Predicting outcomes for linguistically specific sentence treatment protocols
Predicting outcomes for linguistically specific sentence treatment protocols
复制标题
预测语言特定句子处理方案的结果
DOI：
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
H. Yoo
中科院分区：
文献类型：
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作者：
M. Dickey;H. Yoo
背景资料：以语言为动机的治疗方案，如潜在形式的治疗（TUF：Thompson & Shapiro，2005），在矫正失语症患者的句子产生缺陷方面取得了显着的成功。然而，患有失语症的成年人对TUF的反应并不一致：并非所有接受TUF训练的人都能成功地获得他们所训练的句子类型或概括为未经训练的句子类型。因此，需要更多的研究来确定哪些人最有可能从TUF治疗中受益。目标：目前的研究分析了现有的TUF治疗研究，以确定哪些措施可以预测不同失语症患者的TUF结果。三种不同的措施进行了测试：失语症的严重程度，听觉理解能力，和复杂的句子理解能力。方法和程序：基于失语症文献中现有的TUF治疗研究进行荟萃分析。这些研究包括30名失语症患者的个人人口统计学、语言测试和治疗数据。进行回归分析，比较这些人的改善生产的处理和未处理的句子类型（治疗和泛化效果）与三个预测指标（严重程度，听觉理解，和复杂的句子理解分数）。成果与结果：只有一个测试的措施，一般的听觉理解，是预测个人的收益的大小处理的句子类型。没有一个测试的措施是预测这些人的泛化到未经训练的结构。结论：目前的研究结果表明，一般的听觉理解似乎与TUF治疗后改善的句子产生有关。相比之下，总体失语症严重程度和复杂句子刺激的表现都不是TUF治疗结果的强有力预测因素。有趣的是，任何措施和泛化效应分数之间都没有很强的关系。这些研究结果表明，临床医生在决定TUF是否合适时应考虑患者的一般听觉理解能力。他们还表明，部分不同的认知机制可能是治疗和治疗后的泛化效应的基础，至少对于TUF方案。
Background: Linguistically motivated treatment protocols like the Treatment of Underlying Forms (TUF: Thompson & Shapiro, 2005) have shown significant success in remediating aphasic individuals' sentence production deficits. However, adults with aphasia are not uniform in their response to TUF: not all individuals trained with TUF successfully acquire the sentence types they are trained on or generalise to untrained sentence types. More research is therefore needed to determine which individuals are most likely to benefit from TUF treatment. Aims: The current study analysed existing TUF treatment studies in an effort to determine what measures may be predictive of TUF outcomes for different aphasic individuals. Three different measures were tested: aphasia severity, auditory comprehension ability, and complex sentence comprehension ability. Methods & Procedures: A meta-analysis was conducted based on existing TUF treatment studies drawn from the aphasiological literature. These studies included individual demographic, language-testing, and treatment data from 30 aphasic individuals. Regression analyses were conducted comparing these individuals' improvements on production of treated and untreated sentence types (treatment and generalisation effects) with the three predictor measures (severity, auditory comprehension, and complex sentence comprehension scores). Outcomes & Results: Only one of the measures tested, general auditory comprehension, was predictive of the size of individuals' gains on treated sentence types. None of the measures tested was predictive of these individuals' generalisation to untrained structures. Conclusions: The current results suggest that general auditory comprehension appears to be related to improved sentence production following TUF treatment. In contrast, neither overall aphasia severity nor performance with complex sentence stimuli is a strong predictor of TUF treatment outcomes. Interestingly, there were no strong relationships between any of the measures and the generalisation effect scores. These findings suggest that clinicians should consider a patient's general auditory comprehension when deciding whether TUF would be appropriate. They also suggest that partially different cognitive mechanisms may underlie treatment and generalisation effects following treatment, at least for TUF protocols.
语法失语症中 wh 和 NP 运动结构的训练和概括产生。
DOI：
10.1044/jslhr.4002.228
发表时间：
1997
期刊：
Journal of speech, language, and hearing research : JSLHR
影响因子：
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作者：
Thompson,CK;Shapiro,LP;Ballard,KJ;Jacobs,BJ;Schneider,SS;Tait,ME
通讯作者：
Tait,ME