An evidence-based systematic review on communication treatments for individuals with right hemisphere brain damage

Am J Speech Lang Pathol. 2013 Feb;22(1):146-60. doi: 10.1044/1058-0360(2012/12-0021). Epub 2012 Aug 9.

Abstract

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). On the basis of 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 5 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: Although 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 who are working with individuals with right hemisphere brain damage. Clinical implications and recommendations for future research are explored.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Cerebral Infarction / therapy*
  • Communication Disorders / therapy*
  • Evidence-Based Practice*
  • Humans
  • Language Disorders / therapy
  • Speech Disorders / therapy
  • Speech-Language Pathology / methods*