Letters Speech therapy after stroke

Caution is needed in extrapolating results of randomised controlled trial

BMJ 2012; 345 doi: http://dx.doi.org/10.1136/bmj.e6014 (Published 10 September 2012) Cite this as: BMJ 2012;345:e6014
  1. Pam Enderby, professor of community rehabilitation1
  2. On behalf of the Royal College of Speech and Language Therapists
  1. 1School of Health and Related Research, University of Sheffield, Sheffield S1 4DP, UK
  1. p.m.enderby{at}sheffield.ac.uk

Bowen and colleagues’ robust randomised controlled trial (ACT NoW) concludes that speech and language therapy adds little to the conversational stimulation, social support, and attention provided by paid visitors in the first few months after stroke.1 However, the nested qualitative study found that early …

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