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Korkalainen J, McCabe P, Smidt A, Morgan C. The Effectiveness of Rapid Syllable Transition Treatment in Improving Communication in Children with Cerebral Palsy: A Randomized Controlled Trial. Dev Neurorehabil 2023; 26:309-319. [PMID: 37401894 DOI: 10.1080/17518423.2023.2218485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 04/21/2023] [Accepted: 05/23/2023] [Indexed: 07/05/2023]
Abstract
Cerebral palsy (CP) is a movement disorder and majority of children with CP have communication impairments which impact participation with this population. Rapid Syllable Transition Treatment (ReST) is a motor speech intervention primarily for children with Childhood Apraxia of Speech (CAS). A recent pilot study in which ReST was trialed with children with CP showed improved speech performance. Therefore, a single blind randomized controlled trial to compare ReST to usual care with 14 children with moderate-to-severe CP and dysarthria was conducted. ReST was provided on telehealth. ANCOVA with 95% confidence intervals indicated significant group differences in favor of ReST in speech accuracy (F = 5.1, p = .001), intelligibility (F = 2.8, p = .02) and communicative participation on both the FOCUS (F = 2, p = .02) and Intelligibility in Context Scale (F = 2.4, p = .04). ReST was found to be more effective than usual care.
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Affiliation(s)
| | | | - Andy Smidt
- The University of Sydney, Camperdown, Sydney, Australia
| | - Catherine Morgan
- The University of Sydney, Cerebral Palsy Alliance Research Institute, Brain Mind Centre, Camperdown, Sydney, Australia
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Afshangian F, Wellington J, Pashmoforoosh R, Farzadfard MT, Noori NK, Jaberi AR, Ostovan VR, Soltani A, Safari H, Abolhasani Foroughi A, Resid Onen M, Montemurro N, Chaurasia B, Akgul E, Freddi T, Ermis A, Amirifard H, Habibi SAH, Manzarinezad M, Bozkurt I, Yagmurlu K, Sirjani EB, Wagner AP. The impact of visual and motor skills on ideational apraxia and transcortical sensory aphasia. Appl Neuropsychol Adult 2023:1-11. [PMID: 37134206 DOI: 10.1080/23279095.2023.2204527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
BACKGROUND Patients with extensive left hemisphere damage frequently have ideational apraxia (IA) and transcortical sensory aphasia (TSA). Difficulty with action coordination, phonological processing, and complex motor planning may not be indicative of higher-order motor programming or higher-order complex formation. We report on the effects of IA and TSA on the visual and motor skill of stroke patients. PURPOSE The study aims to address the question of whether IA and TSA in bilingual individuals are the results of an error of motor function alone or due to a combined motor plus and cognitive dysfunction effect. METHOD Twelve bilingual patients (seven males, and five females) were diagnosed with IA and TSA, and are divided into two groups of six patients. Then, 12 healthy bilingual controls were evaluated for comparing with both groups. Bilingual aphasia testing (BAT) and appropriate behavioral evaluation were used to assess motor skills, including coordination, visual-motor testing, and phonological processing. RESULTS Findings (pointing skills) show that the performance of the L1 and L2 languages are consistently significant (p < 0.001) in healthy individuals compared to the IA and TSA groups. Command skills for L1 and L2 languages were significantly higher in healthy individuals compared to IA and TSA controls (p < 0.001). Further, the orthographic skills of IA and TSA vs controls in both groups were significantly reduced (p < 0.01). Visual skills in the L1 language were significantly improved (p < 0.05) in IA and TSA patients compared to healthy controls after 2 months. Unlike orthographic skills which were improved in IA and TSA patients, languages in bilingual patients did not simultaneously improve. CONCLUSION Dyspraxia is a condition that affects both motor and visual cognitive functions, and patients who have it often have less referred motor skills. The current dataset shows that accurate visual cognition requires both cognitive-linguistic and sensory-motor processes. Motor issues should be highlighted, and skills and functionality should be reinforced along with the significance of treatment between IA and TSA corresponding to age and education. This can be a good indicator for treating semantic disorders.
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Affiliation(s)
- Fazlallah Afshangian
- Department of English, Faculty of Foreign Languages, Rodaki Institute of Higher Education, Tonekabon, Iran
| | - Jack Wellington
- Cardiff University School of Medicine, Cardiff University, Cardiff, UK
| | | | | | | | | | - Vahid Reza Ostovan
- Department of Neurology, Shiraz University of Medical Science, Shiraz, Iran
| | - Ahmad Soltani
- Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Hosein Safari
- Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran
| | - Amin Abolhasani Foroughi
- Department of Radiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
- iMedical Imaging Research Center , Shiraz University of Medical Sciences , Shiraz , Iran
| | | | - Nicola Montemurro
- Azienda Ospedaliera Universitaria Pisana (AOUP), University of Pisa, Pisa, Italy
| | | | - Erol Akgul
- Radiology Department, International School of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Tomas Freddi
- Radiology, Faculty of Medicine, Sao Paulo University, Sao Paulo, Brazil
| | - Abdulkadir Ermis
- Department of Neurology, School of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Hamed Amirifard
- Department of Neurology, Tehran University of Medical Sciences, Tehran, Iran
| | | | | | - Ismail Bozkurt
- Department of Neurosurgery, Medical Park Ankara Hospital, Ankara, Turkey
| | - Kaan Yagmurlu
- Department of Neuroscience, University Virginia Health System, Charlottesville, VA, USA
| | - Ehsan Baradran Sirjani
- Research Development Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Aurel Popa Wagner
- Center for Clinical and Experimental Medicine, University of Medicine and Pharmacy, Craiova, Romania
- Dementia and Ageing Research, Department of Neurology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany
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