Kankam Keren, Murray Laura, Glista Danielle, Savundranayagam Marie Y, Teti Selina, Sedzro Mawukoenya Theresa
Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada.
Health and Rehabilitation Sciences, School of Communication Sciences and Disorders, Centre for Activity and Aging, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada.
Disabil Rehabil. 2025 Apr 22:1-18. doi: 10.1080/09638288.2025.2493209.
Stroke is a global health concern, particularly in low- and middle-income countries (LMIC), notably across Africa (LMIAC). Aphasia, a major post-stroke disability emphasizes the importance of effective management services to enhance quality of life of stroke survivors and their families. Concerns exist regarding the adequacy of such services in LMIAC. This scoping review examined stroke and post-stroke aphasia management studies in LMIAC.
Seven electronic databases (PsycINFO (Ovid), MEDLINE (Ovid), PubMed, EMBASE, Cochrane Library, Scopus, and Web of Science) were searched for English peer-reviewed studies (2010- November 2023). Grey literature was sourced from Google and Google Scholar. Search terms included keywords in population, intervention, and geographic area. Titles and abstracts were screened by the lead author and a second reviewer, with conflicts resolved by a third. The lead author conducted full-text screening and grey literature searches, with a second reviewer checking 35% of the articles for eligibility.
Sixty-three studies from 19 LMIAC were included; only four studies focused on post-stroke aphasia management. Challenges reported included lack of- knowledge of stroke signs, ambulance services, diagnostic access, and linguistically appropriate post-stroke aphasia resources.
Effective stroke and post-stroke aphasia management services are needed, along with further LMIAC research.
中风是一个全球关注的健康问题，尤其是在低收入和中等收入国家（LMIC），特别是在非洲（LMIAC）。失语症是中风后的一种主要残疾，它强调了有效管理服务对于提高中风幸存者及其家人生活质量的重要性。人们对LMIAC中此类服务的充足性存在担忧。本范围综述研究了LMIAC中中风及中风后失语症管理的研究。
在七个电子数据库（PsycINFO（Ovid）、MEDLINE（Ovid）、PubMed、EMBASE、Cochrane图书馆、Scopus和科学网）中搜索2010年至2023年11月的英文同行评审研究。灰色文献来自谷歌和谷歌学术。搜索词包括人群、干预措施和地理区域方面的关键词。标题和摘要由第一作者和另一位评审员进行筛选，如有冲突则由第三位解决。第一作者进行全文筛选和灰色文献搜索，另一位评审员检查35%的文章是否符合要求。
纳入了来自19个LMIAC的63项研究；只有四项研究关注中风后失语症管理。报告的挑战包括对中风症状的认识不足、救护车服务、诊断途径以及语言上合适的中风后失语症资源。
需要有效的中风及中风后失语症管理服务，以及更多针对LMIAC的研究。
