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Aphasia in African-Americans and Caucasians: Severity, improvement, and rate of improvement

Wertz, R. T. and Auther, L. L. and Ross, K. B.
Aphasia in African-Americans and Caucasians: Severity, improvement, and rate of improvement. Aphasiology, 11(4-5), 1997, pages 533-542.

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Abstract

We compared initial severity, amount of improvement, and rate of improvement of aphasia in African-Americans and Caucasians. Study patients were aphasic subsequent to a first, left hemisphere, thromboembolic infarct, and all were entered in a 44-week treatment trial designed to provide 6-8 h of treatment each week between 4 and 48 weeks post-onset. There was no significant difference between African-Americans and Caucasians in severity of aphasia on the Porch Index of Communicative Ability, a word fluency measure, or the Token Test prior to the initiation of treatment at 4 weeks post-onset. At 48 weeks post-onset, African-Americans performed significantly lower on the Porch Index of Communicative Ability Gestural and Graphic modality scores. Both African-American and Caucasian aphasic patients displayed significant improvement in aphasia during the 44-week treatment trial, and there were no significant differences between groups in the amount or rate of improvement. Thus, our samples of African-American and Caucasian aphasic patients displayed essentially the same initial severity, amount of improvement, and rate of improvement of aphasia during the first year post-onset.

EPrint Type:Journal (Paginated)
Keywords:STROKE; SURVIVAL
Subjects:UNSPECIFIED
ID Code:1117
Conference:Clinical Aphasiology Conference: Clinical Aphasiology Conference (1996 : 26th : Newport, RI : June 1996)
Conference Date:June 1996
Publisher:Taylor & Francis
Publication:Aphasiology
Volume:11
Number:4-5
Pages:533-542
Publication Location:London
ISSN:1464-5041
Additional Information:Copyright by Taylor & Francis Ltd. Used with permission.