An Updated Systematic Review of Stroke Clinical Practice Guidelines to Inform Aphasia Management
International Journal of Stroke
Burton, B. M., Isaacs, M. L., et al. (2023).
International Journal of Stroke, 18(9), 1029-1039.
This umbrella systematic review of clinical practice guidelines investigates the clinical management of aphasia in adults post-stroke. Specific details about the included articles are available elsewhere in the Evidence Maps. See the Associated Article(s) section below for the citations.
National Health and Medical Research Council (Australia); La Trobe University (Australia)
January 2015 to October 2022
Clinical practice guidelines (i.e., statements that include recommendations informed by evidence or expert consensus intended to optimize patient care)
9
<div>Two clinical practice guidelines provide five evidence-based recommendations for speech-language pathologists to screen for communication deficits in stroke survivors.</div>
<div>Four clinical practice guidelines provide nine evidence-based and five consensus-based recommendations for speech-language pathologists to conduct a comprehensive communication assessment to identify the impact on functional activities, participation, and quality of life in stroke survivors with communication deficits and/or aphasia. One recommendation notes that individuals with post-stroke aphasia whose primary language is not English should be assessed and provided aphasia information in their preferred language.</div>
<div>Six clinical practice guidelines provide nine evidence-based recommendations and one consensus-based recommendation for early and intensive aphasia therapy as appropriate to address the needs and goals of an individual post-stroke. One evidence-based recommendation indicates a lack of evidence to recommend for or against intensive language therapy for aphasia.</div>
<div>Five evidence-based recommendations were located for the provision of computer-based language treatment or telepractice services for individuals with post stroke aphasia.</div>
<div>Four clinical practice guidelines provide 12 evidence-based and two consensus-based recommendations for a variety of other aphasia treatment approaches including augmentative and alternative communication, conversation groups, constraint-induced language therapy, reading and writing treatments, family training, and conversational partner training.</div>
<div>Three clinical practice guidelines provide five evidence-based recommendations and one consensus-based recommendation for providing aphasia-friendly information and education tailored to the individual needs and preferences of a patient post-stroke.</div>
<div>One clinical practice guideline provides one consensus-based recommendation for providing trained healthcare interpreters during assessment and treatment services for patients with culturally and linguistically diverse backgrounds who have aphasia post stroke.</div>
<div>Three clinical practice guidelines provide three evidence-based recommendations for using a team-based interdisciplinary approach for the assessment and treatment of stroke survivors with aphasia.</div>
<div>Two clinical practice guidelines provide one evidence-based and one consensus-based recommendation for undergoing assessment prior to returning to work.</div>
<div>Three clinical practice guidelines provide five evidence-based recommendations for identifying aphasia rehabilitation goals with the patient and family/carer(s) and making a plan for reassessing and updating language and communication goals on a regular basis.</div>
