Combining Teletherapy and On-line Language Exercises in the Treatment of Chronic Aphasia: An Outcome Study
Open accessAbstract
We report a 12-week outcome study in which nine persons with long-term chronic aphasia received individual and group speech-language teletherapy services, and also used on-line language exercises to practice from home between therapy sessions. Participants were assessed at study initiation and completion using the Western Aphasia Battery, a portion of the Communicative Effectiveness Index, ASHA National Outcome Measurement System, and RIC Communication Confidence Rating Scale for Aphasia; additionally participants were polled regarding satisfaction at discharge. Pre-treatment and post-treatment means were calculated and compared, and matched t-tests were used to determine significance of improvements following treatment, with patterns of independent on-line activity analyzed. Analysis of scores shows that means improved on most measures following treatment, generally significantly: the WAB AQ improved +3.5 (p = .057); the CETI Overall (of items administered) — +17.8 (p = .01), and CCRSA Overall — + 10.4 (p = .0004). Independent work increased with time, and user satisfaction following participation was high.
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iPad-based aphasia rehabilitation treatments have mostly investigated impact only on language functions.
“Additionally, iPad-based aphasia rehabilitation treatments have been investigated but, as for computer therapies, most of the findings investigated the impact only on language functions [25–28].”
From Conversational Therapy through Semi-Immersive Virtual Reality Environments for Language Recovery and Psychological Well-Being in Post Stroke Aphasia (2020) · cites this paper as [26]
The Discussion describes web-based aphasia exercises accessible through an app on a portable tablet, supporting the treatment context. But the Methods (Assessment Instruments; page unavailable) says the study assessed functional communication and communicative confidence as well as language impairment. This paper therefore does not support the claim that outcomes were investigated only for language functions, or establish that most iPad-based studies did so. (LLM, conf=0.88)
Experimental — accuracy not yet measuredMost existing studies with VR-based cognitive rehabilitation focused on specific language domains such as word retrieval, sentence building, and language comprehension.
“Most of the existing studies with VR-based cognitive rehabilitation focused on specific language domains [25–28], such as word retrieval [18, 19, 43, 44, 46–48], sentence building [20, 21], and language comprehension [22].”
From Conversational Therapy through Semi-Immersive Virtual Reality Environments for Language Recovery and Psychological Well-Being in Post Stroke Aphasia (2020) · cites this paper as [26]
The Methods section (Independent On-line Therapy; page not supplied) describes TalkPath exercises in listening, speaking, reading, and writing, supporting the language-domain aspect. But the paper describes web- and iPad-based exercises combined with teletherapy, not VR-based rehabilitation, and does not establish that most existing studies focused on those domains. (LLM, conf=0.85)
Experimental — accuracy not yet measured
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- Authors
- Steele, R. D., Baird, A., McCall, D., & Haynes, L.
- ORCID
- Haynes, Lisa
- Venue
- International Journal of Telerehabilitation
- Publisher
- Hawaii Pacific University
- Published
- 2015-01-29
- Volume
- 6
- Issue
- 2
- Pages
- 3-20
- ISSN
- 1945-2020 (ISSN-L)
- PMC
- PMC4353001
- OpenAlex
- W1588595169
- Cited by
- 45
- References
- 38
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 6 · 2022: 2 · 2021: 6 · 2020: 6 · 2019: 7 · 2018: 4 · 2017: 5 · 2016: 2
- FWCI
- 3.93
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- International Journal of Telerehabilitation (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- International Journal of Telerehabilitation (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Keywords
- chronic aphasia, external beam radiotherapy, home-based therapy, speech therapy, telepractice, Western Aphasia Battery, treatment outcomes, user satisfaction, group therapy
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