The rate and extent of improvement with therapy from the different types of aphasia in the first year after stroke
The rate and extent of improvement with therapy from the different types of aphasia in the first year after stroke
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DOI：
10.1177/0269215507078452
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发表时间：
2007-10-01
影响因子：
3
通讯作者：
Griffiths, S.
中科院分区：
文献类型：
--
作者：
Bakheit, A. M. O.;Shaw, S.;Griffiths, S.
目的：研究卒中后第一年不同类型失语症的改善率和程度。设计：一项前瞻性纵向研究。设置：一个卒中专科病房。参会人员：75例首次卒中的失语症患者。干预：失语症的类型根据西方失语症成套测验的标准进行分类。西方失语症成套测验失语商数用于测量失语症的初始严重程度和改善的速度和程度。评估在基线和4，8，12和24 wk last.Results：在西方失语症电池失语商数的中位百分比增加统计学上高于Broca失语症患者比其他组在所有周。Wernicke失语症患者在第12周和第24周的失语商中位数百分比增加显著高于传导性失语症和命名性失语症患者，但在第24周时低于完全性失语症患者。结论：Broca失语症患者在卒中后第一年的语言功能改善方面预后最好。完全性失语患者的改善程度优于Wernicke失语患者。
Objective: To examine the rate and extent of improvement from the different types of aphasia in the first year after stroke.Design: A prospective longitudinal study.Setting: A specialist stroke unit. Participants: Seventy-five aphasic patients with first-ever stroke.Intervention: The type of aphasia was classified according to the criteria of the Western Aphasia Battery. The Western Aphasia Battery aphasia quotient was used to measure the initial severity and the rate and extent of improvement from aphasia. Assessments were made at baseline and 4, 8, 12 and 24 weeks later.Results: The median percentage increase in the Western Aphasia Battery aphasia quotient was statistically higher in patients with Broca's aphasia than in the other groups at all weeks. Patients with Wernicke's aphasia had a significantly greater median percentage increase in their aphasia quotient than those with conduction and anomic aphasia at weeks 12 and 24, but less than patients with global aphasia at week 24.Conclusions: Patients with Broca's aphasia appear to have the best prognosis for improvement of language function in the first year of stroke. The extent of improvement in patients with global aphasia is better than that of patients with Wernicke's aphasia.