In a recent trial investigating the effectiveness of speech and language therapy versus a control intervention in poststroke aphasia, patient outcome improved equally in both groups. However, flaws in the study relating to design of the control intervention, inadequate therapy 'dose', and the interpretation of null results should be highlighted.
References
Bowen, A. et al. Effectiveness of enhanced communication therapy in the first four months after stroke for aphasia and dysarthria: a randomised controlled trial. BMJ 345, e4407 (2012).
Bhogal, S. K., Teasell, R. & Speechley, M. Intensity of aphasia therapy, impact on recovery. Stroke 34, 987–993 (2003).
Bowen, A. et al. Clinical effectiveness, cost-effectiveness and service users' perceptions of early, well-resourced communication therapy following a stroke: a randomised controlled trial (the ACT NoW Study). Health Technol. Assess. 16, 1–160 (2012).
Kagan, A., Black, S. E., Duchan, J. F., Simmons-Mackie, N. & Square, P. Training volunteers as conversation partners using “supported conversation for adults with aphasia” (SCA): a controlled trial. J. Speech Lang. Hear. Res. 44, 624–638 (2001).
Best, W., Hickin, J., Herbert, R., Howard, D. & Osborne, F. Phonological facilitation of aphasic naming and predicting the outcome of treatment for anomia. Brain Lang. 74, 435–438 (2000).
Ericsson, K. A., Nandagopal, K. & Roring, R. W. Toward a science of exceptional achievement: attaining superior performance through deliberate practice. Ann. NY Acad. Sci. 1172, 199–217 (2009).
Code, C. & Heron, C. Services for aphasia, other acquired adult neurogenic communication and swallowing disorders in the United Kingdom, 2000. Disabil. Rehabil. 25, 1231–1237 (2003).
Somerville, J. G. A symposium on the rehabilitation of the stroke patient. Rebuilding the stroke patient's life. Nurs. Mirror Midwives J. 139, 57–58 (1974).
Dienes, Z. Bayesian versus orthodox statistics: which side are you on? Persp. Psychol. Sci. 6, 274–290 (2011).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Rights and permissions
About this article
Cite this article
Leff, A., Howard, D. Has speech and language therapy been shown not to work?. Nat Rev Neurol 8, 600–601 (2012). https://doi.org/10.1038/nrneurol.2012.211
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrneurol.2012.211
- Springer Nature Limited
This article is cited by
-
Self-regulation of language areas using real-time functional MRI in stroke patients with expressive aphasia
Brain Imaging and Behavior (2020)
-
Aphasia Recovery: When, How and Who to Treat?
Current Neurology and Neuroscience Reports (2018)
-
Piracetam for Aphasia in Post-stroke Patients: A Systematic Review and Meta-analysis of Randomized Controlled Trials
CNS Drugs (2016)
-
Clarification of conclusions from the ACT NoW trial
Nature Reviews Neurology (2013)