朗读训练对脑卒中失读症的疗效

doi:10.3969/j.issn.1006-9771.2020.07.016

Abstract

Abstract:

Objective To observe the effect of oral reading training on acquired alexia after stroke. Methods From September, 2018 to August, 2019, 41 stroke patients with alexia were randomly divided into control group (n = 20) and experimental group (n = 21). Both groups accepted Schuell stimulation approach, while the experimental group accepted oral reading training in addition, for four weeks. They were assessed with Western Aphasia Battery (WAB) before and after treatment. Results Aphasia quotient (AQ) increased in both groups after treatment, as well as reading score and oral reading accuracy. The Cohen's d coefficients of all the indexes were more in the experimental group (0.45, 0.68, 0.85) than in the control group (0.29, 0.39, 0.51). There was not significant correlation between the subjective scores of the therapists and the indexes improvement (P > 0.05). Conclusions Oral reading training may improve the reading ability in stroke patients with alexia. There is no clear correlation between the subjective and objective scores for alexia.

Key words: stroke, acquired alexia, aphasia, oral reading training

CLC Number:

R743.3

WANG Bo,ZHANG Qing-su,ZHANG Hao. Effect of Oral Reading Training on Post-stroke Alexia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(7): 820-824.

Figures/Tables 5

References 37

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组别	n	性别(n)		年龄(岁)	教育程度(年)	病程(d)
组别	n	男	女	年龄(岁)	教育程度(年)	病程(d)
对照组	20	16	4	48±11	12±4	67±36
观察组	21	15	6	47±13	13±3	76±40
χ²/t值		0.000		0.269	0.845	0.767
P值		0.719		0.789	0.403	0.448

组别	n	治疗前	治疗后	t值	P值	Cohen d
对照组	20	44.13±26.08	51.83±27.04	4.536	< 0.001	0.29
观察组	21	40.9±31.38	54.99±30.99	6.521	< 0.001	0.45
t值		0.357	0.347
P值		0.723	0.730

组别	n	治疗前	治疗后	t值	P值	Cohen d
对照组	20	4.42±2.61	5.5±2.83	3.641	0.002	0.39
观察组	21	4.54±2.81	6.4±2.62	6.253	< 0.001	0.68
t值		0.151	1.070
P值		0.881	0.291

组别	n	治疗前	治疗后	t值	P值	Cohen d
对照组	20	24.14±22.23	37.7±30.16	4.764	< 0.001	0.51
观察组	21	22.17±21.96	46.1±33.49	4.879	< 0.001	0.85
t值		0.273	0.842
P值		0.786	0.405

项目	组别	r值	P值
总体语言情况vs. AQ差值	全部被试	-0.158	0.324
	对照组	-0.148	0.533
	观察组	-0.191	0.408
阅读能力vs. 阅读评分差值	全部被试	-0.058	0.719
	对照组	-0.093	0.696
	观察组	-0.041	0.860
朗读能力vs. 朗读正确率差值	全部被试	0.092	0.568
	对照组	-0.136	0.566
	观察组	0.244	0.286

Effect of Oral Reading Training on Post-stroke Alexia

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