The influence of speech-language-hearing therapy duration on the degree of improvement in post-stroke language impairment

• Material Type: 博士論文
• Title: The influence of speech-language-hearing therapy duration on the degree of improvement in post-stroke language impairment
• Volume: 2017
• Author/Editor: Hayashi, Hitoshi
• Author Heading: Hayashi, Hitoshi
• Publication, Distribution, etc.: Hindawi Publishing Corporation
• Publication Date: 2017-01-11
• Publication Date (W3CDTF): 2017-01-11
• Alternative Title: 脳卒中後遺症言語機能障害の改善度に言語聴覚療法時間が与える影響
• Periodical title: Rehabilitation Research and Practice
• Degree grantor/type: 浜松医科大学
• Date Granted: 2017-06-16
• Date Granted (W3CDTF): 2017-06-16
• Dissertation Number: 甲第762号
• Degree Type: 博士（医学）
• Conferring No. (Dissertation): 甲第762号
• Text Language Code: eng
• Target Audience: 一般
• Note (General): doctoral; 医学系研究科; Background.The relevance of speech-language-hearing therapy (ST) duration to language impairment remains unclear. Objective.To determine the effect of ST duration on improvement in language impairment as a stroke sequela and to compare the findings with those for occupational therapy (OT) and physical therapy (PT). Methods. Data regarding patients with stroke sequelae who were registered in the Japanese Association of Rehabilitation Medicine database were analyzed. Propensity scores for ST, OT, and PT duration were calculated using logistic regression, followed by inverse probability weighting in generalized estimating equations to examine the odds ratio for improvement in the Functional Independence Measures scores for comprehension, expression, and memory. Analyses stratified by age and dementia severity were also conducted. Results. Compared with short-duration ST, longduration ST was significantly associated with improved scores for comprehension and expression in the overall study population and in some groups, with higher benefit especially for younger participants (<64 years) and those with more severe dementia. A significant but less pronounced effect was also observed for OT and PT. Conclusion. Long-duration ST is more effective than longduration OT or PT for improving language impairment occurring as stroke sequela. However, these effects are limited by age and severity of dementia.
• DOI: info:doi/10.1155/2017/7459483; https://doi.org/info:doi/10.1155/2017/7459483
• Persistent ID (NDL): info:ndljp/pid/11098932; https://dl.ndl.go.jp/pid/11098932
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2018-06-04T01:14:06+09:00
• Date Created (W3CDTF): 2018-08-27
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://hdl.handle.net/10271/3358; https://hama-med.repo.nii.ac.jp/records/3212
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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