The DOI matches its Crossref record; 30 of the 31 references it cites were found in a registry or an index.
Dysarthria following stroke: the patient’s perspective on management and rehabilitation
Abstract
OBJECTIVE: To explore the perceptions of people with stroke-related dysarthria in relation to the management and rehabilitation of dysarthria. DESIGN: Qualitative semi-structured interviews. SETTING: Community setting Subjects: Twenty-four people with an acquired dysarthria as a result of a stroke in the previous three years. All were living at home at the time of the interview. None exhibited a co-existing impairment (for example, aphasia, apraxia or cognitive impairment) that might have contributed to their communicative experiences. RESULTS: Participants described the considerable efforts they made to maximize their communicative effectiveness prior to, and during, communicative interactions. Activities described included careful articulation and vocal projection as well as more inconspicuous strategies including pre-planning interactions, focused, effortful speech and word substitution. Communication was facilitated by a range of strategies including drafting, rehearsal, manoeuvring and ongoing monitoring and repair. Self-led speech rehabilitation activities were functionally based and often undertaken regularly. Some novel reading-aloud and speaking-aloud activities were described. CONCLUSION: The quantity and nature of inconspicuous, internalized, cognitive activities people with dysarthria engage in to maximize their communicative effectiveness should be considered in evaluating the impact of dysarthria following stroke. Focusing upon externally observable characteristics alone is insufficient. Challenging, functionally relevant, patient-focused activities, materials and targets are more likely to be perceived by the patient as relevant and worthwhile and are thus more likely to ensure adherence to recommended rehabilitation activities.
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Metadata
- Authors
- Brady, M. C., Clark, A. M., Dickson, S., Paton, G., & Barbour, R. S.
- Affiliations
- Glasgow Caledonian University (GB)
- University of Alberta (CA)
- Royal Alexandra Hospital (GB)
- University of Dundee (GB)
- Corresponding author
- Brady, Marian C
- Venue
- Clinical Rehabilitation
- Publisher
- SAGE Publications
- Published
- 2011-07-05
- Volume
- 25
- Issue
- 10
- Pages
- 935-952
- ISSN
- 0269-2155 (ISSN-L)
- 1477-0873
- OpenAlex
- W2156311867
- Cited by
- 32
- References
- 31
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 2 · 2021: 2 · 2020: 4 · 2017: 4 · 2016: 2 · 2015: 3 · 2014: 3 · 2013: 2 · 2012: 2
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Open Research Online - ORO (The Open University) (acceptedVersion)
- ResearchOnline (Glasgow Caledonian University) (acceptedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Health Professions › Speech and Hearing › Voice and Speech Disorders
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
- Keywords
- acquired dysarthria, patient perspectives, speech rehabilitation, compensatory communication strategies, communication effectiveness, rehabilitation adherence, community-dwelling stroke survivors
- MeSH terms
- Stroke Rehabilitation, Adult, Aged, Aged, 80 and over, Dysarthria, Female, Humans, Interpersonal Relations, Male, Middle Aged, Motivation, Patient Compliance, Scotland, Self Care, Stroke, Narration, Qualitative Research, Patient Preference
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