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Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/22
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Item A bright SPPARC(2003) Armstrong, Linda; McGrane, Helen; Kelly, HelenSupporting Partners of People with Aphasia in Relationships and Conversation (SPPARC) was developed in London and is a proven method of improving interpersonal communication. SPPARC brings together carer support and conversational analysis. This article describes a project which investigated whether these positive findings could be replicated in a rural area where distance and population density are different. The first half of the 28 once weekly sessions provides participants with information and support on stroke and aphasia. The second part aims to increase knowledge of conversation, including the use of video recordings. Twenty carers were invited to participate of whom ten were unable to attend through employment and other commitments. Two groups were set up, one in a town with good transport services, and the other in a small rural town. Only two of the carers and their partners were willing to video themselves and one of these was unrepresentative of normal conversation, so video clips from the programme were used to illustrate and facilitate more effective two-way conversation. Evaluations were very positive about the benefits of SPPARC. As a result of the project a monthly evening carers' group has been set up for those who attended as well as others who were unable to attend the daytime programme.Item Optimising rehabilitation outcomes for aphasia following stroke through new learning(2007) Kelly, HelenPublished Abstract - Many people with aphasia retain residual language impairments to varying degrees of severity following rehabilitation. Currently there is no theory of rehabilitation that explains the therapeutic process involved in the restoration of a damaged language system. Therefore it is not possible to discern what approaches/tasks would be most successful at restoring particular language functions. Does rehabilitation facilitate the accessing of the damaged language system or could it involve new learning resulting in the creation of new language representations? The main objective of this study was to investigate whether adults with aphasia could learn new vocabulary. The methodology incorporated procedures based on evidence from the literature in order to facilitate and promote optimum learning. The novel stimuli (20 new words) were taught to 12 adults (<65 years) who presented with varying degrees of severity of aphasia. The training procedure incorporated learning theory and a cognitive neuropsychological model of language. The immediate and delayed recall of this vocabulary was investigated using a range of assessments to facilitate the capture of new learning which was measured not only in terms of the accurate production of the stimuli but also the recognition and knowledge of the word forms and meanings. Overall findings of this investigation with the presentation of select case studies demonstrate the ability of people to learn new language representations despite severe language impairment. The findings, which strongly suggest that language rehabilitation could incorporate the process of new learning, have significant clinical relevance in terms of developing a theory of rehabilitation and to the procedures employed in speech and language therapy.Item The Maytor, the Shorpine and the Traigol(2008) Kelly, Helen; Armstrong, LindaIn spite of a range of available resources, many questions about whether - and how - aphasia therapy works remain. Helen McGrane and Linda Armstrong share some findings from Helen's research project, which considered one possible cerebral mechanism by which people with aphasia might be able to benefit in therapy - new linguistic learning using optimal learning approaches such as errorless learning. Helen created 20 mythical creatures for the research, so both the word forms and the word meanings were new. All 12 participants learned some new linguistic information, even those with significant language impairment. The detailed response of one client, who had severe aphasia, is described. Helen and Linda argue that the findings justify direct work on language with people with chronic aphasia, and consideration of an individual's learning style when planning thItem Opinion: SIGN 118 overlooks new evidence on aphasia(Royal College of Speech and Language Therapists, 2011-01) Brady, M.; Mackenzie, C.; Enderby, P.; Whitworth, A.; Kelly, Helen; Sellars, C.Dr Marian Brady and colleagues express their concerns over the SIGN 118 guidelines on the management of patients with strokeItem Strength in compromise.(2001) McGrane, Helen; Stansfield, Jois; Kelly, HelenThis article describes Mark (age 26) who has severe dysarthria following a head injury. He accepted AAC (SpeechViewer) as a short-term measure, but was keen to use technology (the electropalatograph) he saw promoted in the media to improve his oral skills. His speech and language therapists feel that this will not help him. The ethical issues involved in the case are discussed and illustrated by the use of Seedhouse's ethical grid. These include the levels of practicality, the general level of outcome to be achieved, the level of duties expected, and the principles behind health work. Issues which impact on Mark's expectations of the speech and language therapy service and which remain unresolved are the gaps in NHS provision for young head injured individuals as their circumstances change, and the tendency of the media to overstate the benefits of new approaches to disability.