Communication Therapy in Stroke Patients with Aphasia: A Narrative Review

Authors

  • Sally Syamima Universitas Padjadjaran
  • Urip Rahayu
  • Nur Oktavia Hidayati

Keywords:

aphasia, communication therapy, SLT, stroke patient

Abstract

Aims: Stroke is the number one cause of death in Indonesia. The stroke had some effects. One of the common complications is aphasia. Aphasia is a disorder of speaking, understanding what others said, and even the ability to read and write too. This can lead to communication problems in a stroke patient. Communication therapy is one of the most effective ways to treat aphasia.

Objective: The aim of this article is to find out the types of communication therapy for stroke patients who suffered with aphasia.

Methods: We conducted a review and collected the articles by searching several databases such as PubMed, Science Direct, and CINAHL. We also used search engines such as Google Scholar. After the articles are obtained, the articles will be sorted by keywords. The keywords used were stroke patient OR post-stroke AND communication therapy OR language therapy OR speech therapy AND aphasia OR aphasic. Then, the articles are sorted by inclusion and exclusion criteria. After obtaining appropriate articles, the articles were analyzed by using thematic analysis.

Results: The search resulted in 708 articles. After several selection steps, 23 articles were analyzed, and seven types of communication interventions were found that can be applied to stroke patients who suffered aphasia. 

Conclusion: The results of a review of all articles show that there are various types of communication therapy that can be given to stroke patients who experience aphasia. The therapy is grouped into 7 types of therapy, which include Constraint Induced Aphasia Therapy, Electronic-based therapy, Melodic Intonation Therapy, Intensive Therapy, Augmentative and Alternative Communication, Cognitive Therapy, and AIUEO.

Suggestion: Furthermore, researchers can conduct a systematic review related to which communication therapy is the most effective for treating aphasia, especially in stroke patients.

 

References

WHO. The Top 10 Causes of Death [Internet]. The top 10 causes of death. 2020. p. Consultado 23 de marzo de 2019. Available from: https://www.who.int/es/news-room/fact-sheets/detail/the-top-10-causes-of-death

Kemenkes RI. Stroke Dont Be The One. 2018;10.

Khedr EM, Abbass MA, Soliman RK, Zaki AF, Gamea A, El-Fetoh NA, et al. A hospital-based study of post-stroke aphasia: frequency, risk factors, and topographic representation. Egypt J Neurol Psychiatry Neurosurg. 2020;56(1):1–7.

American Heart Association. Effects of Aphasia.

Thiel A, Zumbansen A. The pathophysiology of post-stroke aphasia: A network approach. Restor Neurol Neurosci. 2016 Jun;34(4):507–18.

National Aphasia Association. Aphasia Statistic. 2016.

Wu C, Qin Y, Lin Z, Yi X, Wei X, Ruan Y, et al. Prevalence and Impact of Aphasia among Patients Admitted with Acute Ischemic Stroke. J stroke Cerebrovasc Dis Off J Natl Stroke Assoc. 2020 May;29(5):104764.

Purnomo AM, Sengkey LS, Damopolii CA. Angka kejadian afasia pada stroke di instalasi rehabilitasi medik RSUP Prof. Dr. RD Kandou Manado tahun 2015. e-CliniC. 2016;4(2).

Pallavi J, Perumal RC, Krupa M. Quality of communication life in individuals with Broca’s aphasia and normal individuals: A comparative study. Ann Indian Acad Neurol. 2018;21(4):285–9.

Bullier B, Cassoudesalle H, Villain M, Cogné M, Mollo C, De Gabory I, et al. New factors that affect quality of life in patients with aphasia. Ann Phys Rehabil Med. 2020;63(1):33–7.

Johansson MB, Carlsson M, Sonnander K. Communication difficulties and the use of communication strategies: from the perspective of individuals with aphasia. Int J Lang Commun Disord. 2012;47(2):144–55.

Johansson MB. Aphasia and Communication in Everyday Life. Digital Comprehensive Summaries of Uppsala Dissertations. 2012.

Brady MC, Kelly H, Godwin J, Enderby P, Campbell P. Speech and language therapy for aphasia following stroke. Cochrane database Syst Rev. 2016 Jun;2016(6):CD000425.

Ahtisham Y, Jacoline S. Integrating Nursing Theory and Process into Practice : Virginia’s Henderson Need Theory. In 2015.

The University of New Mexico. Importance of Communication in Nursing. 2016.

Kong AP-H, Chan KP-Y, Jagoe C. Systematic Review of Training Communication Partners of Chinese-speaking Persons With Aphasia. Arch Rehabil Res Clin Transl [Internet]. 2021;3(4):100152. Available from: https://www.sciencedirect.com/science/article/pii/S2590109521000628

Cacciante L, Kiper P, Martina G, Baldan F, Sara F, Turolla A, et al. Telerehabilitation for People with Aphasia: A Systematic Review and Meta-Analysis. J Commun Disord. 2021 May 1;92:106111.

Aveyard H. Doing a Literature Review in Health and Social Care: A Practical Guide [Internet]. Open University Press; 2014. Available from: https://books.google.co.id/books?id=qYdFBgAAQBAJ

Kristi Poerwandari E. Pendekatan kualitatif untuk penelitian perilaku manusia [Internet]. Depokhttps://www.aphasia.org/aphasia-resources/aphasia-statistics/#:~:text=INCIDENCE%20OF%20APHASIA&text=About%205%2C000%2C000%20people%20survived%20strokes,in%20the%20USA%20with%20aphasiahttps://www.aphasia.org/aphasia-resources/aphasia-statistics/#:~:te: LPSP3 Fakultas Psikologi Universitas Indonesia; 2007. Available from: https://opac.perpusnas.go.id/DetailOpac.aspx?id=910652#

Vuksanović J, Milovanović T, Konstantinović L, Filipović SR. Effect of type of language therapy on expressive language skills in patients with post‐stroke aphasia. Int J Lang Commun Disord. 2018 Jul;53(4):825–35.

Marshall J, Booth T, Devane N, Galliers J, Greenwood H, Hilari K, et al. Evaluating the Benefits of Aphasia Intervention Delivered in Virtual Reality: Results of a Quasi-Randomised Study. PLoS One. 2016;11(8):e0160381.

Benjamin Stahl, Mohr B, Büscher V, Dreyer FR, Lucchese G, Pulvermüller F. Efficacy of intensive aphasia therapy in patients with chronic stroke: a randomised controlled trial. J Neurol Neurosurg Psychiatr. 2017;89(6):586–92.

Rohma NM, Puspita D, Hidayati T. Pengaruh Melodic Intonation Therapy terhadap Kemampuan Fungsional Komunikasi pada Pasien Stroke dengan Afasia Motorik. Din Kesehat J KEBIDANAN DAN KEPERAWATAN. 2019;10(1):279–92.

Kurland J, Liu A, Stokes P. Effects of a Tablet-Based Home Practice Program With Telepractice on Treatment Outcomes in Chronic Aphasia. J Speech, Lang Hear Res. 2018 May;61(5):1140–56.

Conklyn D, Novak E, Boissy A, Bethoux F, Chemali K. The effects of modified melodic intonation therapy on nonfluent aphasia: Apilot study. J Speech, Lang Hear Res. 2012;55(5):1463–71.

Szaflarski JP, Ball AL, Vannest J, Dietz AR, Allendorfer JB, Martin AN, et al. Constraint-induced aphasia therapy for treatment of chronic post-stroke aphasia: A randomized, blinded, controlled pilot trial. Med Sci Monit. 2015;21:2861–9.

Martins IP, Leal G, Fonseca I, Farrajota L, Aguiar M, Fonseca J, et al. A randomized, rater-blinded, parallel trial of intensive speech therapy in sub-acute post-stroke aphasia: the SP-I-R-IT study. Int J Lang Commun Disord. 2013 Jul;48(4):421–31.

Amila A, Sitorus R, Herawati T. Pengaruh Augmentative and Alternative Communication terhadap Komunikasi dan Depresi Pasien Afasia Motorik. J Keperawatan Padjadjaran. 2013;1(3).

Palmer R, Dimairo M, Cooper C, Enderby P, Brady M, Bowen A, et al. Self-managed, computerised speech and language therapy for patients with chronic aphasia post-stroke compared with usual care or attention control (Big CACTUS): a multicentre, single-blinded, randomised controlled trial. Lancet Neurol. 2019 Sep;18(9):821–33.

Stahl B, Mohr B, Dreyer FR, Lucchese G, Pulvermüller F. Using language for social interaction: Communication mechanisms promote recovery from chronic non-fluent aphasia. Cortex. 2016;85:90–9.

Akabogu J, Nnamani A, Otu MS, Ukoha E, Uloh-Bethels AC, Obiezu MN, et al. Efficacy of cognitive behavior language therapy for aphasia following stroke: Implications for language education research. Medicine (Baltimore). 2019 May;98(18):e15305.

Kurland J, Stanek III EJ, Stokes P, Li M, Andrianopoulos M. Intensive Language Action Therapy in Chronic Aphasia: A Randomized Clinical Trial Examining Guidance by Constraint. Am J Speech-Language Pathol. 2016 Dec;25:798–812.

Bowen A, Hesketh A, Patchick E, Young A, Davies L, Vail A, et al. Effectiveness of enhanced communication therapy in the first four months after stroke for aphasia and dysarthria: a randomised controlled trial. BMJ. 2012 Jul;345:e4407.

Breitenstein C, Grewe T, Flöel A, Ziegler W, Springer L, Martus P, et al. Intensive speech and language therapy in patients with chronic aphasia after stroke: a randomised, open-label, blinded-endpoint, controlled trial in a health-care setting. Lancet. 2017;389(10078):1528–38.

Höeg Dembrower KE, von Heijne A, Laska AC, Laurencikas E. Patients with aphasia and an infarct in Wernicke’s area benefit from early intensive speech and language therapy. Aphasiology. 2017;31(1):122–8.

De Jong-Hagelstein M, Van De Sandt-Koenderman WME, Prins ND, Dippel DWJ, Koudstaal PJ, Visch-Brink EG. Efficacy of early cognitive-linguistic treatment and communicative treatment in aphasia after stroke: A randomised controlled trial (RATS-2). J Neurol Neurosurg Psychiatry. 2011;82(4):399–404.

Prihatin LW, Kristiyawati SP, SN MSA. PERBEDAAN EFEKTIVITAS TERAPI AIUEO DAN MELODIC INTONATION THERAPY (MIT) TERHADAP WAKTU KEMAMPUAN BICARA PADA PASIEN STROKE DENGAN AFASIA MOTORIK DI RUMAH SAKIT PANTI WILASA CITARUM SEMARANG. Karya Ilm. 2017;6(1).

Haryanto GDA, Setyawan D, Kusuma MAB. Pengaruh Terapi AIUEO terhadap kemampuan bicara pada pasien stroke yang mengalami afasia motorik di RSUD Tugurejo Semarang. Karya Ilm. 2014;

Puspitasari D. PENGARUH TERAPI AIUEO TERHADAP KEMAMPUAN KOMUNIKASI PADA AFASIA MOTORIK PASIEN PASCA STROKE DI KOTA PONTIANAK. J ProNers. 2017;3(1).

Sofiatun I, Kristiyawati SP, Purnomo SEC. Efektifitas Terapi AIUEO dan Terapi The Token Test terhadap Kemampuan Berbicara Pasien Stroke yang Mengalami Afasia Motorik di RS Mardi Rahayu Kudus. J Ilmu Keperawatan dan Kebidanan. 2016;8(2).

Wahyu A, Wati L, Fajri M. Pengaruh Terapi AIUEO terhadap Kemampuan Bicara Pasien Stroke yang Mengalami Afasia Motorik. J Telenursing. 2019;1(2):226–35.

Astriani NMDY, Dewi PIS, Heri M, Widiari NKE. Terapi AIUEO terhadap Kemampuan Berbicara (Afasia Motorik) pada Pasien Stroke. J Telenursing. 2019;1(2):396–405.

Johnson RK, Hough MS, King KA, Vos P, Jeffs T. Functional communication in individuals with chronic severe aphasia using augmentative communication. Augment Altern Commun. 2008 Dec;24(4):269–80.

Gunawan. Buku Artikulasi. 2008.

Additional Files

Published

2022-04-30

How to Cite

Syamima, S., Rahayu, U., & Hidayati, N. O. (2022). Communication Therapy in Stroke Patients with Aphasia: A Narrative Review . Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 8(2). Retrieved from https://journal.stikep-ppnijabar.ac.id/index.php/jkk/article/view/282