Aphasia, Stroke, Ischemic
Conditions
Brief summary
Virtual reality-based aphasia rehabilitation has been shown to improve the language skills of individuals with aphasia in the chronic period after stroke. However, non-immersive or semi-immersive rehabilitation methods have often been adopted in the studies. Considering the importance of the visual given to the patient for naming, it can be thought that full immersive therapy may be more effective. Therefore, the aim of this study was to investigate the effect of cue-based aphasia naming therapy in a fully immersive virtual reality environment on aphasia severity and aphasia-related quality of life and to compare it with standard cue treatments.
Interventions
Treatment applied with virtual reality headsets to provide 3d visual and auditory cues to individuals in a virtual environment. A treatment environment where the provision of cues can be controlled by the therapist, interacting with 3d clues and receiving feedback on the accuracy of the named objects.
Treatment involving the assessment of language skills and the presentation of communication strategies to the individual, including the use of personalized phonological cues.
Sponsors
Study design
Intervention model description
two groups with a conventional control group
Eligibility
Inclusion criteria
* Diagnosed with non-fluent aphasia by a neurologist * at least 4 months after stroke * A score of 29 and above on the language score sub-item of the GAT scale
Exclusion criteria
* severe sensory impairments (vision, hearing) that prevent participation in therapies * severe motor dysfunction * apraxia * neglect * dementia * psychiatric disorders * 3D vision problems
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gülhane Aphasia Test | through study completion, an average of 1 year | Gülhane Aphasia Test-2 (GAT-2) was used to assess aphasia severity. GAT-2 is a valid and reliable test developed by Maviş et al. to evaluate aphasia and to obtain information about motor speech disorders such as dysarthria and apraxia that may accompany aphasia. The GAT-2 consists of 7 subsections: speech fluency, listening comprehension, reading comprehension, oral-motor evaluation, automatic speech, repetition and naming. A maximum total score of 82 can be obtained and higher scores are associated with better speech function. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stroke and Aphasia Quality of Life Scale-39 (SAQOL-39) | through study completion, an average of 1 year | It is a 39-item valid and reliable scale used to assess quality of life in individuals with aphasia, which examines 4 sub-headings: physical, psychosocial, communication and energy. In 21 items of the scale, the difficulties experienced by individuals with aphasia in their activities in the last week are evaluated, and in the other 18 items, the emotional reactions and possible problems experienced by individuals in the last week are questioned. |
Countries
Turkey (Türkiye)