Development and Feasibility Analysis of Verbal Expressive Skills Management Programme (VESMP) for Patients With Broca Aphasia
Condition: Aphasia, Broca; Stroke
MeSH terms: Aphasia; Aphasia, Broca
Study type: Interventional

Summary: 
      The present study was conducted to develop the verbal expressive skills management programme
      (VESMP) to enhance verbal expressive skills of patients with severe Broca aphasia. To
      determine the efficacy of VESMP in improving the quality of life and level of satisfaction of
      aphasic stroke patients.Control group received traditional therapy and experimental group
      received therapy through VESMP programme on their smart phones.
    

Detailed description: 
      Speech therapy makes an integral part of the non-pharmacological, conservative management of
      Post stroke aphasia. Routine speech therapy aims to improve comprehension and verbal skills
      and also develop functional communication skills through augmentative Alternative
      communication devices. Disorders of communication, including aphasia (mainly post stroke)
      caused by the left hemisphere brain damage, is a major community health issue. Aphasia is a
      language disorder occurring mainly as a result of stroke. It is an acquired impairment of
      language that weakens people's ability of comprehension and expression, it does not show any
      affect to intellect ability. The verbal expressive skills management programme (VESMP) is the
      software which developed augmented management for patients to enhance verbal expressive
      skills for patients with severe Broca's aphasia from different geographic areas.
    

Intervention name(s): VESMP; Traditional Therapy
Intervention type(s): Other; Other
Intervention description(s): . The application contains following seven domains: spontaneous speech, comprehension, naming, reading, writing, imitation and automated speech. The programme was developed in Urdu language which contains different daily functional words, phrases and sentences. Treatment stimuli consisted of images of objects along with auditory sounds of person and actions cues. The voice output can operate by pressing the selected picture with index finger. Participants received 1-16 weeks of therapy using software of two domains with different difficulty levels. Specifically the programme included seven domains within the software comprising of eight 30-45 minutes sessions (4 days per week for total 16weeks). The measurement will be taken at 0 week (baseline) after 16 weeks.; , All subjects participated in an traditional therapy group in routine and received MIT for 4 months of periods with three sessions per week to improve language skills.
Other intervention name(s): MIT
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: The two groups were included for speech therapy. For any given subject, aphasia severity evaluations were completed on the same day.includes patients that are 40+ years old, and have three months of post stroke with diagnosis of chronic Broca's Aphasias, each patient received treatment for 4 months that includes 04 VESMP sessions per week with each session being 30-45 minutes long. The measurement will be taken at 0 week (baseline) after 16 weeks.
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Stroke; Aphasia; Broca Aphasia; communication skills; Verbal expressive skill management programme