动态和静态手动作观察疗法对脑卒中慢性非流畅性失语的效果比较

doi:10.3969/j.issn.1006-9771.2020.01.016

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (1): 89-92.doi: 10.3969/j.issn.1006-9771.2020.01.016

动态和静态手动作观察疗法对脑卒中慢性非流畅性失语的效果比较

吴春薇¹,桂沛君¹,陈宸¹,吴辉¹,王索刚²,谢瑛¹()

1.首都医科大学附属北京友谊医院康复科,北京市 100050
2.天津医科大学生物医学工程与技术学院,天津市 300070

收稿日期:2019-02-19 修回日期:2019-05-23 出版日期:2020-01-25 发布日期:2020-02-07
通讯作者: 谢瑛 E-mail:13691446412@126.com
作者简介:吴春薇(1977-),女,汉族,广东广州市人,硕士研究生,主要研究方向：神经康复。|谢瑛(1971-),女,汉族,湖南长沙市人,博士,教授,硕士生导师,主要研究方向：神经康复。
基金资助:
北京市自然科学基金项目(7162049)

Effect of Dynamic or Static Hand Action Observation on Chronic Non-fluent Aphasia after Stroke

WU Chun-wei¹,GUI Pei-jun¹,CHEN Chen¹,WU Hui¹,WANG Suo-gang²,XIE Ying¹()

1. Department of Rehabilitation, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
2. College of Medical Engineering and Technology, Tianjin Medical University, Tianjin 300070, China

Received:2019-02-19 Revised:2019-05-23 Published:2020-01-25 Online:2020-02-07
Contact: XIE Ying E-mail:13691446412@126.com
Supported by:
Beijing Natural Science Foundation(7162049)

摘要/Abstract

摘要：

目的比较基于非目标导向的动态视频和静态动作图片观察对慢性非流畅性失语症脑卒中患者言语功能的影响。
方法 2016年1月至2018年12月,脑卒中非流畅性失语患者30例随机分为两组,对照组(n = 15)予以非目标导向手动作图片和动词复述,试验组(n = 15)予非目标导向手动作视频和动词复述,共4周。治疗前及治疗后每周末,采用西方失语症成套测验(WAB)进行测试。
结果两组失语商均随时间而改善(F > 32.922, P < 0.001),各时间点两组间均无显著性差异( t < 0.699, P > 0.05),时间和分组交互效应显著( F = 6.398, P < 0.001),试验组失语商增加更多。
结论动态手动作观察可能较静态观察更有利于脑卒中慢性非流畅性失语患者言语功能的恢复。

关键词: 脑卒中, 慢性非流畅性失语, 手动作观察, 康复, 镜像神经元

Abstract:

Objective To compare the effects of observation to non-goal-oriented hand actions with video or pictures on speech recovery in stroke patients with chronic non-fluent aphasia.
Methods From January, 2016 to December, 2018, 30 patients with non-fluent aphasia after stroke were randomly divided into two groups. The control group (n = 15) repeated the verbs after watching picture, and the experimental group (n = 15) repeated the verbs after watching videos, for four weeks. They were assessed with Western Aphasia Battery (WAB) before treatment and every week after treatment.
Results Aphasia quotient (AQ) increased with time (F > 32.922, P < 0.001), but no significant difference was found between two groups at any time points ( t < 0.699, P > 0.05). The interactive effect between time and group was significant ( F = 6.398, P < 0.001), which suggested that AQ increased more in the experimental group than in the control group.
Conclusion For non-goal-oriented hand action observation, video observation maybe promote speech recovery in stroke patients with chronic non-fluent aphasia.

Key words: stroke, chronic non-fluent aphasia, hand action observation, rehabilitation, mirror neuron

中图分类号:

R743.3

吴春薇,桂沛君,陈宸,吴辉,王索刚,谢瑛. 动态和静态手动作观察疗法对脑卒中慢性非流畅性失语的效果比较[J]. 《中国康复理论与实践》, 2020, 26(1): 89-92.

WU Chun-wei,GUI Pei-jun,CHEN Chen,WU Hui,WANG Suo-gang,XIE Ying. Effect of Dynamic or Static Hand Action Observation on Chronic Non-fluent Aphasia after Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(1): 89-92.

图/表 2

参考文献 23

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项目	对照组(n = 15)	试验组(n = 15)	χ²/t值	P值
年龄(岁)	69±8.4	67±5.8	0.556	0.387
性别(男/女, n)	4/11	6/9	0.700	0.350
病程(月)	13.5±10.1	11.8±13.7	-0.968	0.956
MoCA评分	26±2.4	27±2.5	-1.049	0.439
病变部位(左半球/右半球/小脑脑干, n)	11/4/0	13/2/0	0.833	0.651
失语症类型(经皮质运动/经皮质混合/Broca, n)	5/3/7	6/2/7	0.291	0.865
失语商	50.2±6.7	48.3±5.2	0.600	0.560
WAB流畅性评分	2±1.4	2±1.2	1.443	0.125

组别	n	治疗前	治疗1周	治疗2周	治疗3周	治疗4周	F值	P值
对照组	15	50.2±6.7	52.1±5.9	53.0±6.0	54.0±5.9	55.4±5.6	32.922	< 0.001
试验组	15	48.3±5.2	50.6±5.1	52.4±4.9	55.0±5.1	57.4±5.1	41.798	< 0.001
t值		0.600	0.497	0.221	0.319	0.699
P值		0.560	0.628	0.829	0.756	0.498

动态和静态手动作观察疗法对脑卒中慢性非流畅性失语的效果比较

Effect of Dynamic or Static Hand Action Observation on Chronic Non-fluent Aphasia after Stroke

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