People with aphasia less than one month post onset could have access to intensive aphasia rehabilitation if they can tolerate it.
Reference: Godecke et al., 2014; Godecke, Hird, Lalor, Rai, & Phillips, 2012
NHMRC level of Evidence: II
Rationale: Research has shown that people with mild to severe aphasia who can interact for up to 30 minutes at day-14 post stroke benefit from daily aphasia therapy when it is provided at 45-60 minutes per day for 20 sessions. The total amount of therapy equates to between 15-20 hours of therapy within the first 4-5 weeks post-stroke.
After controlling for initial aphasia and stroke severity, people with aphasia who received the above therapy regimen achieved 18% greater recovery than those who received standard care on the Aphasia Quotient score of the Western Aphasia Battery at therapy completion. This therapeutic benefit was maintained at six months post-stroke, indicating a significant improvement in communication recovery over and above what is expected of spontaneous recovery and usual ward-based aphasia therapy. (Godecke et al., 2014; Godecke, Hird, Lalor, Rai, & Phillips, 2012).
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Professor Linda Worrall