Archives of physical medicine and rehabilitation · 2005
Characterizing speech and language pathology outcomes in stroke rehabilitation.
СтатьяМногоцентровое исследованиеПоддержка NIH: внешняя программаПоддержка правительства СШАНазвание и аннотация: Перевод в очереди
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Hatfield Brooke, Millet Deborah, Coles Janice, Gassaway Julie, Conroy Brendan, Smout Randall J
Аннотация
UNLABELLED: Hatfield B, Millet D, Coles J, Gassaway J, Conroy B, Smout RJ. Characterizing speech and language pathology outcomes in stroke rehabilitation.
OBJECTIVES: To describe a subset of speech-language pathology (SLP) patients in the Post-Stroke Rehabilitation Outcomes Project and to examine outcomes for patients with low admission FIM levels of auditory comprehension and verbal expression.
DESIGN: Observational cohort study.
SETTING: Five inpatient rehabilitation hospitals.
PARTICIPANTS: Patients (N=397) receiving post-stroke SLP with admission FIM cognitive components at levels 1 through 5.
INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURE: Increase in comprehension and expression FIM scores from admission to discharge.
RESULTS: Cognitively and linguistically complex SLP activities (problem-solving and executive functioning skills) were associated with greater likelihood of success in low- to mid-level functioning communicators in the acute post-stroke rehabilitation period.
CONCLUSIONS: The results challenge common clinical practice by suggesting that use of high-level cognitively and linguistically complex SLP activities early in a patient's stay may result in more efficient practice and better outcomes regardless of the patient's functional communication severity level on admission.
OBJECTIVES: To describe a subset of speech-language pathology (SLP) patients in the Post-Stroke Rehabilitation Outcomes Project and to examine outcomes for patients with low admission FIM levels of auditory comprehension and verbal expression.
DESIGN: Observational cohort study.
SETTING: Five inpatient rehabilitation hospitals.
PARTICIPANTS: Patients (N=397) receiving post-stroke SLP with admission FIM cognitive components at levels 1 through 5.
INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURE: Increase in comprehension and expression FIM scores from admission to discharge.
RESULTS: Cognitively and linguistically complex SLP activities (problem-solving and executive functioning skills) were associated with greater likelihood of success in low- to mid-level functioning communicators in the acute post-stroke rehabilitation period.
CONCLUSIONS: The results challenge common clinical practice by suggesting that use of high-level cognitively and linguistically complex SLP activities early in a patient's stay may result in more efficient practice and better outcomes regardless of the patient's functional communication severity level on admission.