Abstract
INTRODUCTION. Post-stroke speech disorders are one of the important reasons for the decline in the functioning of patients. According to statistics, the incidence of dysarthria among patients after stroke varies from 24 to 64 %.
AIM. To evaluate existing methods of rehabilitation of post-stroke dysarthria, attempt to create a classification of methods, assess the possibility of use in modern conditions and the effectiveness of these methods.
MATERIALS AND METHODS. A literature review was conducted using the eLibrary, PubMed, and Google Scholar databases over the past 5 years (2019–2023). Key words used for the search: “stroke” (stroke in foreign databases), “rehabilitation”, “dysarthria”. The criteria for inclusion of articles in the review were as follows: year of publication of the scientific work from 2019 to 2023, full-text articles, works that include the author’s methodology or its modification, meta-analyses, descriptions of clinical cases. Exclusion criteria: descriptive articles, works based on statistics of post-stroke dysarthria, works describing the organization of speech therapy support without specifying methods, coincidence of identical works in different databases.
RESULTS. The literature review included 16 full-text articles, based on the results of which it can be said that speech rehabilitation, repeating trends in motor rehabilitation, is moving in the direction of increasing the use of various equipment, and there has been an increase in the use of invasive techniques.
CONCLUSION. This review highlights the current trends in speech rehabilitation in adults.
Publisher
National Medical Research Center For Rehabilitation And Balneology
Reference28 articles.
1. Клочихина О.А., Шпрах В.В., Стаховская Л.В., Полунина Е.А. Распространенность повторных инсультов в разных возрастных группах. Сибирское медицинское обозрение. 2020; (6): 51–56. [Klochihina O.A., Shprah V.V., Stahovskaya L.V., Polunina E.A. Rasprostranennost’ povtornyh insul’tov v raznyh vozrastnyh gruppah. Siberian Medical Review 2020; (6): 51–56. (In Russ.).]
2. Указ Президента Российской Федерации от 06.06.2019 № 254 «О Стратегии развития здравоохранения в Российской Федерации на период до 2025 года». Номер опубликования: 0001201906070052 Дата опубликования: 07.06.2019. [Decree of the President of the Russian Federation of 06.06.2019 No. 254 “On the Strategy for the development of healthcare in the Russian Federation for the period until 2025” Publication number: 0001201906070052 Date of publication: 06.07.2019. (In Russ.).]
3. De Cock E., Batens K., Hemelsoet D. et al. Dysphagia, dysarthria and aphasia following a first acute ischaemic stroke: incidence and associated factors. European Journal of Neurology. 2020; 27(10). https://doi.org/10.1111/ene.14385
4. Mitchell C., Gittins M., Tyson S. et al. Prevalence of aphasia and dysarthria among inpatient stroke survivors: describing the population, therapy provision and outcomes on discharge. Aphasiology. 2021; 35(7): 950–960. https://doi.org/10.1080/02687038.2020.1759772
5. Белкин А.А., Белкина Ю.Б., Прудникова С.С. и др. Медицинский логопед в мультидисциплинарной реабилитационной команде. Практический опыт Клиники Института Мозга. Consilium Medicum. 2021; 23(2): 136–143. [Belkin A.A., Belkina Yu.B., Prudnikova S.S. et al. A medical speech therapist in a multidisciplinary rehabilitation team. Practical experience of the Clinic of the Brain Institute. Consilium Medicum. 2021; 23(2): 136–143. (In Russ.).]