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Evidensbaserad logopedisk intervention av grammatiska svårigheter och nedsatt diskursförmåga vid afasi: En systematisk kunskapsöversikt av behandlingsmetoder
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
2020 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Aphasia is defined as an acquired language impairment and is often caused by stroke. The impairment can affect the person in many ways depending on the severity, and lasting effects often have a negative impact on the persons participation and communication. Currently there are no national guidelines for aphasia following stroke containing named interventions. The purpose of our study is to compose an evidence-based summation of interventions for aphasia currently in use which specifically target grammatical and discourse impairment. A systematic literature search was conducted, and the included studies were assessed. This resulted in a summation of ten included interventions for treating grammatical and discourse impairment. Persistently, the studies were of poor quality, had a flawed design and had a low number of participants. The majority of the interventions were, in spite of the occasional substantial theoretical framework, considered to have insufficient evidence base. There is a need for more extensive, high-quality studies for speech-language pathologists to be able to carry out evidence-based therapy in accordance with the recently published national guidelines for stroke.

Abstract [sv]

Afasi definieras som en förvärvad språkstörning och orsakas vanligen av stroke. Språkliga funktioner hos den drabbade kan påverkas i olika grad, där svårigheter ofta kvarstår och påverkar personens delaktighet och kommunikationsförmåga. Det saknas kliniska riktlinjer för afasibehandling innehållande specifika metoder. Denna studie syftade till att sammanställa befintliga behandlingsmetoder för grammatiska svårigheter och nedsatt diskursförmåga i ett evidensbaserat kunskapsunderlag. En systematisk litteratursökning genomfördes och de inkluderade studierna evidensgranskades. Detta resulterade i en sammanställning av tio metoder för behandling av grammatiska svårigheter och diskurs. Genomgående sågs låg studiekvalitet, bristande studiedesign och lågt deltagarantal hos de inkluderade studierna. Majoriteten av behandlingsmetoderna bedömdes ha otillräcklig evidens, även där en omfattande teoretisk bakgrund fanns att tillgå. Behovet av mer omfattande studier med hög kvalitet är nödvändigt för att logopeden ska kunna arbeta evidensbaserat samt följa Socialstyrelsens nationella riktlinjer gällande strokevård.

Place, publisher, year, edition, pages
2020. , p. 65
Series
Magisterarbete i logopedi ; 177
Keywords [en]
aphasia, stroke, discourse, aphasia intervention, SLP, grammatical impairment
Keywords [sv]
afasi, stroke, diskurs, grammatiska svårigheter, behandlingsmetod, riktlinjer
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-401977OAI: oai:DiVA.org:uu-401977DiVA, id: diva2:1384639
Subject / course
Speech and Language Pathology
Educational program
Degree of Master of Science in Speech and Language Pathology
Supervisors
Examiners
Available from: 2020-01-10 Created: 2020-01-10 Last updated: 2020-01-10Bibliographically approved

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