The Effect of Intensive Home Based Speech Pathology Intervention on Speech, Swallowing and Quality of Life for Stroke Survivors.

Stroke survivors with intensive therapy delivered by an assistant, compared to treatment as usual by a speech pathologist show gains in quality of life and oral motor performance.

Status

Completed

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12610000980033

Enrollment

Registered

2010-11-12

Start date

2010-09-15

Completion date

Unknown

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Communication and swallowing difficulties are a common sequelae for people who have suffered a stroke. These difficulties can affect interpersonal relationships, self image and community reintegration. This project is designed to evaluate the effect of a treatment program on the speech, swallowing and quality of life of stroke survivors when delivered by a therapy assistant in a home based setting. The intensive treatment program will include education, behavioural intervention and oral motor rehabilitation, with functional speech or swallowing practice. It is anticipated that patients who have intensive treatment will achieve improved outcomes in swallowing status and speech intelligibility as well as self-confidence and independence. Stroke survivor details will be collected and analysed with frequency of treatment and home practice to determine any barriers to treatment delivery and ability to practice on their own.

Interventions

Individual treatment package delivered by a therapy assistant focusing on oral motor rehabilitation, behavioural techniques and education with functional (home and community) practice. Treatment is offered daily - up to one hour of therapy as tolerated by the patient. They are offered a maximum of 15 sessions of therapy over 3 weeks. Patient records all their home practice.

Study design

Allocation

Randomised controlled trial

Intervention model

Parallel

Primary purpose

Treatment

Masking

Open (masking not used)

Eligibility

Sex/Gender

All

Age

18 Years to 110 Years

Healthy volunteers

Inclusion criteria

New diagnosis of stroke with a diagnosis of dysarthria, oral dysphagia and/or oral/verbal dyspraxia. General Royal Perth Hospital Rehabilitation in the Home acceptance criteria

Exclusion criteria

Pre-stroke dementia Severe oral/verbal dyspraxia and unable to vocalise Severe dysphasia

Outcome results