Treatment of reading impairment after stroke
Treatment of reading impairment after stroke
复制标题
中风后阅读障碍的治疗
DOI：
10.1097/wco.0b013e3283168dc7
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发表时间：
2008
影响因子：
4.8
通讯作者：
M. Behrmann
中科院分区：
文献类型：
--
作者：
A. Leff;M. Behrmann
综述目的左半球或右半球中风后的阅读障碍很常见，但很少受到临床医生和治疗师的关注。在这篇综述中，我们重点关注获得性失读症的分类以及这种不同疾病的康复的当前理论和实践。最近的发现人们对决定获得性失读症患者阅读能力的潜在行为障碍有了更深入的了解。这反过来又导致主要针对单一受试者进行靶向治疗。偏盲性失读症是后天性失读症中最“外围”的一种，文本阅读速度很大程度上取决于视野的损伤，治疗的目的是改善阅读时眼球运动。在“纯”失读症中，技术通常旨在提高整个单词的识别能力。在还涉及其他语言功能的中枢性诵读综合症中，重点是加强词汇和语义表征之间的联系、加强语音表征或两者兼而有之，以及它们与词汇/语义知识的关联。摘要尽管针对中风引起的失读症患者的康复采取了有针对性的方法，但文献中仍然存在大量描述性、单例研究。在某些综合症中，已经进行了小规模试验，希望将来能够进行更系统的研究，以便康复工作能够建立在坚实的理论和实证基础上。精心设计的单病例研究继续在指导治疗中发挥重要作用，因为这些疾病本质上是异质的。
Purpose of reviewReading impairments after left or right hemisphere stroke are common yet receive little attention from clinicians and therapists. In this review, we focus on the classification of acquired alexia and the current theory and practice underlying the rehabilitation of this diverse set of disorders. Recent findingsThe underlying behavioural impairments that dictate reading ability in the acquired alexias are becoming better understood; this, in turn, has led to targeted therapies being undertaken, mainly on a single subject basis. In hemianopic alexia, the most ‘peripheral’ of the acquired alexias, where text reading speed is determined largely by damage to the visual field, therapies have been directed at improving reading eye movements. In ‘pure’ alexia, techniques are usually aimed at improving whole-word recognition. In central alexic syndromes, where other language functions are also involved, the emphasis has been on strengthening connections between lexical and semantic representations, strengthening phonological representations, or both, and their association with lexical/semantic knowledge. SummaryDespite targeted approaches to the rehabilitation of patients with alexia caused by stroke, there is still a preponderance of largely descriptive, single-case studies in the literature. In some syndromes, small trials have been attempted and the hope is that, in the future, more systematic investigations will be carried out so rehabilitation efforts can be built on a strong theoretical and empirical foundation. Well designed, single-case studies continue to play an important role in informing therapy, as these disorders are, by nature, heterogeneous.
影响因子：
14.5
作者：
BINDER, JR;MOHR, JP
通讯作者：
MOHR, JP