Content » Vol 45, Issue 4

Original report

Communication activity in stroke patients with aphasia

Jean-Michel Mazaux, Tiphaine Lagadec, Mathieu Panchoa de Sèze, Drissa Zongo, Julien Asselineau, Emmanuelle Douce, Joel Trias, Marie-France Delair, Bénédicte Darrigrand
DOI: 10.2340/16501977-1122


Objective: To study communication disability in stroke patients with aphasia.
Patients and methods: Prospective, multicentric cohort study of patients with aphasia, consecutively included after a first stroke, and examined 1 year later at home. Assessment included a stroke severity scale, the Barthel Index, the Boston Diagnostic Aphasia Examination, a communication questionnaire, and the Aphasia Depression Rating Scale.
Results: A total of 164 patients were included. Among the 100 survivors assessed at follow-up, 24% had severe aphasia, 12% moderate aphasia and 64% mild aphasia according to the Boston Diagnostic Aphasia Examination severity score. Patients mainly reported difficulties in conversation with strangers and/or on abstract topics, using a phone, reading and writing administrative documents, dealing with money and outdoor communication activities. Communication was strongly related to aphasia severity. Age, gender, education level, residence status and type of stroke had no influence on communication activity. On multivariate analysis, severity of stroke and severity of aphasia on inclusion were found to account for 58% of variance and were independent predictors of the communication questionnaire score at follow-up.
Conclusion: Documenting the most impaired communication skills may help to set priority goals for speech and language therapy in aphasia.

Lay Abstract


Do you want to comment on this paper? The comments will show up here and if appropriate the comments will also separately be forwarded to the authors. You need to login/create an account to comment on articles. Click here to login/create an account.