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. 2025 Mar 25;20(3):e0319805.
doi: 10.1371/journal.pone.0319805. eCollection 2025.

Current status of Tele-speech language therapy by type and support for patients with post-stroke aphasia: A scoping review

Yuhei Kodani  1   2 , Shinsuke Nagami  3 , Ayaka Yokozeki  4 , Shinya Fukunaga  1 , Katsuya Nakamura  1 , Hikaru Nakamura  2
Affiliations

Current status of Tele-speech language therapy by type and support for patients with post-stroke aphasia: A scoping review

Yuhei Kodani et al. PLoS One. .

Abstract

Purpose: The purpose of this study was to classify and analyze trends in the assessment and training methods used in telepractice speech-language therapy (Tele-SLT) for people with aphasia (PWA), according to the type of Tele-SLT (synchronous, asynchronous, or combined). This study particularly aimed to identify gaps that prevent the establishment of Tele-SLT, a field that has gained significant attention post-COVID-19 pandemic.

Design: A scoping review was conducted following the PRISMA-ScR guidelines.

Setting and participants: Included were research articles on Tele-SLT for individuals aged 18 years or older diagnosed with post-stroke aphasia. Articles in both English and Japanese were reviewed, using five online databases (Medline, Embase, PsycInfo, Cochrane Library, and ICHUSHI Web).

Methods: Studies involving Tele-SLT were categorized by support methods, content, study design, and outcomes. The quality of the extracted studies was also assessed. We also assessed the quality of the selected studies and performed a meta-analysis of some of the results.

Results: Of the initial 1,484 articles, 35 met the eligibility criteria. Regarding Tele-SLT support methods, 3 articles (8.57%) focused on assessment methods, while 32 (91.43%) focused on training methods. Fourteen articles (40.00%) employed synchronous Tele-SLT delivery, 20 (57.14%) employed asynchronous delivery, and 1 (2.86%) employed a combined approach. The methodological quality of 27 (77.14%) of the included Tele-SLT articles was rated as 'Low'. A meta-analysis of randomized controlled trials on Tele-SLT demonstrated that asynchronous training was effective for language function.

Conclusions and significance: This study highlights the need for more research, particularly on remote assessment and synchronous training methods, in Tele-SLT for PWA. Furthermore, this study emphasizes the need for improved research methodologies in this area. To provide high-quality support for PWA who have faced challenges accessing in-person speech-language therapy since the COVID-19 pandemic, further research and development of Tele-SLT implementation guidelines are needed.

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Conflict of interest statement

The authors declare that there is no conflict of interest.

Figures

Fig 1
Fig 1. PRISMA Flow Diagram Illustrating the Selection of Articles Included in the Scoping Review.
Fig 2
Fig 2. How to Support and Deliver Tele-SLT and the Design of Studies.
Fig 3
Fig 3. Summarize the Results of the Study Quality Assessment.
Fig 4
Fig 4. Results of a Meta-Analysis of the Effects of Synchronous Training on Communication Outcomes.
Fig 5
Fig 5. Results of a Meta-Analysis of the Effects of Asynchronous Training on the Western Aphasia Battery-Aphasia Quotient.
Fig 6
Fig 6. Results of a Meta-Analysis of the Effects of Asynchronous Training on the Western Aphasia Battery Subscales, Western Aphasia Battery Revised Subscales.
See this image and copyright information in PMC

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References

    1. Goldstein LB, Adams R, Alberts MJ, Appel LJ, Brass LM, Bushnell CD, et al.. Primary prevention of ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council: cosponsored by the Atherosclerotic Peripheral Vascular Disease Interdisciplinary Working Group; Cardiovascular Nursing Council; Clinical Cardiology Council; Nutrition, Physical Activity, and Metabolism Council; and the Quality of Care and Outcomes Research Interdisciplinary Working Group: the American Academy of Neurology affirms the value of this guideline. Stroke. 2006;37(6):1583–633. doi: 10.1161/01.STR.0000223048.70103.F1 - DOI - PubMed
    1. Warlow CP, Van Gijn J, Dennis MS, Wardlaw JM, Bamford JM, Hankey GJ, et al.. Stroke: practical management. 3rd ed. Oxford: John Wiley & Sons; 2008.
    1. Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, et al.. Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet. 2014;383(9913):245–54. doi: 10.1016/s0140-6736(13)61953-4 - DOI - PMC - PubMed
    1. Brady MC, Kelly H, Godwin J, Enderby P, Campbell P. Speech and language therapy for aphasia following stroke. Cochrane Database Syst Rev. 2016;2016(6):CD000425. doi: 10.1002/14651858.CD000425.pub4 - DOI - PMC - PubMed
    1. Wallace S, Worrall L, Rose T, Le Dorze G. Using the international classification of functioning, disability, and health to identify outcome domains for a core outcome set for aphasia: a comparison of stakeholder perspectives. Disability and Rehabilitation. 2019;41:564–73. - PubMed

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