| جستجو گسترده در آدرس مراکز جامع کاردرمانی کرج در شهرک ظفر| رجایی شهر (گوهردشت ) | جستجو گسترده در آدرس مراکز جامع کاردرمانی کرج در شهرک بهارستان شرقی | جستجو گسترده در آدرس مراکز جامع کاردرمانی کرج در شهرک بهداری | جستجو گسترده در آدرس مراکز جامع

|    جستجو گسترده  در آدرس مراکز جامع  کاردرمانی  کرج در   شهرک ظفر|  رجایی شهر (گوهردشت )  |    جستجو گسترده  در آدرس مراکز جامع  کاردرمانی  کرج در   شهرک بهارستان شرقی  |    جستجو گسترده  در آدرس مراکز جامع  کاردرمانی  کرج در   شهرک بهداری  |    جستجو گسترده  در آدرس مراکز جامع

 

 

summary is illustrative and by no means exhaustive, especially in light of the blurred boundaries between what might be considered relevant to cog¬nition and communication in the context of the measures reported in many studies. Many published studies addressing alter¬native and complementary treatments for TBI and dementia, for example, do not include specific indices of cognitive and linguistic performance.

 

An additional challenge in summa-rizing the state of research on comple-mentary and integrative methods is that many of the studies are published in non-English languages and so are not acces¬sible to a large proportion of the scientific and clinical readership. Liu, Zhang, Yan, and Liu (2015), for example, searched all systematic reviews on acupuncture and stroke using a combination of major Chi-nese- and English-language databases and found that 90.7% (42 of a total of 49 pub-lished from 2001 to 2014) were in Chinese.

Overall, there are tremendous weak-nesses in the evidence base. Limitations of the existing research in this area are sum-marized in Box 28-1. Such limitations are not uncommon in many areas of clinical research. Still, they have led some to cam-paign against the use of taxpayer sup¬port for research on alternative and com¬plementary approaches (Mielczarek &

Table 28-2. Summary of Studies Addressing the Effects of Complementary and Alternative Types of Intervention to Address Neurogenic Cognitive-Communicative Disorders

Study       Results

Aphasia

Mindfulness

meditation               Orenstein, Basilakos, & Marshall, 2012    No significant improvements in language performance or divided attention in three people with aphasia

Acupuncture            Zhang,1989              Subjective reports of improvements in language and speech in 75 people with aphasia

Acupuncture            Jianfie, Meifang, & Jia, 1988

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