'Listen-In' therapy app Improves speech in chronic aphasia: Neurology
In a recent development, researchers have suggested that Individuals with chronic aphasia can improve their spoken word comprehension many years after stroke. The interesting findings of the study has been put forth in Neurology.
Auditory spoken language comprehension impairments are common in individuals with aphasia, and for many, these remain chronic. Those with severe spoken language comprehension impairments have worse outcomes and higher drop-out rates from rehabilitation programmes. Developing effective evidence-based therapies for such impairments is a priority.
The efficacy of spoken language comprehension therapies for persons with aphasia remains equivocal. With such background, researchers aimed to investigate the efficacy of a self-led therapy app, 'Listen-In', and examined the relation between brain structure and therapy response.
As for the study design, A cross-over randomised repeated measures trial with five testing time points (12-week intervals), conducted at the university or participants' homes, captured baseline (T1), therapy (T2-T4) and maintenance (T5) effects. Participants with chronic poststroke aphasia and spoken language comprehension impairments completed consecutive Listen-In and standard care blocks (both 12 weeks with order randomised). Repeated measures analyses of variance compared change in spoken language comprehension on two co-primary outcomes over therapy versus standard care. Three structural MRI scans (T2-T4) for each participant (subgroup, n=25) were analysed using cross-sectional and longitudinal voxel-based morphometry.
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