Communication recovery in the first three months following minor stroke.

Abstract

Purpose: Evidence suggests that people with minor stroke can experience multiple post-stroke impairments. This study explored the communication skills of people with minor stroke one week and three months post-stroke.

Method: A longitudinal cohort mixed method design was used. Participants completed the Western Aphasia Battery-Revised, Boston Naming Test, La Trobe Communication Questionnaire-Self, Montreal Cognitive Assessment, and the Hospital and Anxiety Depression Scale, along with semi-structured interviews and conversation samples 1 week and 3 months post-stroke.

Result: Fourteen participants were recruited. Five experienced aphasia according to Western Aphasia Battery-Revised scores at one week. Boston Naming Test scores improved significantly between one week and three months (p = .020). There were no significant changes in Western Aphasia Battery-Revised, La Trobe Communication Questionnaire-Self, Montreal Cognitive Assessment, or Hospital and Anxiety Depression Scale scores between one week and three months (all p > .05). Word finding difficulties were noted in most participants' conversation samples, but rarely led to conversation breakdowns. Qualitative content analysis revealed eight categories, including communication changes and their impact, the impact of other post-stroke impairments, strategies used, and services received.

Conclusion: This study provides further evidence that a subset of people with minor stroke experience post-stroke communication changes. Future research should explore the optimal speech-language pathology support for this potentially under-serviced patient cohort.