Constraint Induced Aphasia Therapy: Volunteer-led, unconstrained and less intense delivery can be effective

Lyndsey Nickels, Amanda Osborne

Research output: Contribution to journalArticleResearchpeer-review

Abstract

BACKGROUND: Constraint Induced Aphasia Therapy (CIAT) has been shown to be effective in the treatment of aphasia, but clinicians have expressed concern regarding how far CIAT is practical to implement in clinical practice. OBJECTIVE: To determine whether CIAT delivered in a less-intense, lower dose, reduced constraint and volunteer-led format could produce positive outcomes in people with chronic aphasia. METHODS: Two groups were run, each with two people with chronic aphasia. Treatment involved a standard CIAT card-exchange game, supplemented by a home activity. Spoken language was required for responses but alternative modalities of communication were also permitted. Each group was led by a trained volunteer, lasted 90 minutes and was delivered twice a week for four weeks. RESULTS: Three of the four participants showed significant improvements in target word retrieval following treatment. No significant improvements were observed for untreated stimuli or language tasks. Two participants showed increases in the elaboration of their responses, and the same two showed an increase in the frequency with which they engaged in communication activities. CONCLUSIONS: Clear gains in performance were observed for the majority of people with aphasia who participated in a less intense format, considerably lower dose and less constrained form of CIAT led by trained volunteers. This suggests that this 'clinically realistic' service delivery model for CIAT could be added to the clinical repertoire of speech pathologists.

LanguageEnglish
Pages97-109
Number of pages13
JournalNeuroRehabilitation
Volume39
Issue number1
DOIs
Publication statusPublished - 2016

Fingerprint

Aphasia
Volunteers
Therapeutics
Language
Communication

Keywords

  • Aphasia
  • constraint induced aphasia therapy
  • group treatment
  • rehabilitation
  • volunteer

Cite this

@article{9364d4b5842b4ea385997455825493e1,
title = "Constraint Induced Aphasia Therapy: Volunteer-led, unconstrained and less intense delivery can be effective",
abstract = "BACKGROUND: Constraint Induced Aphasia Therapy (CIAT) has been shown to be effective in the treatment of aphasia, but clinicians have expressed concern regarding how far CIAT is practical to implement in clinical practice. OBJECTIVE: To determine whether CIAT delivered in a less-intense, lower dose, reduced constraint and volunteer-led format could produce positive outcomes in people with chronic aphasia. METHODS: Two groups were run, each with two people with chronic aphasia. Treatment involved a standard CIAT card-exchange game, supplemented by a home activity. Spoken language was required for responses but alternative modalities of communication were also permitted. Each group was led by a trained volunteer, lasted 90 minutes and was delivered twice a week for four weeks. RESULTS: Three of the four participants showed significant improvements in target word retrieval following treatment. No significant improvements were observed for untreated stimuli or language tasks. Two participants showed increases in the elaboration of their responses, and the same two showed an increase in the frequency with which they engaged in communication activities. CONCLUSIONS: Clear gains in performance were observed for the majority of people with aphasia who participated in a less intense format, considerably lower dose and less constrained form of CIAT led by trained volunteers. This suggests that this 'clinically realistic' service delivery model for CIAT could be added to the clinical repertoire of speech pathologists.",
keywords = "Aphasia, constraint induced aphasia therapy, group treatment, rehabilitation, volunteer",
author = "Lyndsey Nickels and Amanda Osborne",
year = "2016",
doi = "10.3233/NRE-161341",
language = "English",
volume = "39",
pages = "97--109",
journal = "NeuroRehabilitation",
issn = "1053-8135",
publisher = "IOS Press",
number = "1",

}

Constraint Induced Aphasia Therapy : Volunteer-led, unconstrained and less intense delivery can be effective. / Nickels, Lyndsey; Osborne, Amanda.

In: NeuroRehabilitation, Vol. 39, No. 1, 2016, p. 97-109.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Constraint Induced Aphasia Therapy

T2 - NeuroRehabilitation

AU - Nickels, Lyndsey

AU - Osborne, Amanda

PY - 2016

Y1 - 2016

N2 - BACKGROUND: Constraint Induced Aphasia Therapy (CIAT) has been shown to be effective in the treatment of aphasia, but clinicians have expressed concern regarding how far CIAT is practical to implement in clinical practice. OBJECTIVE: To determine whether CIAT delivered in a less-intense, lower dose, reduced constraint and volunteer-led format could produce positive outcomes in people with chronic aphasia. METHODS: Two groups were run, each with two people with chronic aphasia. Treatment involved a standard CIAT card-exchange game, supplemented by a home activity. Spoken language was required for responses but alternative modalities of communication were also permitted. Each group was led by a trained volunteer, lasted 90 minutes and was delivered twice a week for four weeks. RESULTS: Three of the four participants showed significant improvements in target word retrieval following treatment. No significant improvements were observed for untreated stimuli or language tasks. Two participants showed increases in the elaboration of their responses, and the same two showed an increase in the frequency with which they engaged in communication activities. CONCLUSIONS: Clear gains in performance were observed for the majority of people with aphasia who participated in a less intense format, considerably lower dose and less constrained form of CIAT led by trained volunteers. This suggests that this 'clinically realistic' service delivery model for CIAT could be added to the clinical repertoire of speech pathologists.

AB - BACKGROUND: Constraint Induced Aphasia Therapy (CIAT) has been shown to be effective in the treatment of aphasia, but clinicians have expressed concern regarding how far CIAT is practical to implement in clinical practice. OBJECTIVE: To determine whether CIAT delivered in a less-intense, lower dose, reduced constraint and volunteer-led format could produce positive outcomes in people with chronic aphasia. METHODS: Two groups were run, each with two people with chronic aphasia. Treatment involved a standard CIAT card-exchange game, supplemented by a home activity. Spoken language was required for responses but alternative modalities of communication were also permitted. Each group was led by a trained volunteer, lasted 90 minutes and was delivered twice a week for four weeks. RESULTS: Three of the four participants showed significant improvements in target word retrieval following treatment. No significant improvements were observed for untreated stimuli or language tasks. Two participants showed increases in the elaboration of their responses, and the same two showed an increase in the frequency with which they engaged in communication activities. CONCLUSIONS: Clear gains in performance were observed for the majority of people with aphasia who participated in a less intense format, considerably lower dose and less constrained form of CIAT led by trained volunteers. This suggests that this 'clinically realistic' service delivery model for CIAT could be added to the clinical repertoire of speech pathologists.

KW - Aphasia

KW - constraint induced aphasia therapy

KW - group treatment

KW - rehabilitation

KW - volunteer

UR - http://www.scopus.com/inward/record.url?scp=84978516844&partnerID=8YFLogxK

UR - http://purl.org/au-research/grants/arc/FT120100102

U2 - 10.3233/NRE-161341

DO - 10.3233/NRE-161341

M3 - Article

VL - 39

SP - 97

EP - 109

JO - NeuroRehabilitation

JF - NeuroRehabilitation

SN - 1053-8135

IS - 1

ER -