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

Abstract

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

CLC Number:

R743.3

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.

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References 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

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

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