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The impact of stroke: are people with aphasia different to those without?
Abstract
PURPOSE: Stroke rehabilitation programmes aim to improve functional outcomes and quality of life. This study explored long-term outcomes in a cohort of people admitted to two acute stroke units with stroke. Comparisons were drawn between people with aphasia (PWA) and people without aphasia. METHODS: People admitted to hospital with a first stroke were assessed at 2-weeks, 3-months and 6-months post-stroke. Measures included: the Barthel Index for Activities of Daily Living (ADL), the Frenchay Aphasia Screening Test, the General Health Questionnaire-12 for emotional well-being and the Stroke and Aphasia Quality of Life Scale-39g. Extended ADL and social support were also measured at 3 and 6 months, with the Frenchay Activities Index and the Social Support Survey, respectively. RESULTS: Of 126 eligible participants, 96(76%) took part and 87(69%) were able to self-report. Self-report data are reported here. Although outcomes improved significantly across time, at 6 months people continued to experience substantial functional limitations (16% aphasic; 32% dependent on basic ADL); participation limitations (79% ≤30 on the FAI); high psychological distress (45%) and compromised quality of life (54% ≤4 on the SAQOL-39g). Levels of social support remained relatively stable. Though at 3-months post-stroke PWA were significantly more likely to experience high psychological distress (93% versus 50% for those without), across time, there were no significant differences between PWA and those without on psychological distress and also ADL and social support. There were, however, significant differences on extended ADL (F(1,68) = 7.80, p < 0.01) and quality of life (F(1,69) = 6.30, p < 0.05). CONCLUSION: PWA participated in fewer activities and reported worse quality of life after stroke than people without aphasia, even when their physical abilities, well-being and social support were comparable. Implications for clinical practice and future research are discussed.
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“As post-stroke aphasia is frequently associated with cognitive-linguistic difficulties impacting directly on psychosocial well-being (Hilari, 2011)”
From “Giving yourself some breathing room…”: an exploration of group meditation for people with aphasia (2021) · cites this paper as Hilari, 2011
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Metadata
- Authors
- Hilari, K.
- Affiliations
- City, University of London (GB)
- Corresponding author
- Hilari, Katerina
- ORCID
- Hilari, Katerina
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2011-01
- Volume
- 33
- Issue
- 3
- Pages
- 211-218
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W1993542140
- Cited by
- 321
- References
- 33
- Citations by year
- 2026: 16 · 2025: 35 · 2024: 30 · 2023: 23 · 2022: 23 · 2021: 29 · 2020: 26 · 2019: 25 · 2018: 17 · 2017: 17 · 2016: 14 · 2015: 14 · 2014: 17 · 2013: 14 · 2012: 14
- FWCI
- 11.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- City Research Online (City University London) (acceptedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
- Keywords
- stroke, aphasia, long-term outcomes, quality of life, activities of daily living, psychological distress, social support, stroke rehabilitation
- MeSH terms
- Stroke Rehabilitation, Activities of Daily Living, Adaptation, Psychological, Aged, Aged, 80 and over, Analysis of Variance, Aphasia, Female, Humans, Male, Middle Aged, Quality of Life, Reference Values, Severity of Illness Index, Social Support, Time Factors, Cohort Studies, Treatment Outcome, Risk Assessment, Stroke
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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