Baseline executive control ability and its relationship to language therapy improvements in post-stroke aphasia: a systematic review
Baseline executive control ability and its relationship to language therapy improvements in post-stroke aphasia: a systematic review
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DOI：
10.1080/09602011.2017.1307768
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发表时间：
2019-03
影响因子：
2.7
通讯作者：
Tijana Simic;E. Rochon;Elissa Greco;R. Martino
中科院分区：
文献类型：
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作者：
Tijana Simic;E. Rochon;Elissa Greco;R. Martino
摘要 目的：回顾关于成人中风后失语症执行控制（EC）与治疗后语言增益之间关系的现有证据。方法：系统检索电子数据库（CINAHL、Cochrane Trials、Embase、MEDLINE、MEDLINE-in-Process 和 PsycINFO）（2000 年至今）。摘要和全文文章由两名独立评估者根据预先指定的标准进行审查：原始研究 N > 2；至少 90% 的成年人患有中风，都在接受获得性失语症的治疗；跨研究将治疗前的 EC 能力与治疗后的语言能力进行了比较。使用 Cochrane 小组和单案例实验设计 (SCED) 方法进行严格评估。提取数据并进行描述性总结。结果：搜索结果产生 2272 个唯一引用；最终 15 项研究被接受审查。治疗前的 EC 和语言能力似乎都是治疗成功的重要指标，特别是对于中重度失语症。当使用特定的（例如，分散的注意力）而不是广泛的（例如，推理）任务来测量 EC 时，并且主要是在进行命名治疗时，这种关系就出现了；强化约束诱导治疗与治疗成功无关。结论：EC 是关于语言恢复的一个有前途的预后变量，但需要使用先验声明的理论 EC 模型以及正确供电的样本、标准化 EC 任务和治疗方案进行进一步研究。
ABSTRACT Purpose: To review current evidence on the relationship between executive control (EC) and post-treatment language gains in adults with post-stroke aphasia. Method: Electronic databases (CINAHL, Cochrane Trials, Embase, MEDLINE, MEDLINE-in-Process and PsycINFO) were systematically searched (year 2000 – present). Abstracts and full-text articles were reviewed by two independent raters against pre-specified criteria: original research with N > 2; at least 90% adults with stroke, all undergoing treatment for acquired aphasia; pre-treatment EC abilities were compared to language gains post-treatment across studies. Critical appraisal was conducted using the Cochrane group and Single-Case Experimental Design (SCED) methods. Data were extracted and summarised descriptively. Results: Search results yielded 2272 unique citations; ultimately 15 studies were accepted for review. Both pre-treatment EC and language abilities appear to be important indicators of treatment success, especially in moderate-severe aphasia. This relationship emerged when EC was measured using specific (e.g., divided attention), as opposed to broad (e.g., reasoning) tasks, and primarily when naming therapy was administered; intensive constraint-induced therapy did not correlate with treatment success. Conclusions: EC is a promising prognostic variable regarding language recovery, but further research is required using a-priori declared theoretical EC models, along with properly powered samples, standardised EC tasks and treatment protocols.