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Dysarthria following stroke-the patient's perspective on management and rehabilitation

Brady, Marian C. ; Clark, Alexander M.; Dickson, Sylvia; Paton, Gillian and Barbour, Rosaline S. (2011). Dysarthria following stroke-the patient's perspective on management and rehabilitation. Clinical Rehabilitation, 25(10) pp. 935–952.

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DOI (Digital Object Identifier) Link: http://dx.doi.org/10.1177/0269215511405079
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Abstract

Objective: To explore the perceptions of people with stroke-related dysarthria in relation to the management and rehabilitation of dysarthria.

Design: Qualitative semi-structured interviews.

Setting: Community setting

Subjects: Twenty-four people with an acquired dysarthria as a result of a stroke in the previous three years. All were living at home at the time of the interview. None exhibited a co-existing impairment (for example, aphasia, apraxia or cognitive impairment) that might have contributed to their communicative experiences.

Results: Participants described the considerable efforts they made to maximize their communicative effectiveness prior to, and during, communicative interactions. Activities described included careful articulation and vocal projection as well as more inconspicuous strategies including pre-planning interactions, focused, effortful speech and word substitution. Communication was facilitated by a range of strategies including drafting, rehearsal, manoeuvring and ongoing monitoring and repair. Self-led speech rehabilitation activities were functionally based and often undertaken regularly. Some novel reading-aloud and speaking-aloud activities were described.

Conclusion: The quantity and nature of inconspicuous, internalized, cognitive activities people with dysarthria engage in to maximize their communicative effectiveness should be considered in evaluating the impact of dysarthria following stroke. Focusing upon externally observable characteristics alone is insufficient. Challenging, functionally relevant, patient-focused activities, materials and targets are more likely to be perceived by the patient as relevant and worthwhile and are thus more likely to ensure adherence to recommended rehabilitation activities.

Item Type: Journal Article
Copyright Holders: 2011 The Authors
ISSN: 1477-0873
Project Funding Details:
Funded Project NameProject IDFunding Body
Not SetNot Set2011 Scottish Chief Scientist's Office
Keywords: dysarthria; communication; stroke; rehabilitation; qualitative study
Academic Unit/Department: Health and Social Care
Item ID: 30084
Depositing User: Rosaline Barbour
Date Deposited: 17 Nov 2011 10:18
Last Modified: 22 Aug 2014 00:33
URI: http://oro.open.ac.uk/id/eprint/30084
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