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Published on: July 2, 2013
Characterizing speech and language pathology outcomes in stroke rehabilitation
Brooke Hatfield1, Deborah Millet, Janice Coles
1National Rehabilitation Hospital, Washington, DC 20010, USA. brooke.hatfield@medstar.net
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.
