Imitation-based aphasia therapy increases narrative content: a case series.

Imitation-based aphasia therapy increases narrative content: a case series.
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DOI:
10.1177/0269215517703765
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发表时间:
2017-11
影响因子:
3
通讯作者:
Small SL
Small SL
中科院分区:
医学2区
文献类型:
--
作者:
Duncan ES;Small SL

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测试强化模仿失语症治疗对一个无关的叙述产生任务的推广作用。阿坝设计研究(A=无治疗; B=治疗),比较模仿治疗与基线条件(治疗前)。参与者在两个治疗前和两个治疗后的时间点进行叙述。对叙述进行了分析,以确定正确的信息单位,以确定产生的交际词的数量和百分比。大学实验室和参与者的家。19例左半球卒中后慢性失语症患者。通过专用笔记本电脑进行为期六周的强化模仿治疗(3 × 30分钟/天; 6天/周)。我们进行了t检验,以评估治疗后叙事产生的变化,以及在此期间没有提供干预的间隔。我们使用逐步回归分析来检验人口统计学、行为学和神经学变量在确定治疗结果中的预测价值。在叙述性生产任务中,在正确信息单位的数量(平均值= 34.36; p = 0.009)和百分比(平均值= 3.99; p = 0.023)方面都取得了显着的进步。对于正确信息单位的百分比,完成的治疗疗程数是治疗后产量变化的唯一预测因子(r= +0.542; p = 0.020)。没有变量预测产生的正确信息单位数量的变化。治疗前、治疗后两个时间点之间无显著性差异(p > 0.294)。强化模仿为基础的失语症治疗可能会促进泛化到一个不相关的叙事生产任务。需要进一步调查。
To test the generalization of an intensive imitation-based aphasia therapy to an unrelated narrative production task. ABA design study (A= no treatment; B= treatment) comparing imitation therapy to a baseline condition (pre-therapy). Participants produced narratives at two pre-therapy and two post-therapy time points. Narratives were analyzed for correct information units to determine the number and percent of communicative words produced. A university laboratory and participants’ homes. Nineteen people with chronic aphasia following left hemisphere stroke. Six weeks of intensive imitation therapy (3 × 30 minutes/day; 6 days/week) of words and phrases delivered via dedicated laptop. We performed t-tests to assess post-therapy changes in narrative production, as well as for intervals during which no intervention was provided. We used stepwise regression to examine the predictive value of demographic, behavioral, and neurological variables in determining treatment outcome. Significant gains were made on the narrative production task in both the number (mean = 34.36; p = 0.009) and percent (mean = 3.99; p = 0.023) of correct information units produced. For percent of correct information units, the number of therapy sessions completed was the sole predictor of changes in production following therapy (r= +0.542; p = 0.020). No variables predicted change in number of correct information units produced. There were no significant differences between the two pre-therapy or the two post-therapy time points (p > 0.294). Intensive imitation-based aphasia therapy may promote generalization to an unrelated narrative production task. Further investigation is indicated.
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发表时间: 2010
期刊: Aphasiology
影响因子: 2
作者:
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期刊: JOURNAL OF SPEECH AND HEARING RESEARCH
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发表时间: 1993-08-01
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影响因子: 2.5
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发表时间: 2016-04-01
期刊: BRAIN
影响因子: 14.5
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