in this area.
Conflict of interest statement
Audrey Bowen, Anne Hesketh and Andy Vail are investigators for the UK Department of Health trial of aphasia and dysarthria (ACT NoW Study).
Update of
- doi: 10.1002/14651858.CD004298
References
Additional references
ACT NoW Study
-
- Bowen A. Assessing the effectiveness of communication therapy in the North West ‐ the ACT NoW Study. Unpublished.
Ballard 2000
-
- Ballard K, Granier J, Robin D. Understanding the theory of apraxia of speech; Theory, analysis and treatment. Aphasiology 2000;14(10):969‐95.
Blais 1994
-
- Blais M. Literature review. Directorate of Public Health Medicine. Northamptonshire Health Authority, 1994.
Code 1998
-
- Code C. Models, theories and heuristics in apraxia of speech. Clinical Linguistics and Phonetics 1998;12:47‐65.
Croot 2002
-
- Croot K. Diagnosis of AOS: Definition and criteria. Seminars in Speech and Language 2002;23(4):267‐79. - PubMed
Dabul 2000
-
- Dabul B. Apraxia battery for adults. 2nd Edition. Austin: Pro‐ed Inc, 2000.
Darley 1975
-
- Darley FL, Aronson AE, Brown JR. Motor Speech Disorders. Philadelphia: WB Saunders, 1975.
Geschwind 1975
-
- Geschwind N. The apraxias: neural mechanisms of disorders of learned movements. American Scientist 1975;63:188‐95. - PubMed
Goodglass 1983
-
- Goodglass H, Kaplan E. The assessment of aphasia and related disorders. Philadelphia: Lea & Febiger, 1983.
Greener 1999
-
- Greener J, Enderby P, Whurr R. Speech and language therapy for aphasia following stroke (Cochrane review). Cochrane Database of Systematic Reviews 1999, Issue 4. [Art. No.: CD000425. DOI: 10.1002/14651858.CD000425] - PubMed
IWP 2004
-
- Intercollegiate Working Party. National Clinical Guidelines for Stroke. 2nd Edition. London: Royal College of Physicians, 2004. [ISBN 1 86016 208 8]
Kaplan 1983
-
- Kaplan E, Goodglass H, Weintraub S. The Boston Naming Test. Philadelphia: Lea & Febiger, 1983.
Lezak 1995
-
- Lezak, M. Neuropsychological Assessment. 3rd Edition. Oxford: OUP, 1995.
Lomas 1989
-
- Lomas J, Bester S, Elbard H, Finlayson A, Zoghaib C. The communicative effectiveness index ‐ development and psychometric evaluation of a functional communication measure for adult aphasia. Journal of Speech and Hearing Disorders 1989;54(1):113‐24. - PubMed
McNeil 2000
-
- McNeil MR, Doyle PJ, Wambaugh J. Apraxia of speech: a treatable disorder of motor planning and programming. In: Nadeau E, Gonzalez Rothi LJ, Crosson B editor(s). Aphasia and language: theory to practice. New York: The Guilford Press, 2000:221‐66.
Miller 2000
-
- Miller N. Changing ideas in apraxia of speech. In: Papathanasiou I editor(s). Acquired neurogenic communication disorders: A clinical perspective. London: Whurr, 2000:173‐202.
MRC 2000
-
- Medical Research Council. A framework for development and evaluation of RCTs for complex interventions to improve health. London: Medical Research Council, 2000.
Mumby 2005
-
- Mumby K, Bowen A, Hesketh A. Reliably diagnosing AOS (apraxia of speech) following stroke. Clinical Rehabilitation (in press).
O'Connell 1985
-
- O'Connell PF, Barber KL, O'Connell EJ. Phonological and syntactic effects in silent reading in aphasics with apraxia of speech. Folia Phoniatrica 1985;37(5‐6):265‐70. - PubMed
Pring 2004
-
- Pring, T. Ask a silly question: a decade of troublesome trials. International Journal of Language and Communication Disorders 2004;39(3):285‐302. - PubMed
RCSLT 2004
-
- Royal College of Speech and Language Therapists. Royal College of Speech and Language Therapists Clinical Guidelines (e‐book). Oxford: Speechmark, 2004.
Rogers 1999
-
- Rogers M, Redmond J. Parameters of semantic and phonologic activation in speakers with aphasia with and without apraxia of speech. Aphasiology 1999;13(9‐11):871‐86.
Roy 1985
-
- Roy EA, Square PA. Common considerations in the study of limb, oral, and verbal apraxia. In: Roy EA editor(s). Neuropsychological studies of apraxia and related disorders. Amsterdam: North Holland, 1985:111‐62.
Sellars 2003
-
- Sellars C, Hughes T, Langhorne P. Speech and language therapy for dysarthria due to non‐progressive brain damage (Cochrane Review). Cochrane Database of Systematic Reviews 2003, Issue 1. [Art. No.: CD002088. DOI: 10.1002/14651858.CD002088] - PubMed
SIGN 2002
-
- Scottish Intercollegiate Guidelines Network. Management of patients with stroke: rehabilitation, prevention, and management of complications, and discharge planning. A national clinical guideline. Edinburgh: Royal College of Physicians, 2002.
Square‐Storer 1989
-
- Square‐Storer P. In: Square‐Storer P editor(s). Acquired apraxia of speech in aphasic adults. Hove, London: LEA, 1989.
Towne 1988
-
- Towne R, Crary M. Verbal reaction‐time patterns in aphasic adults ‐ consideration for apraxia of speech. Brain and Language 1988;35(1):138‐53. - PubMed
Varley 2001
-
- Varley R, Whiteside S. Understanding the nature of apraxia of speech: theory, analysis, and treatment. Aphasiology 2001;15:39‐49.
Wade 1985
-
- Wade D, Skilbeck C, David R, Langton‐Hewer R. Stroke: A critical approach to diagnosis, treatment and management. London: Chapman and Hall, 1985.
Waters 1992
-
- Waters GS, Rochon E, Caplan D. The role of high‐level speech planning in rehearsal ‐ evidence from patients with apraxia of speech. Journal of Memory and Language 1992;31(1):54‐73.
WHO 1978
-
- World Health Organization. Offset series No 43, Cerebrovascular disease: a clinical and research classification. Geneva: World Health Organization, 1978.
Wolfe 1996
-
- Wolfe C, Rudd A, Beech R. Stroke services and research. An overview with recommendations for future research. London: Stroke Association, 1996.
Yorkston 1981
-
- Yorkston K, Beukelman D. Assessment of the intelligibility of dysarthric speech. Portland, OR: CC Publications, 1981.
Ziegler 2003
-
- Ziegler W. Speech motor control is task‐specific. Evidence from dysarthria and apraxia of speech. Aphasiology 2003;17:3‐36.
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