AJSLP Papers in Press
Published online August 9, 2012
American Journal of Speech-Language Pathology 2012; doi:10.1044/1058-0360(2012/12-0021)

American Journal of Speech-Language Pathology 2013;22:146.

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Article

An Evidence-Based Systematic Review on Communication Treatments for Individuals with Right Hemisphere Brain Damage

Margaret Lehman Blake
University of Houston, Houston, TX

Tobi Frymark
Rebecca Venediktov
ASHA, Rockville, MD

Corresponding Author: Tobi Frymark, National Center for Evidence-based Practice in Communication Disorders, American Speech-Language-Hearing Association, 2200 Research Blvd #245, Rockville, MD 20850-3289, 301-296-8736 (o), 301-296-8588 (f), tfrymark{at}asha.org.

Purpose: The purpose of this review is to evaluate and summarize the research evidence related to the treatment of individuals with right hemisphere communication disorders.

Method: A comprehensive search of the literature using key words related to right hemisphere brain damage and communication treatment was conducted in 27 databases (e.g., PubMed, CINAHL). Based on a set of pre-established clinical questions, inclusion/exclusion criteria and search parameters, studies investigating sentence- or discourse-level treatments were identified and evaluated for methodological quality. Data regarding participant, intervention and outcome variables were reported.

Results: Only five studies were identified, each representing a different sentence- or discourse-level treatment approach and reporting a wide range of prosodic, expressive, receptive and pragmatic outcomes.

Conclusion: While the state of the evidence pertaining to right hemisphere communication treatments is at a very preliminary stage, some positive findings were identified to assist speech-language pathologists working with individuals with right hemisphere brain damage. Clinical implications and recommendations for future research are explored.

Key Words: communication treatment, discourse, prosody, pragmatics, right hemisphere brain damage, right hemisphere communication disorder, speech-language pathology


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