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Aphasia is one of the most common and disabling disorders following stroke, in many cases resolving in long-term deficits. There is evidence that intensive aphasia therapy is effective for language recovery, even in the chronic phase post-stroke. However, as many patients are left with residual language disorders and intensive aphasia rehabilitation is difficult to achieve, the investigators are exploring tablet-based therapies to further facilitate language recovery in a cost-effective manner.
This study will investigate the clinical effects of intensive tablet-based aphasia therapy as an add-on to conventional aphasia therapy (= high intensive) compared to conventional aphasia therapy (either alone, or in combination with recreational tablet use (= low intensive) in patients with aphasia following stroke, as measured by specific linguistic tests, within task improvements, functional communication and quality of life.
Furthermore, the investigators want to learn more about the recovery of specific underlying language processes via event-related potentials (ERPs). At last, the investigators aim to explore whether patients with aphasia are satisfied with a tablet-based aphasia therapy, whether the app is user-friendly and which barriers the participants might have encountered.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| aphasia therapy + speech app | Experimental | 3 hours per week of conventional aphasia therapy during 3 weeks + 5 hours per week during 3 weeks independent practice via the speech app |
|
| aphasia therapy + brain games | Active Comparator | 3 hours per week of conventional aphasia therapy during 3 weeks + 5 hours per week during 3 weeks of recreational tables use (brain games) |
|
| aphasia therapy | Active Comparator | 3 hours per week of conventional aphasia therapy during 3 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| speech app | Device | language exercises provided by the speech therapist in hospital + independent practice of language exercises via a tablet and speech app |
|
| Measure | Description | Time Frame |
|---|---|---|
| Boston Naming Test (BNT) | Measure of word retrieval. Patients will have to name line drawings that gradually increase in difficulty | 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| Spontaneous speech of the Aachen Aphasia Test (AAT) | spontaneous speech is elicited and scored during a semi-standardized interview | 4 months |
| Quality of life (SAQOL-39-Nl) | a questionnaire investigating the health-related quality of life of patients following stroke |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Veerle De Herdt | University Ghent | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital, department of neurology | Ghent | 9000 | Belgium |
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| ID | Term |
|---|---|
| D001037 | Aphasia |
| D020521 | Stroke |
| ID | Term |
|---|---|
| D013064 | Speech Disorders |
| D007806 | Language Disorders |
| D003147 | Communication Disorders |
| D019954 | Neurobehavioral Manifestations |
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| brain games | Device | language exercises provided by the speech therapist in hospital + independent recreational tablet use via brain games |
|
| aphasia therapy | Behavioral | language exercises provided by the speech therapist in hospital |
|
| 4 months |
| Usability questionnaire | a self-prepared 5 point-Likert Scale concerning the usability of the app | 1 day |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |