The effects of aphasia severity on the ability to assess language disorders via telerehabilitation
The effects of aphasia severity on the ability to assess language disorders via telerehabilitation
复制标题
DOI：
10.1080/02687030801909659
复制
发表时间：
2009-01-01
期刊：
影响因子：
2
通讯作者：
Wootton, Richard
中科院分区：
文献类型：
--
作者：
Hill, Anne J.;Theodoros, Deborah G.;Wootton, Richard
背景：远程康复是通过信息技术和电信系统远程提供康复服务。最近有一些研究使用视频会议来评估失语症患者的语言技能。这些研究强调了损伤的严重程度和病因可能对远程康复语言评估协议的管理产生影响的可能性。此外，通过远程康复管理语言评估的困难的轶事帐户也表明需要研究失语症的严重程度的影响。重要的是，失语症的严重程度的影响被确定为远程康复语言评估协议的整体证据基础的一部分。目的：探讨失语症的严重程度对通过远程康复方法评估获得性失语症能力的影响。方法和程序：共32名获得性失语的参与者通过远程康复和面对面的方法同时评估波士顿诊断性失语症检查第3版简表（BDAE-3）和波士顿失语症测试（BNT）（第2版简表）。昆士兰州大学开发的定制远程康复系统通过128 kbit/s的互联网连接实现了实时远程康复评估。参与者根据其严重程度进行分组。对两名评估员的评分差异进行数据分析。结果：结果显示，失语症的严重程度并没有很大影响的远程康复评估的准确性为大多数的BDAE-3集群。然而，失语症的严重程度似乎会影响通过远程康复方法评估命名和错语的能力。事后分析显示，在面对面和远程康复环境中给出的分数在每个严重程度级别内是相当的。结论：结果表明，失语症的严重程度可能会影响通过远程康复评估一些语言参数的能力。进一步的研究应使用更大的样本量来确认这些结果，并完善远程康复技术，使这些参数得到充分评估。此外，临床医生满意度远程康复评估应定性研究，以扩大临床医生接受这种方法。
Background: Telerehabilitation is the remote delivery of rehabilitation services via information technology and telecommunication systems. There have been a number of recent studies that have used video conferencing to assess language skills in people with aphasia. These studies have highlighted the possibility that severity of impairment and aetiology may have an effect on the administration of telerehabilitation language assessment protocols. Furthermore, anecdotal accounts of difficulties in administering language assessment via telerehabilitation also demonstrate the need for research into the effects of severity of aphasia. It is important that the effects of severity of aphasia are determined as part of the overall evidence base for telerehabilitation language assessment protocols. Aims: To investigate the influence of severity of aphasia on the ability to assess acquired aphasia via telerehabilitation methods. Methods Procedures: A total of 32 participants with an acquired aphasia were assessed simultaneously via telerehabilitation and face-to-face methods on the Boston Diagnostic Aphasia Examination 3rd Edition Short Form (BDAE-3) and the Boston Naming Test (BNT) (2nd Edition Short Form). A custom-built telerehabilitation system developed at the University of Queensland enabled real-time telerehabilitation assessment over a 128kbit/s Internet connection. Participants were grouped according to their severity level. Data analysis was conducted on the differences in scores from the two assessors. Outcomes Results: Results revealed that severity of aphasia did not greatly influence the accuracy of the telerehabilitation assessment for the majority of the BDAE-3 clusters. However, severity of aphasia appeared to affect the ability to assess naming and paraphasia via telerehabilitation methods. Post-hoc analysis revealed that the scores given in the face-to-face and telerehabilitation environments were comparable within each severity level. Conclusions: Results suggest that severity of aphasia may influence the ability to assess some language parameters via telerehabilitation. Further research should use larger sample sizes to confirm these results and to refine the telerehabilitation technology to enable these parameters to be adequately assessed. Additionally, clinician satisfaction with telerehabilitation assessment should be qualitatively researched so as to widen clinician acceptance of this method.