Aphasia and Auditory Processing after Stroke through an International Classification of Functioning, Disability and Health Lens

 

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Abstract

Aphasia is an acquired language impairment affecting speaking, listening, reading, and writing. Aphasia occurs in about a third of patients who have ischemic stroke and significantly affects functional recovery and return to work. Stroke is more common in older individuals but also occurs in young adults and children. Because people experiencing a stroke are typically aged between 65 and 84 years, hearing loss is common and can potentially interfere with rehabilitation. There is some evidence for increased risk and greater severity of sensorineural hearing loss in the stroke population and hence it has been recommended that all people surviving a stroke should have a hearing test. Auditory processing difficulties have also been reported poststroke. The International Classification of Functioning, Disability and Health (ICF) can be used as a basis for describing the effect of aphasia, hearing loss, and auditory processing difficulties on activities and participation. Effects include reduced participation in activities outside the home such as work and recreation and difficulty engaging in social interaction and communicating needs. A case example of a young man (M) in his 30s who experienced a left-hemisphere ischemic stroke is presented. M has normal hearing sensitivity but has aphasia and auditory processing difficulties based on behavioral and cortical evoked potential measures. His principal goal is to return to work. Although auditory processing difficulties (and hearing loss) are acknowledged in the literature, clinical protocols typically do not specify routine assessment. The literature and the case example presented here suggest a need for further research in this area and a possible change in practice toward more routine assessment of auditory function post-stroke.

• References

• 1 American Speech-Language Hearing Association (ASHA). International Classification of Functioning, Disability, and Health (ICF). Available at: http://www.asha.org/slp/icf/ . n.d. Accessed March 24, 2016
  PubMedGoogle Scholar
• 2 Kagan A. A-FROM in action at the Aphasia Institute. Semin Speech Lang 2011; 32 (3) 216-228
  Article in Thieme ConnectPubMedGoogle Scholar
• 3 Kagan A, Simmons-Mackie N, Rowland A , et al. Counting what counts: a framework for capturing real-life outcomes of aphasia intervention. Aphasiology 2008; 22 (3) 258-280
  CrossrefPubMedGoogle Scholar
• 4 Brandenburg C, Worrall L, Rodriguez A, Bagraith K. Crosswalk of participation self-report measures for aphasia to the ICF: what content is being measured?. Disabil Rehabil 2015; 37 (13) 1113-1124
  CrossrefPubMedGoogle Scholar
• 5 Skolarus LE, Burke JF, Brown DL, Freedman VA. Understanding stroke survivorship: expanding the concept of poststroke disability. Stroke 2014; 45 (1) 224-230
  CrossrefPubMedGoogle Scholar
• 6 Granberg S, Pronk M, Swanepoel W , et al. The ICF core sets for hearing loss project: functioning and disability from the patient perspective. Int J Audiol 2014; 53 (11) 777-786
  CrossrefPubMedGoogle Scholar
• 7 Granberg S, Swanepoel W, Englund U, Möller C, Danermark B. The ICF core sets for hearing loss project: international expert survey on functioning and disability of adults with hearing loss using the International Classification of Functioning, Disability, and Health (ICF). Int J Audiol 2014; 53 (8) 497-506
  CrossrefPubMedGoogle Scholar
• 8 Sharma M, Purdy SC. Management of auditory processing disorder for school-aged children: applying the ICF (International Classification of Functioning, Disability and Health) framework. In Auditory Processing Disorders: Assessment, Management and Treatment. San Diego, CA: Plural Publishing; 2013: 495-530
  Google Scholar
• 9 Grawburg M, Howe T, Worrall L, Scarinci N. Describing the impact of aphasia on close family members using the ICF framework. Disabil Rehabil 2014; 36 (14) 1184-1195
  CrossrefPubMedGoogle Scholar
• 10 Simmons-Mackie N, Kagan A. Application of the ICF in aphasia. Semin Speech Lang 2007; 28 (4) 244-253
  Article in Thieme ConnectPubMedGoogle Scholar
• 11 National Stroke Foundation. National Stroke Audit—Acute Services Clinical Audit Report. Melbourne, Australia; 2013
  PubMedGoogle Scholar
• 12 Child N, Barber PA, Fink J, Jones S, Voges K, Vivian M. New Zealand National Acute Stroke Services Audit 2009: organisation of acute stroke services in New Zealand. N Z Med J 2011; 124 (1340) 13-20
  PubMedGoogle Scholar
• 13 Zahuranec DB, Lisabeth LD, Sánchez BN , et al. Intracerebral hemorrhage mortality is not changing despite declining incidence. Neurology 2014; 82 (24) 2180-2186
  CrossrefPubMedGoogle Scholar
• 14 Khaw KT. Epidemiological aspects of ageing. Philos Trans R Soc Lond B Biol Sci 1997; 352 (1363) 1829-1835
  CrossrefPubMedGoogle Scholar
• 15 Krishnamurthi RV, Moran AE, Feigin VL , et al; GBD 2013 Stroke Panel Experts Group. Stroke prevalence, mortality and disability-adjusted life years in adults aged 20-64 years in 1990-2013: data from the Global Burden of Disease 2013 Study. Neuroepidemiology 2015; 45 (3) 190-202
  CrossrefPubMedGoogle Scholar
• 16 Hung WW, Ross JS, Boockvar KS, Siu AL. Recent trends in chronic disease, impairment and disability among older adults in the United States. BMC Geriatr 2011; 11: 47
  CrossrefPubMedGoogle Scholar
• 17 Engelter ST, Gostynski M, Papa S , et al. Epidemiology of aphasia attributable to first ischemic stroke: incidence, severity, fluency, etiology, and thrombolysis. Stroke 2006; 37 (6) 1379-1384
  CrossrefPubMedGoogle Scholar
• 18 Parr S , et al. Talking about aphasia: living with loss of language after stroke. Buckingham, England: Open University Press; 1997. :xiii
  Google Scholar
• 19 Kadojić D, Bijelić BR, Radanović R, Porobić M, Rimac J, Dikanović M. Aphasia in patients with ischemic stroke. Acta Clin Croat 2012; 51 (2) 221-225
  PubMedGoogle Scholar
• 20 Walker JP, Joseph L, Goodman J. The production of linguistic prosody in subjects with aphasia. Clin Linguist Phon 2009; 23 (7) 529-549
  CrossrefPubMedGoogle Scholar
• 21 Nicholson KG, Baum S, Cuddy LL, Munhall KG. A case of impaired auditory and visual speech prosody perception after right hemisphere damage. Neurocase 2002; 8 (4) 314-322
  CrossrefPubMedGoogle Scholar
• 22 Robson H, Grube M, Lambon Ralph MA, Griffiths TD, Sage K. Fundamental deficits of auditory perception in Wernicke's aphasia. Cortex 2013; 49 (7) 1808-1822
  CrossrefPubMedGoogle Scholar
• 23 Szelag E, Lewandowska M, Wolak T , et al. Training in rapid auditory processing ameliorates auditory comprehension in aphasic patients: a randomized controlled pilot study. J Neurol Sci 2014; 338 (1–2) 77-86
  CrossrefPubMedGoogle Scholar
• 24 Campbell P, Pollock A, Brady M. Should hearing be screened in the first 30 days after an acute stroke? A systematic review. Int J Stroke 2014; 9: 38
  CrossrefPubMedGoogle Scholar
• 25 Läßig AK, Kreter S, Nospes S, Keilmann A. [Hearing disorders in aphasia]. Laryngorhinootologie 2013; 92 (8) 531-535
  Article in Thieme ConnectPubMedGoogle Scholar
• 26 Onoue SS, Ortiz KZ, Minett TS, Borges AC. Audiological findings in aphasic patients after stroke. Einstein (Sao Paulo) 2014; 12 (4) 433-439
  CrossrefPubMedGoogle Scholar
• 27 Formby C, Phillips DE, Thomas RG. Hearing loss among stroke patients. Ear Hear 1987; 8 (6) 326-332
  CrossrefPubMedGoogle Scholar
• 28 Gates GA, Cobb JL, D'Agostino RB, Wolf PA. The relation of hearing in the elderly to the presence of cardiovascular disease and cardiovascular risk factors. Arch Otolaryngol Head Neck Surg 1993; 119 (2) 156-161
  CrossrefPubMedGoogle Scholar
• 29 Lin HC, Chao PZ, Lee HC. Sudden sensorineural hearing loss increases the risk of stroke: a 5-year follow-up study. Stroke 2008; 39 (10) 2744-2748
  CrossrefPubMedGoogle Scholar
• 30 Bamiou DE. Hearing disorders in stroke. Handb Clin Neurol 2015; 129: 633-647
  PubMedGoogle Scholar
• 31 Pinto JM, Kern DW, Wroblewski KE, Chen RC, Schumm LP, McClintock MK. Sensory function: insights from Wave 2 of the National Social Life, Health, and Aging Project. J Gerontol B Psychol Sci Soc Sci 2014; 69 (Suppl. 02) S144-S153
  CrossrefPubMedGoogle Scholar
• 32 Chisolm TH, Abrams HB, McArdle R, Wilson RH, Doyle PJ. The WHO-DAS II: psychometric properties in the measurement of functional health status in adults with acquired hearing loss. Trends Amplif 2005; 9 (3) 111-126
  CrossrefPubMedGoogle Scholar
• 33 Haley WE, Roth DL, Kissela B, Perkins M, Howard G. Quality of life after stroke: a prospective longitudinal study. Qual Life Res 2011; 20 (6) 799-806
  CrossrefPubMedGoogle Scholar
• 34 Bainbridge KE, Wallhagen MI. Hearing loss in an aging American population: extent, impact, and management. Annu Rev Public Health 2014; 35: 139-152
  CrossrefPubMedGoogle Scholar
• 35 Lee H, Lee Y, Choi H, Pyun SB. Community integration and quality of life in aphasia after stroke. Yonsei Med J 2015; 56 (6) 1694-1702
  CrossrefPubMedGoogle Scholar
• 36 Hilari K, Byng S. Health-related quality of life in people with severe aphasia. Int J Lang Commun Disord 2009; 44 (2) 193-205
  CrossrefPubMedGoogle Scholar
• 37 Brown K, Davidson B, Worrall LE, Howe T. “Making a good time”: the role of friendship in living successfully with aphasia. Int J Speech-Language Pathol 2013; 15 (2) 165-175
  PubMedGoogle Scholar
• 38 American Academy of Audiology. Clinical Practice Guidelines for the Diagnosis, Treatment and Management of Children and Adults with Central Auditory Processing Disorder: Diagnosis, Treatment and Management of Children and Adults with Central Auditory Processing Disorder. 2010. Available at: www.audiology.org/publications-resources/document-library/central-auditory-processing-disorder . Accessed June 27, 2016
  PubMedGoogle Scholar
• 39 British Society of Audiology. Position Statement Auditory Processing Disorder (APD). 2011. Available at: http://www.thebsa.org.uk/wp-content/uploads/2014/04/BSA_APD_PositionPaper_31March11_FINAL.pdf . Accessed June 27, 2016
  PubMedGoogle Scholar
• 40 Geyh S, Cieza A, Schouten J , et al. ICF Core Sets for stroke. J Rehabil Med 2004; (44, Suppl): 135-141
  PubMedGoogle Scholar
• 41 Salis C, Kelly H, Code C. Assessment and treatment of short-term and working memory impairments in stroke aphasia: a practical tutorial. Int J Lang Commun Disord 2015; 50 (6) 721-736
  CrossrefPubMedGoogle Scholar
• 42 Wright HH, Shisler RJ. Working memory in aphasia: theory, measures, and clinical implications. Am J Speech Lang Pathol 2005; 14 (2) 107-118
  CrossrefPubMedGoogle Scholar
• 43 Ilvonen T, Kujala T, Kozou H , et al. The processing of speech and non-speech sounds in aphasic patients as reflected by the mismatch negativity (MMN). Neurosci Lett 2004; 366 (3) 235-240
  CrossrefPubMedGoogle Scholar
• 44 Ofek E, Purdy SC, Ali G, Webster T, Gharahdaghi N, McCann CM. Processing of emotional words after stroke: an electrophysiological study. Clin Neurophysiol 2013; 124 (9) 1771-1778
  CrossrefPubMedGoogle Scholar
• 45 Oron A, Szymaszek A, Szelag E. Temporal information processing as a basis for auditory comprehension: clinical evidence from aphasic patients. Int J Lang Commun Disord 2015; 50 (5) 604-615
  CrossrefPubMedGoogle Scholar
• 46 Talvitie SS, Matilainen LE, Pekkonen E, Alku P, May PJ, Tiitinen H. The effects of cortical ischemic stroke on auditory processing in humans as indexed by transient brain responses. Clin Neurophysiol 2010; 121 (6) 912-920
  CrossrefPubMedGoogle Scholar
• 47 Alvarenga KdeF, Lamônica DC, Costa Filho OA, Banhara MR, Oliveira DT, Campo MA. Electrophysiological study of the central and peripheral hearing system of aphasic individuals. Arq Neuropsiquiatr 2005; 63 (1) 104-109
  CrossrefPubMedGoogle Scholar
• 48 Saygin AP, Dick F, Wilson SM, Dronkers NF, Bates E. Neural resources for processing language and environmental sounds: evidence from aphasia. Brain 2003; 126 (Pt 4) 928-945
  CrossrefPubMedGoogle Scholar
• 49 Musiek FE, Chermak GD. Psychophysical and behavioral peripheral and central auditory tests. In: Celesia GG, Hickok, G, eds. The Human Auditory System: Fundamental Organization and Clinical Disorders. Amsterdam, the Netherlands: Elsevier; 2015: 313-332
  CrossrefGoogle Scholar
• 50 Gibson L, MacLennan WJ, Gray C, Pentland B. Evaluation of a comprehensive assessment battery for stroke patients. Int J Rehabil Res 1991; 14 (2) 93-100
  CrossrefPubMedGoogle Scholar
• 51 Lee B, Pyun SB. Characteristics of cognitive impairment in patients with post-stroke aphasia. Ann Rehabil Med 2014; 38 (6) 759-765
  CrossrefPubMedGoogle Scholar
• 52 Aben L, Busschbach JJ, Ponds RW, Ribbers GM. Memory self-efficacy and psychosocial factors in stroke. J Rehabil Med 2008; 40 (8) 681-683
  CrossrefPubMedGoogle Scholar
• 53 Cherney LR, Babbitt EM, Semik P, Heinemann AW. Psychometric properties of the communication Confidence Rating Scale for Aphasia (CCRSA): phase 1. Top Stroke Rehabil 2011; 18 (4) 352-360
  CrossrefPubMedGoogle Scholar
• 54 Kortlang S, Mauermann M, Ewert SD. Suprathreshold auditory processing deficits in noise: effects of hearing loss and age. Hear Res 2016; 331: 27-40
  CrossrefPubMedGoogle Scholar
• 55 Münte TF, Spring DK, Szycik GR, Noesselt T. Electrophysiological attention effects in a virtual cocktail-party setting. Brain Res 2010; 1307: 78-88
  CrossrefPubMedGoogle Scholar
• 56 Lagacé J, Jutras B, Gagné JP. Auditory processing disorder and speech perception problems in noise: finding the underlying origin. Am J Audiol 2010; 19 (1) 17-25
  CrossrefPubMedGoogle Scholar
• 57 Barry JG, Ferguson MA, Moore DR. Making sense of listening: the IMAP test battery. Semin Hear 2010; (44)
  PubMedGoogle Scholar
• 58 Anderson S, Chandrasekaran B, Yi HG, Kraus N. Cortical-evoked potentials reflect speech-in-noise perception in children. Eur J Neurosci 2010; 32 (8) 1407-1413
  CrossrefPubMedGoogle Scholar
• 59 Sharma M, Purdy SC, Kelly AS. The contribution of speech-evoked cortical auditory evoked potentials to the diagnosis and measurement of intervention outcomes in children with auditory processing disorder. Semin Hear 2014; 35 (1) 51-64
  Article in Thieme ConnectPubMedGoogle Scholar
• 60 Graham JR, Pereira S, Teasell R. Aphasia and return to work in younger stroke survivors. Aphasiology 2011; 258: 8
  PubMedGoogle Scholar
• 61 Buss E, He S, Grose JH, Hall III JW. The monaural temporal window based on masking period pattern data in school-aged children and adults. J Acoust Soc Am 2013; 133 (3) 1586-1597
  CrossrefPubMedGoogle Scholar
• 62 Neijenhuis K, Snik A, Priester G, van Kordenoordt S, van den Broek P. Age effects and normative data on a Dutch test battery for auditory processing disorders. Int J Audiol 2002; 41 (6) 334-346
  CrossrefPubMedGoogle Scholar
• 63 Billings CJ, McMillan GP, Penman TM, Gille SM. Predicting perception in noise using cortical auditory evoked potentials. J Assoc Res Otolaryngol 2013; 14 (6) 891-903
  CrossrefPubMedGoogle Scholar
• 64 Kaplan E, Goodglass H, Weintraub S. Boston Naming Test-2 (BNT-2). 2nd ed. Austin, TX: Pro-Ed; 2001
  Google Scholar
• 65 Brookshire RH, Nicholas LE. Relationship of word frequency in printed materials and judgments of word frequency in daily life to Boston Naming Test performance of aphasic adults. Clinical Aphasiology 1995; 23: 107-119
  PubMedGoogle Scholar
• 66 Barker-Collo S. Boston naming test performance of older New Zealand adults. Aphasiology 2007; 21 (12) 9
  CrossrefPubMedGoogle Scholar
• 67 Spreen O, Strauss E. A Compendium of Neuropsychological Tests: Administration, Norms, and Commentary. 2nd ed. New York, NY, Oxford, England: Oxford University Press; 1998
  Google Scholar
• 68 Hilpert M. Construction Grammar and Its Application to English. Edinburgh Textbooks on the English Language Advanced. Edinburgh, Scotland: Edinburgh University Press; 2014
  Google Scholar
• 69 DeDe G. Effects of word frequency and modality on sentence comprehension impairments in people with aphasia. Am J Speech Lang Pathol 2012; 21 (2) S103-S114
  CrossrefPubMedGoogle Scholar
• 70 Jones DM, Hughes RW, Macken WJ. Auditory distraction and serial memory: the avoidable and the ineluctable. Noise Health 2010; 12 (49) 201-209
  CrossrefPubMedGoogle Scholar
• 71 Heinrich A, Schneider BA, Craik FI. Investigating the influence of continuous babble on auditory short-term memory performance. Q J Exp Psychol (Hove) 2008; 61 (5) 735-751
  CrossrefPubMedGoogle Scholar
• 72 Zeamer C, Fox Tree JE. The process of auditory distraction: disrupted attention and impaired recall in a simulated lecture environment. J Exp Psychol Learn Mem Cogn 2013; 39 (5) 1463-1472
  CrossrefPubMedGoogle Scholar
• 73 Bamiou DE, Musiek FE, Stow I , et al. Auditory temporal processing deficits in patients with insular stroke. Neurology 2006; 67 (4) 614-619
  CrossrefPubMedGoogle Scholar
• 74 Johnston KN, John AB, Kreisman NV, Hall III JW, Crandell CC. Multiple benefits of personal FM system use by children with auditory processing disorder (APD). Int J Audiol 2009; 48 (6) 371-383
  CrossrefPubMedGoogle Scholar
• 75 Chisolm TH, Noe CM, McArdle R, Abrams H. Evidence for the use of hearing assistive technology by adults: the role of the FM system. Trends Amplif 2007; 11 (2) 73-89
  CrossrefPubMedGoogle Scholar
• 76 American Speech-Language-Hearing Association. Person-centered focus on function: aphasia. Available at: http://www.asha.org/uploadedFiles/ICF-Aphasia.pdf . Accessed May 23, 2016
  PubMedGoogle Scholar