TY - JOUR A1 - Greiner, Nina A1 - Lauer, Norina A1 - Schedel, Valentin A1 - Pfingsten, Andrea T1 - Group rehabilitation for adults with acquired neurological disorders: A systematic review of mono- and interdisciplinary interventions in physical and speech-language therapy JF - PM&R N2 - Background: Group treatments and interdisciplinary collaboration are recommended in evidence-based guidelines for neurorehabilitation, including physical and speech-language therapy. Evidence suggests that activating overlapping neural networks for upper extremity motor control and speechlanguage processing produces synergistic effects during therapy. This systematic review aims to overview and appraise the efficacy of group treatments in traditional rehabilitation and telerehabilitation. In addition to summarizing evidence on monodisciplinary approaches in physical and speech-language therapy, it seeks data on integrative approaches involving one or both disciplines to inform further interdisciplinary collaboration. Methods: The review was registered with PROSPERO (CRD42021288012) and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Systematic searches were conducted in PubMed, CINAHL, and the Cochrane Library. Two reviewers independently screened studies, extracted data, and assessed quality using AMSTAR 2, the Physiotherapy Evidence Database (PEDro) scale, or the Joanna Briggs Institute (JBI) Checklist, as appropriate. The evidence was summarized in a systematic narrative synthesis and its certainty rated based on the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Results: A total of 29 studies were included: 16 on speech-language therapy (861 participants) and 13 on physical therapy (1757 participants). No studies addressed interdisciplinary group interventions, and only two evaluated group telerehabilitation. Outcome domains and measures varied across studies and the certainty of evidence was predominantly low. However, moderate-certainty evidence supports that group speech-language therapy improves quality of life, communication, and language in stroke survivors, especially when interventions emphasize verbal production in communicative settings with multimodal materials and cueing. In physical therapy, circuit class training may be more effective than other group approaches for enhancing quality of life and mobility. Conclusion: Group treatments in neurorehabilitation show some benefits, but further research is needed – especially regarding interdisciplinary approaches and telerehabilitation. KW - Gruppentherapie KW - Logopädie KW - Physiotherapie KW - Neurologie KW - systematic review KW - group treatment KW - interdisciplinary collaboration KW - speech-language therapy KW - physical therapy Y1 - 2025 U6 - https://doi.org/10.1002/pmrj.70006 N1 - Corresponding author der OTH Regensburg: Nina Greiner PB - Wiley ER - TY - JOUR A1 - Nickel, Maren T. A1 - Lauer, Norina A1 - Kurfess, Christina A1 - Kreiter, Daniel A1 - Corsten, Sabine T1 - Peer-to-peer support in Aphasia: the participants’ perspective on the digital network PeerPAL JF - Qualitative Research in Communication Differences and Disorders N2 - Background: Aphasia can affect health-related quality of life (HRQL), identity, and social participation. Peer contact can have a positive impact on all three aspects. However, there are barriers to the available offers (e.g., professional guidance), whereas a digital solution enables autonomous peer contact. Therefore, we developed and evaluated a customized application for autonomous, asynchronous peer contact that encourages social activities and interaction. The qualitative evaluation in this study includes evaluation of the application and psychosocial changes during the intervention. Quantitative data are published elsewhere. Method: We conducted interviews with 11 people with aphasia who had participated in our pre–post mixed-methods study. The interviews were analyzed using thematic analysis guided by a codebook. Results: Responses were categorized into use and evaluation of the application (three themes) and psychosocial changes during the intervention (four themes). Most interviewees reported that they would like to use the application in the future. The benefits of peer contact, digital exchange, and, thereby, social activities were positively highlighted. Moreover, there are indications of improvements in HRQL and a change in identity. Negative aspects included a lack of feedback from other participants, too few peers in the geographical area, and missing features and bugs in the application. Discussion/Conclusions: The application is suitable for establishing peer contact, which can lead to psychosocial improvements. It remains to be analyzed who benefits most from the application and at what phase of aphasia. Time since onset, social environment, and previous peer contact should be considered. In the future, a larger sample should be analyzed. KW - Aphasie KW - Inklusion KW - Digitalisierung KW - Lebensqualität KW - Teilhabe KW - Peer Support KW - Social Network Y1 - 2025 UR - https://utppublishing.com/doi/abs/10.3138/qrcdd-2024-0009 VL - 16 IS - 1 SP - 43 EP - 81 PB - University of Toronto Press ER -