At present there is limited understanding of the factors which indicate the degree of natural recovery from aphasia following stroke.
An understanding of which individuals with aphasia are likely to respond well to rehabilitation and which people are more likely to benefit from a communication management approach is lacking. Combining pre-existing datasets would permit investigation and analyses of these issues.
Systematic review of the factors predicting language recovery in individuals with post-stroke aphasia
The main aim is to identify the most influential factors that affect language recovery in individuals suffering from aphasia taking into consideration interdisciplinary approaches.
REhabilitation and recovery of peopLE with Aphasia after StrokE (RELEASE)
Background: Aphasia, a language problem associated with stroke-related damage to the brain, occurs in approximately 50,600 people in the UK every year. People with aphasia have difficulty speaking, understanding speech, reading and writing. Speech and language therapy for aphasia after stroke has benefit. However, therapists need better information to inform their choice of the best treatment option for specific patients. Therapy could be even more effective if it could be tailored to individual patients’ needs. Therapists often asked to advise on recovery, have little high quality information to support them in providing such guidance.
Aim: This study aims to explore the contribution the characteristics of therapy, the individuals themselves, their stroke and aphasia makes to their rehabilitation and prognosis.
Benefits: A recent James Lind Alliance partnership between stroke survivors, carers and healthcare professionals listed aphasia twice in the ‘top 10’ research priorities for life after stroke. A better understanding of what makes aphasia rehabilitation work, would allow treatments to be tailored to specific individuals resulting in more effective and efficient therapy.
Research Activities: We are gathering pre-existing data from clinical trials and studies of aphasia treatments after stroke. We are pooling these data in a large database and use them to answer new research questions about aphasia. This is a highly efficient method to explore our research questions (the high quality data has already been collected). We are bringing these separate databases together to allow us to generate new information about aphasia after stroke and identify future research questions. This will offer benefit, inform our understanding of what kind of patients we should be approaching to participate in our study, and when.
Outcomes: We will produce information on:
International Population Registry of AphasIa after StrokE (I-PRAISE)
Those with aphasia who are included in RCTs represent only a small proportion of those who are affected by post-stroke aphasia in the wider clinical population. the evidence base for therapy which is generated from these participants may not be applicable to all of those with aphasia who are typically seen in clinics and hospitals. We seek to address gaps in knowledge by examining recovery and service provision for aphasia across Europe.
1. Describe the clinical aphasia population across Europe
2. Describe the clinical treatments for aphasia after stroke in the general population across Europe
3. Examine the outcomes after clinical intervention for aphasia, across different countries
Aphasia telerehabilitation early post stroke [PhD Fellowship]
Funder: Regional Health Trust South East Norway, full time grant for equivalent of 3 years FTE. Start: 1st Aug 2015 End 31st July 2019 (over 4 years)
Transforming access to cost effective aphasia services: the Australian Aphasia Centre for Research Excellence
Funder: Australian Government National Health and Medical Research Council. Submission Jan 2016