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CURRENT ISSUEEUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events

Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063

Frequency: Bi-Monthly

ISSN 1973-9087

Online ISSN 1973-9095

 

European Journal of Physical and Rehabilitation Medicine 2011 March;47(1):101-21

NEUROPSYCHOLOGICAL REHABILITATION CONSENSUS CONFERENCE 

Treatment efficacy of language and calculation disorders and speech apraxia: a review of the literature

Basso A. 1, Cattaneo S. 1, Girelli L. 2, Luzzatti C. 2, Miozzo A. 3, Modena L. 4, Monti A. 5

1 Institute of Neurological Sciences, Milan University, Milan, Italy;
2 Department of Psychology, Milano Bicocca University, Milan, Italy;
3 Neurological Clinic, Brescia University, Brescia, Italy;
4 Azienda Ospedaliero-Universitaria S. Orsola-Malpighi Bologna, Italy;
5 Centro Interdipartimentale Mente/Cervello (CIMeC) Università degli Studi di Trento, Trento, Italy

The aim of the study was to evaluate the efficacy of the treatment for language and calculation disorders and for speech apraxia in vascular subjects. Only therapeutic methods that could be qualified as neuropsychological were taken into account. For language disorders, we searched the pertinent literature published from 1950 to August 31, 2007 by means of electronic data banks and we took into consideration the Cochrane review, and papers in Cicerone et al. and Cappa et al. systematic reviews. For acalculia we examined the literature from 1980 by carrying out research on electronic data banks; for speech apraxia, studies emerged from a search of PUBMED. Aphasia therapy has been clearly demonstrated efficacious in groups of subjects if sufficiently prolonged/intensive. Treatment for specific disorders (words and sentences processing, reading, writing) studied in series of single patients, though always efficacious, reaches a lower level of recommendation due to the lack of RCT. Only a few studies tackled the problem of efficacy in case of speech apraxia and calculation disorders. Results are positive but data are scanty. Efficacy of aphasia therapy seems well established in group of subjects and well-promising for speech apraxia and calculation disorders. It is suggested, however, that the term “aphasia” covers widely different impairments and that RCT are not the best instrument to evaluate efficacy; the importance of chronicity is underlined.

language: English


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