THE RELATIONSHIP BETWEEN SPEECH DISORDERS IN STROKE PATIENTS AND NEUROLOGICAL STATUS (BASED ON THE NIHSS AND SPEECH THERAPY SCALES)
Keywords:
stroke, aphasia, speech disorders, NIHSS scale, speech therapy scale, speech rehabilitation.Abstract
This scientific study investigates the relationship between post-stroke speech disorders and the neurological status of patients as a factor influencing speech function. The research was conducted between 2021 and 2024 at the multidisciplinary clinic of the Tashkent Medical Academy and involved 110 patients diagnosed with aphasia following a stroke. The overall neurological condition of the patients was assessed using the NIHSS (National Institutes of Health Stroke Scale), while speech function was evaluated using a specially modified speech therapy (logopedic) scale. Statistical analysis revealed a significant inverse correlation between increasing NIHSS scores and decreasing speech therapy scores (r = –0.6 to –0.8, P<0.01), indicating that speech function deteriorates as stroke severity increases. Furthermore, it was established that speech rehabilitation was more effective in patients with mild strokes, whereas recovery was slower in those with more severe conditions. The findings underscore the importance of a comprehensive and individualized approach to the assessment and rehabilitation of speech disorders in post-stroke patients.
References
Feigin, V. , Abajobir, A. , Abate, K. , Abd‐Allah, F. , Abdulle, A. , Abera, S. , … Vos, T. (2017). Global, regional, and national burden of neurological disorders during 1990‐2015: A systematic analysis for the global burden of disease study 2015. The Lancet Neurology, 16, 877–897. https://doi.org/10.1016/S1474-4422(17)30299-5
Feigin, V. L., Forouzanfar, M. H. , Krishnamurthi, R. , Mensah, G. A. , Connor, M. , Bennett, D. A. , … Murray, C. (2014). Global and regional burden of stroke during 1990‐2010: Findings from the global burden of disease study 2010. Lancet, 383(9913), 245–254. https://doi.org/10.1016/S0140-6736(13)61953-4
Feigin, V. L., Krishnamurthi, R. V. , Parmar, P. , Norrving, B. , Mensah, G. A. , Bennett, D. A. , … Truelsen, T. (2015). Update on the global burden of ischemic and hemorrhagic stroke in 1990‐2013: The GBD 2013 study. Neuroepidemiology, 45(3), 161–176. https://doi.org/10.1159/000441085
Feigin, V. L., Stark, B. A., Johnson, K. O., Roth, G. A., Bisignano, S., Abadi, G. G., et al. (2021). The global, regional and national burden of stroke and its risk factors, 1990–2019: A systematic analysis for the 2019 Global Burden of Disease Study. Lancet Neurol.
Feigin, V. L., Brainin, M., Norrving, B., et al. (2022). World Stroke Organization (WSO): Global stroke fact sheet 2022. International Journal of Stroke, 17, 18–29.
Giroud, M., Jacquin, A., & Béjot, Y. (2014). The worldwide landscape of stroke in the 21st century. Lancet, 383(9913), 195–197. https://doi.org/10.1016/S0140-6736(13)62077-2
Khodjieva D. T., Khaydarova D. K., Khaydarov N. K. Magnetic Resonance Imaging of Cerebral Hemorrhagic Stroke. International Journal of Psychosocial Rehabilitation, Vol. 24, 2020. Р 434-438
DT Hodzhieva, SS Pulatov, DK Hajdarova Vse o gemorragicheskom insul'te lic pozhilogo i starcheskogo vozrasta (sobstvennye nabljudenija)[All of hemorrhagic stroke in elderly persons (own observations)]. Nauka molodyh (Eruditio Juvenium)[Science of the young (Eruditio Juvenium)]. 2015. 87-96
Kwah, L. K., & Diong, J. (2014). National Institutes of Health Stroke Scale (NIHSS). Journal of Physiotherapy, 60(1), 61. https://doi.org/10.1016/j.jphys.2013.12.012
Lackland, D. T., Roccella, E. J., Deutsch, A. F., Fornage, M., George, M. G., Howard, G., … Towfighi, A. (2014). Factors influencing the decline in stroke mortality. Stroke, 45(1), 315–353. https://doi.org/10.1161/01.str.0000437068.30550.cf
Lazar, R. M., Boehme, A. K., Kaur, G., Heilman, K. M., & Elkind, M. S. V. (2016). Effect of aphasia on acute stroke outcomes. Neurology, 86(9), 864–871.
Pedersen, P. M., Jørgensen, H. S., Nakayama, H., Raaschou, H. O., & Olsen, T. S. (1995). Aphasia in acute stroke: Incidence, determinants, and recovery. Annals of Neurology, 38(4), 659–666.
Khaydarova Dildora Kadirovna, Khodjyeva Dilbar Tadjiyevna, Bobokulov Gulmurod Dilmurodovich. Optimization Of Neuroprotective Therapy Of Ischemic Stroke In The Acute Period. European Journal of Molecular & Clinical Medicine. Volume 07, Issue 03, 2020. Р. 3720-3723
Simmons-Mackie, N. (2018). Aphasia in North America. AphasiaAccess.
Swerdel, J. N., Rhoads, G. G., Cheng, J. Q., Cosgrove, N. M., Moreyra, A. E., Kostis, J. B., … Cabrera, J. (2016). Ischemic stroke rate increases in young adults: Evidence for a generational effect? Journal of the American Heart Association, 5(12), e004245. https://doi.org/10.1161/JAHA.116.004245
