{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T06:41:03Z","timestamp":1771051263788,"version":"3.50.1"},"reference-count":46,"publisher":"IMR Press","issue":"1","license":[{"start":{"date-parts":[[2022,1,28]],"date-time":"2022-01-28T00:00:00Z","timestamp":1643328000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Integr. Neurosci."],"abstract":"<jats:p>We report on our remote speech therapy experience in post-stroke aphasia. The aim was to test the feasibility and utility of telerehabilitation to support future randomized controlled trials. Post-stroke aphasia is a common and disabling speech disorder, which significantly affects patients\u2019 and caregivers\u2019 health and quality of life. Due to COVID-19 pandemic, most of the conventional speech therapy approaches had to stop or \u201cswitch\u201d into telerehabilitation procedures to ensure the safety of patients and operators but, concomitantly, the best rehabilitation level possible. Here, we planned a 5-month telespeech therapy programme, twice per week, of a patient with non-fluent aphasia following an intracerebral haemorrhage. Overall, treatment adherence based on the operator\u2019s assessments was high, and incomplete adherence for technical problems occurred very rarely. In line with the patient\u2019s feedback, acceptability was also positive, since he was constantly motivated during the sessions and the exercises performed autonomously, as confirmed by the speech therapist and caregiver, respectively. Moreover, despite the sequelae from the cerebrovascular event, evident in some writing tests due to the motor deficits in his right arm and the disadvantages typical of all telepractices, more relevant results were achieved during the telerehabilitation period compared to those of the \u201cface-to-face\u201d therapy before the COVID-19 outbreak. The telespeech therapy performed can be considered successful and the patient was able to return to work. Concluding, we support it as a feasible approach offering patients and their families the opportunity to continue the speech and language rehabilitation pathway, even at the time of pandemic.<\/jats:p>","DOI":"10.31083\/j.jin2101008","type":"journal-article","created":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T11:28:26Z","timestamp":1643455706000},"source":"Crossref","is-referenced-by-count":14,"title":["Post-stroke aphasia at the time of COVID-19 pandemic: a telerehabilitation perspective"],"prefix":"10.31083","volume":"21","author":[{"given":"Laura","family":"Cassarino","sequence":"first","affiliation":[{"name":"Department of Medical and Surgical Sciences and Advanced Technologies, University of Catania, 95123 Catania, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franca","family":"Santoro","sequence":"first","affiliation":[{"name":"Oasi Research Institute-IRCCS, 94018 Troina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donatella","family":"Gelardi","sequence":"first","affiliation":[{"name":"Oasi Research Institute-IRCCS, 94018 Troina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simonetta","family":"Panerai","sequence":"first","affiliation":[{"name":"Oasi Research Institute-IRCCS, 94018 Troina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Papotto","sequence":"first","affiliation":[{"name":"Oasi Research Institute-IRCCS, 94018 Troina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariangela","family":"Tripodi","sequence":"first","affiliation":[{"name":"Oasi Research Institute-IRCCS, 94018 Troina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filomena Irene Ilaria","family":"Cosentino","sequence":"first","affiliation":[{"name":"Oasi Research Institute-IRCCS, 94018 Troina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincenzo","family":"Neri","sequence":"first","affiliation":[{"name":"Oasi Research Institute-IRCCS, 94018 Troina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffaele","family":"Ferri","sequence":"first","affiliation":[{"name":"Oasi Research Institute-IRCCS, 94018 Troina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvatore","family":"Ferlito","sequence":"first","affiliation":[{"name":"Department of Medical and Surgical Sciences and Advanced Technologies, University of Catania, 95123 Catania, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Modica","sequence":"first","affiliation":[{"name":"Ospedale Maggiore di Modica, ASP Ragusa, 97015 Modica, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Fisicaro","sequence":"first","affiliation":[{"name":"Department of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuela","family":"Pennisi","sequence":"first","affiliation":[{"name":"Department of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Bella","sequence":"first","affiliation":[{"name":"Department of Medical and Surgical Sciences and Advanced Technologies, University of Catania, 95123 Catania, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Lanza","sequence":"first","affiliation":[{"name":"Oasi Research Institute-IRCCS, 94018 Troina, Italy"},{"name":"Department of Surgery and Medical-Surgery Specialties, University of Catania, 95123 Catania, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","published-online":{"date-parts":[[2022,1,28]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Flowers HL, Skoretz SA, Silver FL, Rochon E, Fang J, Flamand-Roze C, et al. Poststroke Aphasia Frequency, Recovery, and Outcomes: a Systematic Review and Meta-Analysis. Archives of Physical Medicine and Rehabilitation. 2016; 97: 2188\u20132201.e8.","DOI":"10.1016\/j.apmr.2016.03.006"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Gialanella B. Aphasia assessment and functional outcome prediction in patients with aphasia after stroke. Journal of Neurology. 2011; 258: 343\u2013349.","DOI":"10.1007\/s00415-010-5868-x"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Ferro JM, Mariano G, Madureira S. Recovery from aphasia and neglect. Cerebrovascular Diseases. 1999; 9: 6\u201322.","DOI":"10.1159\/000047571"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Fisicaro F, Lanza G, Grasso AA, Pennisi G, Bella R, Paulus W, et al. Repetitive transcranial magnetic stimulation in stroke rehabilitation: review of the current evidence and pitfalls. Therapeutic Advances in Neurological Disorders. 2019; 12: 1\u201322.","DOI":"10.1177\/1756286419878317"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Brady MC, Kelly H, Godwin J, Enderby P. Speech and language therapy for aphasia following stroke. Cochrane Database of Systematic Reviews. 2012; 16: CD000425.","DOI":"10.1002\/14651858.CD000425.pub3"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Bhogal SK, Teasell R, Speechley M. Intensity of aphasia therapy, impact on recovery. Stroke. 2003; 34: 987\u2013993.","DOI":"10.1161\/01.STR.0000062343.64383.D0"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Theodoros DG. Telerehabilitation for service delivery in speech-language pathology. Journal of Telemedicine and Telecare. 2008; 14: 221\u2013224.","DOI":"10.1258\/jtt.2007.007044"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Weidner K, Lowman J. Telepractice for Adult Speech-Language Pathology Services: a Systematic Review. Perspectives of the ASHA Special Interest Groups. 2020; 5: 326\u2013338.","DOI":"10.1044\/2019_PERSP-19-00146"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Cherney LR, van Vuuren S. Telerehabilitation, virtual therapists, and acquired neurologic speech and language disorders. Seminars in Speech and Language. 2012; 33: 243\u2013257.","DOI":"10.1055\/s-0032-1320044"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"\u00d8ra HP, Kirmess M, Brady MC, Partee I, Hognestad RB, Johannessen BB, et al. The effect of augmented speech-language therapy delivered by telerehabilitation on poststroke aphasia\u2014a pilot randomized controlled trial. Clinical Rehabilitation. 2020; 34: 369\u2013381.","DOI":"10.1177\/0269215519896616"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Des Roches CA, Balachandran I, Ascenso EM, Tripodis Y, Kiran S. Effectiveness of an impairment-based individualized rehabilitation program using an iPad-based software platform. Frontiers in Human Neuroscience. 2015; 8: 1015.","DOI":"10.3389\/fnhum.2014.01015"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Stark BC, Warburton EA. Improved language in chronic aphasia after self-delivered iPad speech therapy. Neuropsychological Rehabilitation. 2018; 28: 818\u2013831.","DOI":"10.1080\/09602011.2016.1146150"},{"key":"ref13","unstructured":"Finch E, Clark K, Hill A. Using computer-based therapy as an adjunct to standard anomia therapy. Journal of Clinical Practice in Speech-Language Pathology. 2013; 15: 2\u20136."},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"Tsatsakis A, Calina D, Falzone L, Petrakis D, Mitrut R, Siokas V, et al. SARS-CoV-2 pathophysiology and its clinical implications: an integrative overview of the pharmacotherapeutic management of COVID-19. Food and Chemical Toxicology. 2020; 146: 111769.","DOI":"10.1016\/j.fct.2020.111769"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"Fisicaro F, Di Napoli M, Liberto A, Fanella M, Di Stasio F, Pennisi M, et al. Neurological Sequelae in Patients with COVID-19: A Histopathological Perspective. International Journal of Environmental Research and Public Health. 2021; 18: 1415.","DOI":"10.3390\/ijerph18041415"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"Pennisi M, Lanza G, Falzone L, Fisicaro F, Ferri R, Bella R. SARS-CoV-2 and the Nervous System: From Clinical Features to Molecular Mechanisms. International Journal of Molecular Sciences. 2020; 21: 5475.","DOI":"10.3390\/ijms21155475"},{"key":"ref17","doi-asserted-by":"crossref","unstructured":"Maniaci A, Iannella G, Vicini C, Pavone P, Nunnari G, Falsaperla R, et al. A case of covid-19 with late-onset rash and transient loss of taste and smell in a 15-year-old boy. American Journal of Case Reports. 2020; 21: e925813.","DOI":"10.12659\/AJCR.925813"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"Wosik J, Fudim M, Cameron B, Gellad ZF, Cho A, Phinney D, et al. Telehealth transformation: COVID-19 and the rise of virtual care. Journal of the American Medical Informatics Association. 2020; 27: 957\u2013962.","DOI":"10.1093\/jamia\/ocaa067"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"Tenforde AS, Borgstrom H, Polich G, Steere H, Davis IS, Cotton K, et al. Outpatient Physical, Occupational, and Speech Therapy Synchronous Telemedicine: A Survey Study of Patient Satisfaction with Virtual Visits During the COVID-19 Pandemic. American Journal of Physical Medicine & Rehabilitation. 2020; 99: 977\u2013981.","DOI":"10.1097\/PHM.0000000000001571"},{"key":"ref20","doi-asserted-by":"crossref","unstructured":"Cocuzza S, Maniaci A, Grillo C, Ferlito S, Spinato G, Coco S, et al. Voice-Related Quality of Life in Post-Laryngectomy Rehabilitation: Tracheoesophageal Fistula\u2019s Wellness. International Journal of Environmental Research and Public Health. 2020; 17: 4605.","DOI":"10.3390\/ijerph17124605"},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"Ferlito S, Maniaci A, Di Luca M, Grillo C, Mannelli L, Salvatore M, et al. From Uncommon Infection to Multi-Cranial Palsy: Malignant External Otitis Insights. Dose-Response. 2020; 18: 155932582096391.","DOI":"10.1177\/1559325820963910"},{"key":"ref22","unstructured":"Capasso R, Miceli G. Esame Neuropsicologico per l\u2019Afasia: E.N.P.A. Springer-Verlag Mailand: Milan. 2001."},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"RELEASE Collaboration. Communicating simply, but not too simply: Reporting of participants and speech and language interventions for aphasia after stroke. International Journal of Speech-Language Pathology. 2020; 22: 302\u2013312.","DOI":"10.1080\/17549507.2020.1762000"},{"key":"ref24","doi-asserted-by":"crossref","unstructured":"Chadd K, Moyse K, Enderby P. Impact of COVID-19 on the Speech and Language Therapy Profession and Their Patients. Frontiers in Neurology. 2021; 12: 629190.","DOI":"10.3389\/fneur.2021.629190"},{"key":"ref25","doi-asserted-by":"crossref","unstructured":"Rutledge CM, Haney T, Bordelon M, Renaud M, Fowler C. Telehealth: preparing advanced practice nurses to address healthcare needs in rural and underserved populations. International Journal of Nursing Education Scholarship. 2014; 11: \/j\/ijnes.2014.11.issue-1\/ijnes-2013-0061\/ijnes-2013-0061.xml.","DOI":"10.1515\/ijnes-2013-0061"},{"key":"ref26","doi-asserted-by":"crossref","unstructured":"Gall\u00e9e J, Pittmann R, Pennington S, Vallila-Rohter S. The Application of Lexical Retrieval Training in Tablet-Based Speech-Language Intervention. Frontiers in Neurology. 2020; 11: 583246.","DOI":"10.3389\/fneur.2020.583246"},{"key":"ref27","doi-asserted-by":"crossref","unstructured":"Dimer NA, Canto-Soares ND, Santos-Teixeira LD, Goulart BNG. The COVID-19 pandemic and the implementation of telehealth in speech-language and hearing therapy for patients at home: an experience report. CoDAS. 2020; 32: e20200144.","DOI":"10.1590\/SciELOPreprints.610"},{"key":"ref28","doi-asserted-by":"crossref","unstructured":"Fernandes FDM, Lopes-Herrera SA, Perissinoto J, Molini-Avejonas DR, Higuera Amato CA, Tamanaha AC, et al. Use of telehealth by undergraduate students in Speech Therapy: possibilities and perspectives during COVID-19 pandemic. CoDAS. 2020; 32: e20200190.","DOI":"10.1590\/2317-1782\/20192020190"},{"key":"ref29","doi-asserted-by":"crossref","unstructured":"Kraljevi\u0107 JK, Mati\u0107 A, Dokoza KP. Telepractice as a Reaction to the COVID-19 Crisis: Insights from Croatian SLP Settings. International Journal of Telerehabilitation. 2020; 12: 93\u2013104.","DOI":"10.5195\/ijt.2020.6325"},{"key":"ref30","doi-asserted-by":"crossref","unstructured":"Zughni LA, Gillespie AI, Hatcher JL, Rubin AD, Giliberto JP. Telemedicine and the Interdisciplinary Clinic Model: during the COVID-19 Pandemic and beyond. Otolaryngology\u2013Head and Neck Surgery. 2020; 163: 673\u2013675.","DOI":"10.1177\/0194599820932167"},{"key":"ref31","doi-asserted-by":"crossref","unstructured":"Sarfo FS, Ulasavets U, Opare-Sem OK, Ovbiagele B. Tele-Rehabilitation after Stroke: an Updated Systematic Review of the Literature. Journal of Stroke and Cerebrovascular Diseases. 2018; 27: 2306\u20132318.","DOI":"10.1016\/j.jstrokecerebrovasdis.2018.05.013"},{"key":"ref32","doi-asserted-by":"crossref","unstructured":"\u00d8ra HP, Kirmess M, Brady MC, Winsnes IE, Hansen SM, Becker F. Telerehabilitation for aphasia - protocol of a pragmatic, exploratory, pilot randomized controlled trial. Trials. 2018; 19: 208.","DOI":"10.1186\/s13063-018-2588-5"},{"key":"ref33","doi-asserted-by":"crossref","unstructured":"\u00d8ra HP, Kirmess M, Brady MC, S\u00f8rli H, Becker F. Technical Features, Feasibility, and Acceptability of Augmented Telerehabilitation in Post-stroke Aphasia\u2014Experiences From a Randomized Controlled Trial. Frontiers in Neurology. 2020; 11: 671.","DOI":"10.3389\/fneur.2020.00671"},{"key":"ref34","doi-asserted-by":"crossref","unstructured":"Mashima PA, Doarn CR. Overview of telehealth activities in speech-language pathology. Telemedicine Journal and E-Health. 2008; 14: 1101\u20131117.","DOI":"10.1089\/tmj.2008.0080"},{"key":"ref35","doi-asserted-by":"crossref","unstructured":"Hall N, Boisvert M, Steele R. Telepractice in the assessment and treatment of individuals with aphasia: a systematic review. International Journal of Telerehabilitation. 2013; 5: 27\u201338.","DOI":"10.5195\/ijt.2013.6119"},{"key":"ref36","doi-asserted-by":"crossref","unstructured":"Brennan DM, Georgeadis AC, Baron CR, Barker LM. The effect of videoconference-based telerehabilitation on story retelling performance by brain-injured subjects and its implications for remote speech-language therapy. Telemedicine Journal and E-Health. 2004; 10: 147\u2013154.","DOI":"10.1089\/1530562041641237"},{"key":"ref37","doi-asserted-by":"crossref","unstructured":"Pedersen PM, Vinter K, Olsen TS. Aphasia after stroke: type, severity and prognosis. the Copenhagen aphasia study. Cerebrovascular Diseases. 2004; 17: 35\u201343.","DOI":"10.1159\/000073896"},{"key":"ref38","doi-asserted-by":"crossref","unstructured":"Meyer AM, Getz HR, Brennan DM, Hu TM, Friedman RB. Telerehabilitation of Anomia in Primary Progressive Aphasia. Aphasiology. 2016; 30: 483\u2013507.","DOI":"10.1080\/02687038.2015.1081142"},{"key":"ref39","doi-asserted-by":"crossref","unstructured":"Kurland J, Wilkins AR, Stokes P. IPractice: piloting the effectiveness of a tablet-based home practice program in aphasia treatment. Seminars in Speech and Language. 2014; 35: 51\u201363.","DOI":"10.1055\/s-0033-1362991"},{"key":"ref40","doi-asserted-by":"crossref","unstructured":"Boldrini P, Kiekens C, Bargellesi S, Brianti R, Galeri S, Lucca L, et al. First impact of COVID-19 on services and their preparation. European Journal of Physical and Rehabilitation Medicine. 2020; 56: 319\u2013322.","DOI":"10.23736\/S1973-9087.20.06303-0"},{"key":"ref41","doi-asserted-by":"crossref","unstructured":"Volkers N. Work: only its Name will Stay the same. The ASHA Leader. 2019; 24: 42\u201351.","DOI":"10.1044\/leader.FTR1.24122019.42"},{"key":"ref42","doi-asserted-by":"crossref","unstructured":"Godlove J, Kiran S. Is Home Based Therapy as Effective in-Clinic Therapy for Patients with Aphasia? Archives of Physical Medicine and Rehabilitation. 2017; 98: e77\u2013e78.","DOI":"10.1016\/j.apmr.2017.08.243"},{"key":"ref43","doi-asserted-by":"crossref","unstructured":"Wade J, Mortley J, Enderby P. Talk about it: Views of people with aphasia and their partners on receiving remotely monitored computer\u2010based word finding therapy. Aphasiology. 2003; 17: 1031\u20131056.","DOI":"10.1080\/02687030344000373"},{"key":"ref44","doi-asserted-by":"crossref","unstructured":"Knickerbocker K, Bryan C, Ziegler A. Phonogenic Voice Problems among Speech-Language Pathologists in Synchronous Telepractice: an Overview and Recommendations. Seminars in Speech and Language. 2021; 42: 73\u201384.","DOI":"10.1055\/s-0040-1722754"},{"key":"ref45","doi-asserted-by":"crossref","unstructured":"Chaet D, Clearfield R, Sabin JE, Skimming K. Ethical practice in Telehealth and Telemedicine. Journal of General Internal Medicine. 2017; 32: 1136\u20131140.","DOI":"10.1007\/s11606-017-4082-2"},{"key":"ref46","doi-asserted-by":"crossref","unstructured":"Almathami HKY, Win KT, Vlahu-Gjorgievska E. Barriers and Facilitators That Influence Telemedicine-Based, Real-Time, Online Consultation at Patients\u2019 Homes: Systematic Literature Review. 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