A Report on Conditions of the Aphasic Rehabilitation in Japan

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The Japanese College of Aphasiology has executed a nation wide research, as a part of its project in the fiscal year 1978, in order to grasp the present conditions of the aphasic patients and of their rehabilitation programme, namely speech therapy. Questionnaires were dispatched to 862 institutions throughout the country, and were answered by 268, of which 214 provided treatment for the aphasics. The following results were obtained: 1) Approximately 5000 aphasic patients visited hospitals and/or institutions during the past year. Their proportion to the whole brain damaged patients was 3.36%. 2) Of these cases, 73.2% were males and 26.4% were females, thus the proportion of males being higher. 57.7% were under the age of 60, indicating that aphasia is not necessarily an illness of the aged alone. The majority of the cases resulted from the cerebral vascular accidents (CVA) . 3) 120 institutions had the department of speech therapy, and 100 institutions reported to practise a systematic therapy. 4) Altogether 236 speech therapists were engaged in therapy at 113 institutions. The majority of the therapists had completed four-year college courses or higher education of various disciplines before undergoing therapeutic training courses at various schools or institutions. 5) 102 institutions had rooms exclusively for speech therapy. As many as 13 institutions had more than 5 such rooms. 6) A patient recevied on average a 30-60 minute session of speech therapy 3-5 times a week for a period of 3-6 months. Therapy included treatment of the patient's psychological problems and guidance of his family as well as evaluation of his speech and its actual training procedure. 7) The Standard Language Test of Aphasia (SLTA) was the most popular test used for aphasia, but many others were also in common use. 8) Difficulty with employment after discharge was anticipated from the fact that only 16.2% of the patients had returned to work. 9) Comparison with our researches in 1969 and in 1973 showed a steady increase in the number of institutions and therapists, hours spent for individual therapy, and so forth, while the principal causes for aphasia remained as they were then. This tendency appeared to continue in future.
日本音声言語医学会の論文

A Report on Conditions of the Aphasic Rehabilitation in Japan

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