Intervention for Individuals With Global Aphasia: A Systematic Review

Aphasiology

Antony, R., Tanghatar, K., et al. (2025).

Aphasiology, Advance online publication. https://doi.org/10.1080/02687038.2025.2526391.

<div>This systematic review explores the effects of various therapeutic interventions for individuals with global aphasia.&nbsp;</div>

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<div>Controlled or non-controlled pre- and post-intervention studies, case studies, single-subject designs with pre- and post-intervention findings</div>

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<div>The following findings were reported for adults with global aphasia:</div> <div> <ul> <li><strong>Speech-language therapy</strong> improved expressive and receptive language (three studies), with one study reporting sustained improvement at &gt;20 years post-intervention.&nbsp;</li> <li><strong>Speech-generating devices (SGDs) </strong>improved expressive and receptive language, with a reclassification to Broca's aphasia in 40% of participants (one study).&nbsp;</li> <li><strong>Cognitive or cognitive-linguistic interventions</strong> improved functional communication and language outcomes (three studies).&nbsp;</li> <li><strong>Music-based language therapy</strong> improved language outcomes (three studies).&nbsp;</li> <li><strong>Computer-based therapies </strong>improved naming and comprehension (two studies).&nbsp;</li> <li><strong>Combined treatment methods </strong>(e.g., SGDs plus cognitive treatment, multi-modal language stimulation) improved communication and led to aphasia reclassification (three studies).&nbsp;</li> <li><strong>Interdisciplinary treatments</strong> (e.g., SLP plus physical therapist, SLP plus psychologist) improved language and communication (two studies).</li> </ul> Limitations to this review include a small number of included studies, small sample sizes, heterogeneity in study designs, the lack of long-term follow-up, and low methodological rigor of included studies.&nbsp;</div>