Development and validation of a short battery of tests for the assessment of aphasia:: 'Bedside assessment of language'.: Its use in a rehabilitation centre
Development and validation of a short battery of tests for the assessment of aphasia:: 'Bedside assessment of language'.: Its use in a rehabilitation centre
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DOI：
10.33588/rn.4608.2007509
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发表时间：
2008-04-16
影响因子：
1.2
通讯作者：
Melian, S.
中科院分区：
文献类型：
--
作者：
Sabe, L.;Courtis, M. J.;Melian, S.
导言。正式和完整的语言评估需要太多的时间，而且在脑损伤后的第一个康复阶段也会让患者疲惫不堪。本文的目的是介绍一种简短而灵敏的床边筛查方法，用于诊断脑损伤患者的失语症。病人和方法。本文对121例颅脑损伤后失语症患者和77例关节功能障碍患者进行床边语言功能评定。在这组短文中评估的五个语言领域是：自发语言、理解、重复、写作和阅读。每个区域最高5分，考试总分为25分。统计检验包括：中位数检验、Kruskal-Wallis检验、Fisher‘s精确检验、受试者工作特性曲线和相关系数。结果。BAL具有良好的内部一致性信度(Cronbach‘sα系数：0.9419)，敏感性为79.3%，特异性为84.4%。结论。这些结果表明，BAL是诊断失语症类型的一种潜在有用的工具，它对亚急性期语言障碍的进化变化很敏感。
Introduction. A formal and complete language assessment requires too much time and also tires the patient out during the first recovery stages after brain injury. The aim of this paper is to introduce a bedside screening, short and sensitive to diagnose aphasias in patients with brain injury. Patients and methods. The results of the Bedside Assessment of Language (BAL) was studied in 121 aphasic patients and in 77 dysarthric patients after brain injury. The five linguistic areas assessed in this short battery are: spontaneous language, comprehension, repetition, writing and reading. Each area has a maximum of 5 points, and the test has a total score of 25. Statistics tests used were: median test, Kruskal-Wallis test, Fisher's exact test, receiver operating characteristics curves and correlation coefficient. Results. The BAL showed an excellent internal consistency reliability (Cronbach's alpha coefficient: 0.9419); sensitivity was of 79.3% and specificity of 84.4%. Conclusions. These results indicate that the BAL has been a potentially useful tool for the diagnose of the type of aphasia and it has been sensitive to evolutionary changes in sub-acute stages of language disorders.