Literature Rivew: Effectiveness of Speech Therapy in Improving Verbal Communication Ability of Stroke Patients with Dysarthria”
Abstract
Stroke often results in speech impairment, including dysarthria, which impacts the patient's verbal communication skills, quality of life, social interaction and independence. Therefore, understanding the effectiveness of speech therapy in improving verbal communication skills is necessary to determine the most effective rehabilitation approach. Objective: This study aims to explore the effectiveness of speech therapy in improving verbal communication of stroke patients with dysarthria, particularly in the aspects of articulation, voice clarity, and the ability to speak in daily life. Method: Methods: This study used a literature review of national and international published between 2019-2024 and freely available. A systematic search of the review was conducted using the Google Scholar database, Semantic Scholar, using keywords: Dysarthria Speech Therapy, Stroke, using the PCC (Population, Concept, Context) approach. The article selection process used PRISMA which was then subjected to critical appraisal. Initial searches were conducted through Google Scholar (1,215 articles), Semantic Scholar (485 articles). Initial screening of 1,450, removal of duplicate articles remaining 250 articles, articles were eliminated, so only 15 articles entered the further screening stage. From this process, 5 articles did not meet the criteria and were excluded. Finally, 10 articles that met the inclusion criteria were selected and reviewed.. Result: The results of thousands of articles show ten articles showing consistent results that speech therapy can improve verbal communication skills in patients with diarthric stroke. Conclusion: There is general agreement that speech therapy is effective in improving verbal communication skills in stroke patients with dysarthria.
References
Amila, A., Sembiring, E., & Sinaga, J. (2019). Pemberdayaan Keluarga Pasien Stroke Afasia Melalui Pelatihan Komunikasi Verbal. Jurnal Abdimas BSI: Jurnal Pengabdian Kepada Masyarakat, 2(2), 396–403. https://doi.org/10.31294/jabdimas.v2i2.6120
Ferguson, E., & Hartigan, S. (2023). Speech and Language Therapy. In Care of Head and Neck Cancer Patients for Dental Hygienists and Dental Therapists (pp. 85–90). Wiley. https://doi.org/10.1002/9781119795032.ch14
Karim, S. (2024). Exploring the Efficacy of Neuroplasticity-Driven Speech Therapy for Post-Stroke Aphasia Recovery: A Multimodal Intervention Approach. https://doi.org/10.14293/PR2199.000781.v1
Kim, Y., Kim, M., Kim, J., & Song, T.-J. (2024). Smartphone-Based Speech Therapy for Poststroke Dysarthria: Pilot Randomized Controlled Trial Evaluating Efficacy and Feasibility. Journal of Medical Internet Research, 26, e56417. https://doi.org/10.2196/56417
Nur Annisa, I., Rondhianto, Nistiandani, A., & Shodikin, M. (2024). Effect of AIUEO Vocal Therapy in Non-Hemorrhagic Stroke Patients with Verbal Communication Disorders: A Case Report. Health and Technology Journal (HTechJ), 2(5), 463–469. https://doi.org/10.53713/htechj.v2i5.230
Septiasih, W., Mariani, M., & Marfuah, M. (2023). Terapi Wicara Berpengaruh terhadap Kemampuan Komunikasi Verbal Pasien Pasca Stroke dengan Afasia. Wiraraja Medika : Jurnal Kesehatan, 13(2), 1–6. https://doi.org/10.24929/fik.v13i2.2611
Srinivasan, S., & Narayanan, S. (2025). Impact of ‘Be Clear’ Treatment on Speech and Functional Communication Outcomes in Adults with Post-Stroke Dysarthria. International Journal of Health Sciences and Research, 15(1), 38–47. https://doi.org/10.52403/ijhsr.20250106
Sukmawati, S., Mamuroh, L., & Nurhakim, F. (2024). Peningkatan Kualitas Hidup Pasien Stroke melalui Edukasi Terapi Wicara dan Stroke Home Care. GUYUB: Journal of Community Engagement, 5(2), 466–479. https://doi.org/10.33650/guyub.v5i2.8501
Fegter, O., Rademaker, A., Bona, M., Roberts, A., & Rogalski, E. (2024). App Engagement In Technology-Supported Speech-Language Therapy For Primary Progressive Aphasia. Innovation in Aging, 8(Supplement_1), 1373–1373. https://doi.org/10.1093/geroni/igae098.4376
Ge, S., Wan, Q., Wang, Y., Yin, M., & Huang, Z. (2024). The combination of accent method and phonemic contrast: an innovative strategy to improve speech production on post-stroke dysarthria. Frontiers in Human Neuroscience, 17. https://doi.org/10.3389/fnhum.2023.1298974
Gison, A., Ruggiero, M., Tufarelli, D., Proietti, S., Moscariello, D., & Valente, M. (2025). Intensive Speech Therapy for Hypokinetic Dysarthria in Parkinson’s Disease: Targeting the Five Subsystems of Speech Production with Clinical and Instrumental Evaluation. NeuroSci, 6(1), 7. https://doi.org/10.3390/neurosci6010007
Mendoza Ramos, V., Paulyn, C., Van den Steen, L., Hernandez‐Diaz Huici, M. E., De Bodt, M., & Van Nuffelen, G. (2021). Effect of boost articulation therapy (BArT) on intelligibility in adults with dysarthria. International Journal of Language & Communication Disorders, 56(2), 271–282. https://doi.org/10.1111/1460-6984.12595
Mwende, M. C., & Abuom, T. (2024). Exploring Therapy-Related Constraints In The Delivery Of Speech And Language Therapy Services To Children With Cerebral Palsy In Kibera Slums, Nairobi City County, Kenya. European Journal of Special Education Research, 10(4). https://doi.org/10.46827/ejse.v10i4.5391
O’Connor, S., & Pettigrew, C. M. (2009). The barriers perceived to prevent the successful implementation of evidence‐based practice by speech and language therapists. International Journal of Language & Communication Disorders, 44(6), 1018–1035. https://doi.org/10.1080/13682820802585967
Piekacz, P., Węsierska, K., & Węsierska, M. (2020). Uwarunkowania skuteczności terapii utrwalonego jąkania w opiniach logopedów i studentów logopedii. Logopaedica Lodziensia, 4, 187–204. https://doi.org/10.18778/2544-7238.04.13
Toles, L. E., Turner, M., & Harris, A. L. (2024). Patient Motivation for Voice Therapy Increases After Stimulability Testing: Validation of a Voice Therapy Motivation and Voice Perception Inventory. American Journal of Speech-Language Pathology, 33(6), 2823–2838. https://doi.org/10.1044/2024_AJSLP-24-00058
Arnold, R. J., Bausek, N., Gaskill, C. S., & Midani, T. (2021). The Effect of Combined Respiratory Muscle Training (cRMT) on dysarthric speech following single CVA: A retrospective pilot study. MedRxiv, 0–16. https://www.embase.com/search/results?subaction=viewrecord&id=L2012993679&from=export%0Ahttp://dx.doi.org/10.1101/2021.05.01.21256463
Ge, S., Wan, Q., Wang, Y., Yin, M., & Huang, Z. (2023). The combination of accent method and phonemic contrast: an innovative strategy to improve speech production on post-stroke dysarthria. Frontiers in Human Neuroscience, 17(January), 1–11. https://doi.org/10.3389/fnhum.2023.1298974
Kim, Y., Kim, M., Kim, J., & Song, T. J. (2024). Efficacy and feasibility of a digital speech therapy for post-stroke dysarthria: protocol for a randomized controlled trial. Frontiers in Neurology, 15(January), 1–10. https://doi.org/10.3389/fneur.2024.1305297
Lee, J., Choi, Y., Song, T. J., & Koo, M. W. (2024). Inappropriate Pause Detection in Dysarthric Speech Using Large-Scale Speech Recognition. ICASSP, IEEE International Conference on Acoustics, Speech and Signal Processing - Proceedings, 12486–12490. https://doi.org/10.1109/ICASSP48485.2024.10447681
Portalete, C. R., Agustín, G., Urrutia, U., & Pagliarin, K. C. (2019). Motor speech treatment in flaccid dysarthria : a case report Tratamento motor da fala na disartria flácida : um estudo de caso. 1–9.
Riyanta, B., Irianta, H. A., & Kamiel, B. P. (2023). Development of Speech Command Control Based TinyML System for Post-Stroke Dysarthria Therapy Device. Journal of Robotics and Control (JRC), 4(4), 466–478. https://doi.org/10.18196/jrc.v4i4.15918
Schindel, D., Mandl, L., Schilling, R., Meisel, A., & Schenk, L. (2022). Guideline adherence in speech and language therapy in stroke aftercare. A health insurance claims data analysis. PLoS ONE, 17(2 February), 1–19. https://doi.org/10.1371/journal.pone.0263397
Summaka, M., Harati, H., Hannoun, S., Zein, H., Koubaisy, N., Fares, Y., & Nasser, Z. (2021). Assessment of non-progressive dysarthria: practice and attitude of speech and language therapists in Lebanon. BMC Neurology, 21(1), 1–11. https://doi.org/10.1186/s12883-021-02484-2
Wong, M. N., Baig, F. N., Chan, Y. K., Ng, M. L., Zhu, F. F., & Kwan, J. S. K. (2022). Transcranial direct current stimulation over the primary motor cortex improves speech production in post-stroke dysarthric speakers: A randomized pilot study. PLoS ONE, 17(10 October), 1–23. https://doi.org/10.1371/journal.pone.0275779
Xia, J., Pei, S., Chen, Z., Wang, L., Hu, J., & Wang, J. (2023). Effects of Conventional Speech Therapy with Liuzijue Qigong, a Traditional Chinese Method of Breath Training, in 70 Patients with Post-Stroke Spastic Dysarthria. Medical Science Monitor, 29, 1–10. https://doi.org/10.12659/MSM.939623
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