Characterizing speech and language pathology outcomes in stroke rehabilitation.

Publication/Presentation Date

12-1-2005

Abstract

UNLABELLED: Hatfield B, Millet D, Coles J, Gassaway J, Conroy B, Smout RJ. Characterizing speech and language pathology outcomes in stroke rehabilitation.

OBJECTIVES: To describe a subset of speech-language pathology (SLP) patients in the Post-Stroke Rehabilitation Outcomes Project and to examine outcomes for patients with low admission FIM levels of auditory comprehension and verbal expression.

DESIGN: Observational cohort study.

SETTING: Five inpatient rehabilitation hospitals.

PARTICIPANTS: Patients (N=397) receiving post-stroke SLP with admission FIM cognitive components at levels 1 through 5.

INTERVENTIONS: Not applicable.

MAIN OUTCOME MEASURE: Increase in comprehension and expression FIM scores from admission to discharge.

RESULTS: Cognitively and linguistically complex SLP activities (problem-solving and executive functioning skills) were associated with greater likelihood of success in low- to mid-level functioning communicators in the acute post-stroke rehabilitation period.

CONCLUSIONS: The results challenge common clinical practice by suggesting that use of high-level cognitively and linguistically complex SLP activities early in a patient's stay may result in more efficient practice and better outcomes regardless of the patient's functional communication severity level on admission.

Volume

86

Issue

12 Suppl 2

First Page

61

Last Page

61

ISSN

0003-9993

Disciplines

Medicine and Health Sciences

PubMedID

16373141

Department(s)

Department of Medicine

Document Type

Article

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