{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T01:45:13Z","timestamp":1791942313987,"version":"4.3.4"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>It is assumed that language impairments post\u2010stroke do not show much improvement after the phase of spontaneous recovery, especially in the chronic stage. Several studies have reported language recovery and factors influencing it in the acute stages of stroke. There is limited literature focusing on language recovery in the chronic stages of stroke, especially in the Indian population, and the demographic, lesion\u2010 and aphasia\u2010related factors that contribute towards language recovery in the chronic stages are poorly understood.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To assess changes in aphasia severity at two time points in the chronic stage and to identify the factors (demographic, lesion\u2010 and aphasia\u2010related) predicting language recovery in chronic stroke aphasia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>In this cross\u2010sectional study, 22 individuals with chronic stroke aphasia underwent the baseline language assessment (T1) using Western Aphasia Battery (WAB) at least 2 or more months post\u2010onset. A follow\u2010up language assessment (T2) for the same individuals was conducted 3\u201312 months post\u2010baseline assessment. The mean age of the participant group was 48.18 years (SD = 13.05) with a corresponding mean year of education of 9.18 (SD = 5.81). 81.8% of the participants (<jats:italic>N<\/jats:italic> = 18) were male and majority of them belonged to the lower middle socio\u2010economic status (<jats:italic>N<\/jats:italic> = 9, 40%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>There was a significant change in mean language subdomain and aphasia quotient scores of WAB between two time points (<jats:italic>p<\/jats:italic> = 0.000). The majority showed a significant improvement in their AQ scores (WAB\u2010SEM 2.5) in the absence of speech therapy. Socio\u2010economic status (<jats:italic>p<\/jats:italic> = 0.005) and aphasia severity (AQ1) at baseline (<jats:italic>p<\/jats:italic> = 0.000) were significant in predicting language recovery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>Significant language recovery occurs in the chronic stage of stroke, which is predicted by socio\u2010economic status and aphasia severity at baseline assessment. This study will provide clinicians with an insight into language recovery in chronic stroke aphasia and help serve as a guide for evidence\u2010based prognostic statements. These findings encourage patients with aphasia to seek speech and language therapy in the chronic stage of stroke.<\/jats:p><\/jats:sec><jats:sec><jats:title>WHAT THIS PAPER ADDS<\/jats:title><jats:sec><jats:title>What is already known on the subject<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>A number of studies have reported language recovery occurring in the acute stages of post\u2010stroke aphasia and the factors predicting it. There is limited literature focusing on language recovery occurring between two time points in the chronic stages of stroke especially in the Indian population, and the demographic, lesion\u2010 and aphasia\u2010related factors that contribute towards it are poorly understood.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds to the existing knowledge<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Language recovery occurs in the chronic stage of stroke aphasia and is predicted by socio\u2010economic status and aphasia severity at baseline assessment. In our study, language recovery was found to take place even in the absence of formal speech and language intervention, thus indicating that spontaneous recovery continues well into the chronic stage as well.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What are the potential or actual clinical implications of this study?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This study will provide clinicians with an understanding of the language recovery occurring in chronic stroke aphasia as well as the factors influencing recovery, thus serving as a guide for evidence\u2010based prognostic statements. Evidence of language recovery in the chronic stage will encourage patients to attend intensive speech and language therapy in this stage resulting in significant improvement in language functions.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.70030","type":"journal-article","created":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T15:47:31Z","timestamp":1743608851000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Aphasia severity and factors predicting language recovery in the chronic stage of stroke"],"prefix":"10.1111","volume":"60","author":[{"given":"Sneha Rozelena","family":"Anthony","sequence":"first","affiliation":[{"name":"Department of Speech and Language Studies Dr. S. R. 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