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Intensive Therapy Helps
Stroke Patients
Regain Speech
Short-term, intense language
retraining helps improve communication skills in stroke survivors,
researchers report in a recent issue of Stroke .
The study included 27 stroke survivors stricken with aphasia
-- difficulty speaking, finding the correct words, or understanding
language -- for about four years. The patients were given three
hours of language training a day for 10 days.
The training included constraint-induced aphasia therapy (CIAT),
an intense technique that encourages patients to speak rather
than using gestures or other nonverbal methods as their primary
communication method. CIAT includes language games that progress
from simple communication to more complex language skills.
Overall, language skills improved in 85 percent of the patients,
with those improvements lasting for six months, the study said.
"Usually patients in the chronic stage of aphasia received about
two hours of therapy a week over the course of a year, but we
found that it is better to give the therapy within a shorter
period of time," lead researcher Marcus Meinzer, of the Universitat
Konstanz in Germany, said in a prepared statement.
Meinzer said the findings were supported by the fact that the
less-frequent, less-intense therapy failed to produce improvements
at 6 months, even though the total amount of hours involved in
therapy equaled that of short-term intensive CIAT.
The researchers said some of their previous work suggests that
CIAT and intensive traditional language therapy may prompt the
brain to relocate language function to an area of the brain not
affected by stroke.
About 38 percent of stroke survivors have aphasia after they
suffer a stroke on the left side of their brain. Many stroke
survivors improve spontaneously in the six months after the attack,
but as many as 60 percent continue to experience language difficulties
more than six months after a stroke.
The U.S. National Institute
of Neurological Disorders and Stroke has more about stroke
rehabilitation .
SOURCE: American Heart Association
Reference
Source 62
June
9, 2005
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