-
01
Three weeks of intensive, individualised therapy (at least 10 hours a week) significantly improve everyday communication, even in chronic aphasia, with the benefit maintained six months later.
Breitenstein
et al., The Lancet, 2017↗
randomised controlled trial, 156 patients
-
02
The greatest language gains are associated with more than 20 to 50 hours of therapy, delivered frequently, matched to the patient’s needs and supplemented by exercises at home.
RELEASE
Collaborators, Stroke, 2022↗
meta-analysis, 959 patients
-
03
In practice, patients receive an average of 128 minutes of therapy a week — far below the doses associated with the best outcomes. The gap is not a matter of clinicians’ commitment, but of the time available to them.
Monnelly
et al., International Journal of Language & Communication Disorders,
2023↗
-
04
Progress largely concerns the material actually worked on, and familiarisation effects distort measurement from one assessment to the next. Renewing the material is not a comfort: it is a condition of progress.
Castro
et al., Aphasiology, 2022↗ ·
Calamia
et al., The Clinical Neuropsychologist, 2012↗
-
05
In dementia it brings demonstrated benefits for cognition, communication and quality of life, the more so when offered at least twice a week. It is among the non-pharmacological interventions recognised by France’s HAS and by the WHO.
Woods
et al., Cochrane review, 2023↗
37 trials, 2,766 participants
-
06
In the available trials, remote rehabilitation achieves results comparable to face-to-face delivery, and above all it extends the work between sessions, which is where everything is decided.
Laver
et al., Cochrane review, 2020↗
22 trials, 1,937 participants