Article

Purpose Reading comprehension can change following acquired brain injury (ABI),
impacting independence and participation.
This review aims to identify and
evaluate the interventions used for rehabilitation of discourse level reading in
adults with ABI. Methods A systematic review was conducted of published journal
articles. Methodological quality of studies was reviewed using formal and
informal rating scales. Inclusion criteria involved adults with non-progressive
ABI who experienced discourse level reading deficits related to aphasia or
cognitive-communication disorders. Results A total of 23 studies were identified;
these included randomized controlled trials, cohort and case studies. Six
different types of reading interventions were found, overall results of these
interventions were mixed. Reading deficits were reportedly related to language
(aphasia) and/or cognitive deficits, with assessment processes varying. Questions
arose regarding comparability of assessment methods and diagnostic issues across
the studies. Conclusions Interventions for discourse level reading comprehension
can make positive changes to reading function. However, no intervention was
identified as a gold standard. A trend toward strategy-based reading was found,
with these offering a potential for (comparatively) cost-effective lower-dosage
reading treatments with positive-trend results. Cognitive and language features
should be considered for assessment and intervention planning for discourse
reading in ABI. Implications for Rehabilitation Six different types of discourse
reading comprehension interventions for people with ABI were identified, with
mixed evidence for each intervention. Clinicians need to consider both the
linguistic and cognitive features of reading for assessment and intervention
planning for discourse level reading. There is a research trend toward
strategy-based reading interventions, which use a lower treatment dosage.

Langue : ANGLAIS