Patterns of Recovery From Aphasia in the First 2 Weeks After Stroke Article Swipe
Stephen M. Wilson
,
Dana K. Eriksson
,
Temre H. Brandt
,
Sarah M. Schneck
,
Jillian M. Lucanie
,
Annie S. Burchfield
,
Sara Charney
,
Ian A. Quillen
,
Michael de Riesthal
,
Howard S. Kirshner
,
Pélagie M. Beeson
,
Leslie Ritter
,
Chelsea S. Kidwell
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1044/2018_jslhr-l-18-0254
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1044/2018_jslhr-l-18-0254
Purpose Recovery from aphasia after stroke has a decelerating trajectory, with the greatest gains taking place early and the slope of change decreasing over time. Despite its importance, little is known regarding evolution of language function in the early postonset period. The goal of this study was to characterize the dynamics and nature of recovery of language function in the acute and early subacute phases of stroke. Method Twenty-one patients with aphasia were evaluated every 2–3 days for the first 15 days after onset of acute ischemic or hemorrhagic stroke. Language function was assessed at each time point with the Quick Aphasia Battery (Wilson, Eriksson, Schneck, & Lucanie, 2018), which yields an overall summary score and a multidimensional profile of 7 different language domains. Results On a 10-point scale, overall language function improved by a mean of 1.07 points per week, confidence interval [0.46, 1.71], with 19 of 21 patients showing positive changes. The trajectory of recovery was approximately linear over this time period. There was significant variability across patients, and patients with more impaired language function at Day 2 poststroke experienced greater improvements over the subsequent 2 weeks. Patterns of recovery differed across language domains, with consistent improvements in word finding, grammatical construction, repetition, and reading, but less consistent improvements in word comprehension and sentence comprehension. Conclusion Overall language function typically improves substantially and steadily during the first 2 weeks after stroke, driven mostly by recovery of expressive language. Information on the trajectory of early recovery will increase the accuracy of prognoses and establish baseline expectations against which to evaluate the efficacy of interventions. Supplemental Material https://doi.org/10.23641/asha.7811876
Related Topics
Concepts
Aphasia
Stroke (engine)
Spontaneous recovery
Sentence
Comprehension
Language function
Psychology
Audiology
Stroke recovery
Cognitive psychology
Physical medicine and rehabilitation
Medicine
Rehabilitation
Physical therapy
Linguistics
Computer science
Natural language processing
Mechanical engineering
Engineering
Philosophy
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1044/2018_jslhr-l-18-0254
- OA Status
- green
- Cited By
- 32
- References
- 49
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2922420198
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2922420198Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1044/2018_jslhr-l-18-0254Digital Object Identifier
- Title
-
Patterns of Recovery From Aphasia in the First 2 Weeks After StrokeWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-03-12Full publication date if available
- Authors
-
Stephen M. Wilson, Dana K. Eriksson, Temre H. Brandt, Sarah M. Schneck, Jillian M. Lucanie, Annie S. Burchfield, Sara Charney, Ian A. Quillen, Michael de Riesthal, Howard S. Kirshner, Pélagie M. Beeson, Leslie Ritter, Chelsea S. KidwellList of authors in order
- Landing page
-
https://doi.org/10.1044/2018_jslhr-l-18-0254Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.ncbi.nlm.nih.gov/pmc/articles/6802900Direct OA link when available
- Concepts
-
Aphasia, Stroke (engine), Spontaneous recovery, Sentence, Comprehension, Language function, Psychology, Audiology, Stroke recovery, Cognitive psychology, Physical medicine and rehabilitation, Medicine, Rehabilitation, Physical therapy, Linguistics, Computer science, Natural language processing, Mechanical engineering, Engineering, PhilosophyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
32Total citation count in OpenAlex
- Citations by year (recent)
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2025: 7, 2024: 5, 2023: 7, 2022: 5, 2021: 4Per-year citation counts (last 5 years)
- References (count)
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49Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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