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Review
. 2009 Oct-Dec;3(4):275-282.
doi: 10.1590/S1980-57642009DN30400003.

A review of Constraint-Induced Therapy applied to aphasia rehabilitation in stroke patients

Joana Bisol Balardin  1 , Eliane Correa Miotto  2
Affiliations
Review

A review of Constraint-Induced Therapy applied to aphasia rehabilitation in stroke patients

Joana Bisol Balardin et al. Dement Neuropsychol. 2009 Oct-Dec.

Abstract
in English, Portuguese

Constraint-induced aphasia therapy (CIAT) is an intensive therapy model based on the forced use of verbal oral language as the sole channel of communication, while any alternative communication mode such as writing, gesturing or pointing are prevented.

Objectives: This critical review involved the analysis of studies examining CIAT applied to stroke patients.

Methods and results: Using keywords, the Medline database was searched for relevant studies published between 2001 and 2008 (Medline 2001-2008). The critical evaluation of the articles was based on the classifications described by the ASNS (Cicerone adaptation). Two studies were categorized as level Ia, two as level II and one study as level IV.

Conclusions: These recommendations should be interpreted with caution, given the small number of studies involved, but serve as a guideline for future studies in aphasia therapy.

A Terapia Induzida por Contenção aplicada à reabilitação da afasia é um modelo terapêutico intensivo que presume o treinamento da linguagem oral como exclusivo canal de comunicação verbal, enquanto métodos alternativos como a escrita, o desenho e os gestos não são permitidos.

Objetivos: Revisar sistematicamente os estudos que examinaram a aplicabilidade da Terapia Induzida por Contenção em pacientes afásicos pós AVC.

Métodos e resultados: Os estudos relacionados ao tema foram selecionados na base de dados Medline, por meio de descritores, entre os anos de 2001 e 2008. A avaliação crítica dos artigos foi realizada de acordo com a classificação descrita pela ASNS (adaptado por Cicerone). Dois estudos foram categorizados como Ia, dois estudos receberam classificação II e um estudo foi categorizado no nível IV.

Conclusões: Dado o limitado número de estudos existente, as recomendações sugeridas devem ser interpretadas com precaução, porém fornecem importantes diretrizes para futuros estudos sobre a terapia de afasia.

Keywords: aphasia; rehabilitation of speech and language disorders; stroke.

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Conflict of interest statement

Disclosure: The authors report no conflicts of interest.

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