Effectiveness of an impairment-based individualized rehabilitation program using an iPad-based software platform
Effectiveness of an impairment-based individualized rehabilitation program using an iPad-based software platform
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DOI：
10.3389/fnhum.2014.01015
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发表时间：
2015-01-05
影响因子：
2.9
通讯作者：
Kiran, Swathi
中科院分区：
文献类型：
--
作者：
Des Roches, Carrie A.;Balachandran, Isabel;Kiran, Swathi
针对中风后失语症患者进行基于平板电脑的康复治疗相对较新，因此，本研究检验了基于 iPad 的治疗的有效性，以证明特定治疗任务的改善以及这些任务如何影响整体语言和认知技能。招募了 51 名因中风或创伤性脑损伤 (TBI) 导致失语症的患者，使用基于 iPad 的软件平台 Constant Therapy 进行为期 10 周的治疗计划。参与者被分为实验组（N = 42）和对照组（N = 9）。实验参与者和对照组参与者每周接受一次临床医生的 1 小时临床治疗，实验参与者还在家中练习治疗。参与者在治疗持续时间上没有差异，并且随着时间的推移，两组参与者在用于治疗的任务上都表现出改善。然而，与对照参与者相比，实验参与者更频繁地使用该应用程序，并且在任务的准确性和延迟方面表现出更大的变化；通过语言和认知技能标准化测试测量的实验参与者的基线严重程度是任务改进的一个因素。任务协同改进的子组似乎发生在不同的语言任务之间、不同的认知任务之间以及跨两个领域。最后，实验参与者在标准化测试中表现出比对照参与者更显着和积极的变化。这些结果为基于平板电脑的平台为失语症患者提供量身定制的语言和认知治疗的有用性提供了初步证据。
The delivery of tablet-based rehabilitation for individuals with post-stroke aphasia is relatively new, therefore, this study examined the effectiveness of an iPad-based therapy to demonstrate improvement in specific therapy tasks and how the tasks affect overall language and cognitive skills. Fifty-one individuals with aphasia due to a stroke or traumatic brain injury (TBI) were recruited to use an iPad-based software platform, Constant Therapy, for a 10 week therapy program. Participants were split into an experimental (N = 42) and control (N = 9) group. Both experimental and control participants received a 1 h clinic session with a clinician once a week, the experimental participants additionally practiced the therapy at home. Participants did not differ in the duration of the therapy and both groups of participants showed improvement over time in the tasks used for the therapy. However, experimental participants used the application more often and showed greater changes in accuracy and latency on the tasks than the control participants; experimental participants' severity level at baseline as measured by standardized tests of language and cognitive skills were a factor in improvement on the tasks. Subgroups of task co-improvement appear to occur between different language tasks, between different cognitive tasks, and across both domains. Finally, experimental participants showed more significant and positive changes due to therapy in their standardized tests than control participants. These results provide preliminary evidence for the usefulness of a tablet-based platform to deliver tailored language and cognitive therapy to individuals with aphasia.