The efficacy of computer-provided reading treatment for chronic aphasic adults
The efficacy of computer-provided reading treatment for chronic aphasic adults
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DOI：
10.1044/jslhr.4003.493
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发表时间：
1997-06-01
影响因子：
2.6
通讯作者：
Wertz, RT
中科院分区：
文献类型：
--
作者：
Katz, RC;Wertz, RT
我们研究了计算机提供的阅读活动对慢性失语症患者语言表现的影响。 55 名失语症成年人被随机分配到以下三种条件之一：计算机阅读治疗、计算机刺激或不治疗。计算机组的受试者每周使用计算机 3 小时，持续 26 周。计算机阅读处理软件包括视觉匹配和阅读理解任务。计算机刺激软件包括非语言游戏和认知康复任务。所有受试者在进入时以及 3 个月和 6 个月后均进行语言测量。 26 周内，计算机阅读治疗组的五种语言测量结果出现显着改善，计算机刺激组的一种语言测量结果出现显着改善，而非治疗组的任何语言测量结果都没有显着改善。与其他两组相比，计算机阅读治疗组在交际能力门廊指数“整体”和“言语”模式百分位数以及西方失语症电池失语“商数”和“重复”子测试方面表现出显着更大的改善。结果表明，（a）计算机化阅读治疗可以在临床医生的最小帮助下进行，（b）计算机化阅读治疗任务的改善推广到非计算机语言表现，（c）改善是由软件的语言内容而不是计算机提供的刺激引起的，以及（d）我们为慢性失语症患者提供的计算机化阅读治疗是有效的。
We examined the effects of computer-provided reading activities on language performance in chronic aphasic patients. Fifty-five aphasic adults were assigned randomly to one of three conditions: computer reading treatment, computer stimulation, or no treatment. Subjects in the computer groups used computers 3 hours each week for 26 weeks. Computer reading treatment software consisted of visual matching and reading comprehension tasks. Computer stimulation software consisted of nonverbal games and cognitive rehabilitation tasks. Language measures were administered to all subjects at entry and after 3 and 6 months. Significant improvement over the 26 weeks occurred on five language measures for the computer reading treatment group, on one language measure for the computer stimulation group, and on none of the language measures for the non-treatment group. The computer reading treatment group displayed significantly more improvement on the Porch Index of Communicative Ability ''Overall'' and ''Verbal'' modality percentiles and on the Western Aphasia Battery Aphasia ''Quotient'' and ''Repetition'' subtest than the other two groups. The results suggest that (a) computerized reading treatment can be administered with minimal assistance from a clinician, (b) improvement on the computerized reading treatment tasks generalized to non-computer language performance, (c) improvement resulted from the language content of the software and not stimulation provided by a computer, and (d) the computerized reading treatment we provided to chronic aphasic patients was efficacious.