Abstract
Aphasia is an acquired neurological disorder of communication with a range of language impairments. Aphasia rehabilitation is becoming an important concern in clinical aphasiology. Traditional approaches for rehabilitation are being practiced. In addition to this, computer-based strategies are also employed in aphasiology. In this study, a qualitative phenomenological research approach is used to gain an understanding on how the SLPs of Pakistan perceive the changing trends of clinical practice in aphasia towards technology-based treatment method. This study presents lived experiences and preferences of the SLPs regarding changing trends from the traditional approach to the technology-based method. Ten SLPs participated and were recruited through purposive sampling. The participants were included if they were qualified SLPs and had at least 2 years of experience. The data was collected through audiotapes of detailed group discussions with the participants. The data was analyzed by using thematic analysis. The findings were grouped into five themes: traditional rehab activities, auditory and visual input, cost-effective approach, access and prognosis note. A range of sub-themes were also identified. The findings suggest the SLPs’ preferences are showing limited trends towards adapting the technology-based method.
Highlights
Aphasia is an acquired neurological disorder of language and communication dysfunction involving symptoms on all levels of linguistic competence (Ali, Rafi, Khan & Mahfooz, 2016)
Five major themes were identified from the thematic analysis of the data set that summarized the preferences of the participants with reference to their preferences towards using CMAT in clinical practice for aphasia management: 1- Traditional Rehab activities, 2- Auditory and Visual input, 3- Cost-effective approach, 4- Access, 5- Prognosis note
The present study revealed a wide range of ideas that show the trends prevailing in their clinical practices, which were categorized into five themes: traditional rehab activities, auditory and visual input, costeffective approach, access and prognosis note
Summary
Aphasia is an acquired neurological disorder of language and communication dysfunction involving symptoms on all levels of (language modalities and skills) linguistic competence (Ali, Rafi, Khan & Mahfooz, 2016). Aphasia affects spoken communication as well as written. It can impede speaking, comprehension of linguistic input, reading and writing, having affected both expressive as well as receptive communication (Pema, 2016). A patient with aphasia presents with a range of language dysfunction, such as, laborious retrieval of words and, sometimes, in severe cases with almost no expressive skills, impaired repetitions abilities, fluency, grammaticality and comprehension, and reduced ability to communicate in social interactions (Ali et al, 2016; Beeson, Bayley, Shultz & Rising, 2018; Youmans, Holland, Muñoz & Bourgeois, 2005). Other traditional methods are linguistic-oriented learning approach, prompting approach, response elaboration training (Manasco, 2017), constraintinduced aphasia therapy (Raymer, 2009; Segismundo, 2017; Zhang et al, 2017) and drawing methods (Parrish, 2014)
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