Language-Specific Dual-Task Effects After Stroke: A Systematic Review.

Purpose: The dual-task paradigm has been frequently used to examine stroke-related deficits because it samples behavioral performance under conditions of distraction similar to functioning in real-life environments. This original systematic review synthesizes studies that examined dual-task effects...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 66; no. 8; pp. 2858 - 2884
Autores principales: Salis, Christos, Jarrar, Rawand, Murray, Laura L.
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Aug2023
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2023
      vid: 66
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      pub: American Speech-Language-Hearing Association
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        10.1044/2023_JSLHR-23-00006
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        atl: Language-Specific Dual-Task Effects After Stroke: A Systematic Review.
      aug:
        au:
          Salis, Christos
          Jarrar, Rawand
          Murray, Laura L.
        affil:
          Speech & Language Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
          Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
          School of Communication Sciences and Disorders, Faculty of Health Sciences, Western University, London, Ontario, Canada.
      su:
        Stroke
        Task performance
        Adults
        Psychology information storage & retrieval systems
        Stuttering
        Transient ischemic attack
        Phonological awareness
        Medical information storage & retrieval systems
        Systematic reviews
        Human multitasking
        Aphasia
        MEDLINE
        Disease complications
      sug:
        subj:
          Stroke
          Task performance
          Adults
          Psychology information storage & retrieval systems
          Stuttering
          Transient ischemic attack
          Phonological awareness
          Medical information storage & retrieval systems
          Systematic reviews
          Human multitasking
          Aphasia
          MEDLINE
          Disease complications
      ab: Purpose: The dual-task paradigm has been frequently used to examine stroke-related deficits because it samples behavioral performance under conditions of distraction similar to functioning in real-life environments. This original systematic review synthesizes studies that examined dual-task effects involving spoken language production in adults affected by stroke, including transient ischemic attack (TIA) and poststroke aphasia. Method: Five databases were searched (inception to March 2022) for eligible peer-reviewed articles. The 21 included studies reported a total of 561 stroke participants. Thirteen studies focused on single word production, for example, word fluency, and eight on discourse production, for example, storytelling. Most studies included participants who had suffered a major stroke. Six studies focused on aphasia, whereas no study focused on TIA. A meta-analysis was not appropriate because of the heterogeneity of outcome measures. Results: Some single word production studies found dual-task language effects whereas others did not. This finding was compounded by the lack of appropriate control participants. Most single word and discourse studies utilized motoric tasks in the dual-task condition. Our certainty (or confidence) assessment was based on a methodological appraisal of each study and information about reliability/fidelity. As 10 of the 21 studies included appropriate control groups and limited reliability/fidelity information, the certainty of the findings may be described as weak. Conclusions: Language-specific dual-task costs were identified in single word studies, especially those that focused on aphasia as well as half of the nonaphasia studies. Unlike single word studies, nearly all studies of discourse showed dual-task decrements on at least some variables.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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