Actively Recruiting

Phase Not Applicable
Age: 18Years - 75Years
All Genders
ID04604444

Evaluating the Effects of Intensive Speech and Language Rehabilitation Regarding Neuroplasticity, Speech, Language, Communication Skills and Quality of Life for People With Acquired Aphasia and/or Apraxia of Speech in the Chronic Phase

Led by Karolinska Institutet · Updated on 2024-10-31

30

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

Sponsors

K

Karolinska Institutet

Lead Sponsor

U

University of Malaga

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are investigating the short- and long-term effects of an intensive speech-language pathology program combined with physiotherapy on aphasia and apraxia of speech (AOS) in thirty people with chronic stroke. The study aims to assess changes in speech, language, communication, and brain structure and function using standardized speech-language tests and advanced brain imaging methods like voxel-based morphometry and resting state functional connectivity. The goal is to understand how intensive rehabilitation affects neuroplasticity and daily communication abilities in people with these chronic conditions. Participants receive a Multimodal Intensive Rehabilitation program for Aphasia and Apraxia of Speech (MIRAA), an intensive comprehensive aphasia program that includes at least three hours of speech-language training daily over ten days, alongside physical therapy. The therapy is individualized based on participant goals set with a team of speech-language pathologists, physiotherapists, and neurologists. The program features individual therapy, group sessions, and computer-based activities, and includes education for participants and their families about communication and neuroplasticity. During the study, speech-language pathologists conduct evaluations before treatment, immediately after, and again about 16 weeks later, using various speech and communication tests recorded on video and audio for detailed analysis. Brain changes are monitored through imaging techniques focused on language and cognitive processing areas. Researchers measure improvements in language, speech motor planning, communication participation, and quality of life. The total participation duration includes intensive treatment plus follow-up assessments to track lasting effects.

CONDITIONS

Brief Title

Changes in Neuroplasticity Following Intensive Rehabilitation of Aphasia and/or Apraxia of Speech

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18 to 75 years
  • Diagnosed with aphasia at least 7 months after stroke by a speech-language pathologist
  • Diagnosed with apraxia of speech at least 7 months after stroke by a speech-language pathologist
Not Eligible

You will not qualify if you...

  • Diagnosis of dementia
  • Severe loss of sight
  • Severe loss of hearing
  • Presence of metal implants preventing MRI scans
  • Claustrophobia preventing MRI scans

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Intensive Rehabilitation Treatment

Duration - 10 days

Participants undergo an intensive speech and language rehabilitation program with additional physiotherapy, focusing on speech, language function, and communicative activity and participation. The program consists of 10 days of training with at least 3 hours of speech-language therapy each day, including individual treatment, group therapy, and computer-based therapy.

10 consecutive daily visits (in-person)

Follow-up Assessments

Duration - Approximately 16 weeks after treatment

Participants complete follow-up testing of speech-language, communication, and quality of life approximately 16 weeks after the intensive rehabilitation program to evaluate lasting effects of treatment.

1 follow-up visit (in-person)

Trial Site Locations

Total: 1 location

1

Uppsala Universitet

Uppsala, Sweden, 141 86

Actively Recruiting

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Research Team

M

Marika J Schütz, Ph.D student

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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