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Aphasia, a communication disorder often resulting from him brain injury such as stroke, impacts an individual's ability to understand or produce language. It can manifest in various forms, such as difficulties with speaking, writing, reading, and comprehension, which severely impair daily functioning and quality of life. For adults with aphasia, regaining communication skills is often a critical aspect of rehabilitation, demanding a combination of therapeutic strategies.
The Promoting Aphasics' Communicative Effectiveness (PACE) technique is a widely recognized approach to improve communication in individuals with aphasia. Developed in the late 20th century, the PACE technique focuses on naturalistic communication, encouraging patients to utilize any available communicative means verbal or non-verbal to convey messages effectively. By simulating real-world conversational scenarios in therapy, PACE aims to enhance both expressive and receptive communication skills, thereby facilitating better interaction in social contexts. This approach is especially beneficial for individuals with severe expressive language impairments, as it emphasizes the overall success of communication rather than linguistic accuracy.
A descriptive experimental research design was followed in the present study to explore the effect of PACE technique in adults with Aphasia. The study will be conducted at DHQ Faisalabad. The Duration of study is relied on 16 sessions. Three sessions will be conducted per week and the duration of a session is about forty minutes. Sample size (N=16) (Control group =8, Experimental group=8). Patients who were identified with mile to moderate level of Aphasia are age of 45 to 65 years old. Group A will be an experimental group (who will receive both Conventional and Promoting Aphasic Communicative Effectiveness technique). Group B will be a controlled group (who will receive just Conventional Therapy). A randomized Clinical trial will employ to collect data from participants approach at DHQ Faisalabad.
This approach is especially beneficial for individuals with severe expressive language impairments, as it emphasizes the overall success of communication rather than linguistic accuracy. A descriptive experimental research design was followed in the present study to explore the effect of PACE technique in adults with Aphasia. The study will be conducted at DHQ Faisalabad. Sample size (N=16) (Control group =8, Experimental group=8). Patients who were identified with mild to moderate level of Aphasia are age of 45 to 65 years old. Group A will be an experimental group (who will receive both Conventional and Promoting Aphasic Communicative Effectiveness technique). Group B will be a controlled group (who will receive just Conventional Therapy). A randomized Clinical trial will employ to collect data from participants approach at DHQ Faisalabad.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| pace therapy | Experimental | In a clinical trial or intervention study, the number of arms refers to the different groups that receive specific types of treatment or intervention. Each "arm" represents a distinct study condition. Here are common types of arms in PACE (Promoting Aphasics' Communicative Effectiveness) intervention studies: 1. Experimental Arm (PACE Intervention) Participants receive PACE therapy, which encourages multimodal communication (speech, gestures, writing, drawing, etc.) in a conversational setting. The focus is on functional communication rather than perfect speech production. |
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| control group conventional therapy | Active Comparator | 2. Control Arm (Standard Therapy or No Treatment) Participants receive either traditional speech therapy (e.g., structured drills, naming tasks) or no treatment for comparison. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| experimental | Behavioral | Promoting Aphasics' Communicative Effectiveness (PACE) is a functional approach to aphasia intervention that emphasizes natural, interactive communication between the clinician and the individual with aphasia. Unlike traditional therapy, which often focuses on accuracy, PACE encourages any form of communication-verbal or non-verbal-such as gestures, drawing, writing, or using augmentative devices. The therapy is conducted in a conversational setting, where both participants exchange new information, ensuring the person with aphasia takes an active role in communication. By reducing pressure and promoting alternative communication strategies, PACE enhances confidence, encourages spontaneous language use, and helps individuals regain functional communication skills in real-life situations |
| Measure | Description | Time Frame |
|---|---|---|
| Mississippi Aphasia Screening Test | The Mississippi Aphasia Screening Test (MAST) is a brief and efficient tool designed to assess language abilities in individuals with aphasia, particularly those who have experienced a stroke or brain injury. It is a standardized screening test that evaluates various aspects of language function, including expressive and receptive abilities. The MAST consists of simple tasks such as naming, repetition, following commands, and verbal fluency, allowing clinicians to quickly identify language impairments. It is widely used due to its reliability, ease of administration, and effectiveness in detecting aphasia in both clinical and research setting | 6 to 8 weeks |
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Inclusion Criteria:
Age: Patients from age 45-65 years will be included in the study
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mehwish Ikhlaque, MS | Riphah International University, Lahore | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| District Headquarter | Faisalābad | Punjab Province | 38000 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38137755 | Background | Filipska-Blejder K, Zielinska J, Zielinski M, Wisniewski A, Slusarz R. How Does Aphasia Affect Quality of Life? Preliminary Reports. J Clin Med. 2023 Dec 14;12(24):7687. doi: 10.3390/jcm12247687. | |
| Background | Haakana M, Kurhila S, Lilja N, Savijärvi M. Kuka, mitä, häh? Korjausaloitteet suomalaisessa arkikeskustelussa [Other-initiation of repair in Finnish everyday conversation]. Virittäjä. 2024;120(2) |
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| ID | Term |
|---|---|
| D001039 | Aphasia, Broca |
| ID | Term |
|---|---|
| D001037 | Aphasia |
| D013064 | Speech Disorders |
| D007806 | Language Disorders |
| D003147 | Communication Disorders |
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| control group conventional therapy | Other | Control Arm (Standard Therapy or No Treatment) Participants receive either traditional speech therapy (e.g., structured drills, naming tasks) or no treatment for comparison. |
|
| D019954 |
| Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |