计算机辅助训练对脑卒中后构音障碍患者的效果

doi:10.3969/j.issn.1006-9771.2024.05.004

Abstract

Abstract:

Objective To compare the effect of routine speech training and computer-assisted training on post-stroke dysarthria.

Methods From March, 2021 to April, 2023, 72 patients with post-stroke dysarthria in Beijing Bo'ai Hospital were randomly divided into control group (n = 36) and experimental group (n = 36). Both groups received routine rehabilitation, while the control group received routine speech training, and the experimental group received computer-assisted training, for four weeks. They were assessed with modified Frenchay Dysarthria Assessment (m-FDA) and Speech Intelligibility (SI) before and after intervention.

Results Eight cases in the control group and one case in the experimental group dropped down. The scores of m-FDA and SI improved in both groups after treatment (|Z| > 4.183, P < 0.001), and there was no significant difference between two groups (|Z| < 1.598, P > 0.05). Noninferiority of m-FDA was found between two groups (|t| > 3.656, P < 0.001).

Conclusion Computer-assisted training could improve the speech function of patients with post-stroke dysarthria, similar to routine speech training.

Key words: stroke, dysarthria, computer-assisted training, speech rehabilitation

CLC Number:

R743.3

WEI Tianyuan, LIN Yufan, HE Yi, SONG Mingjie, LI Chaojinzi, ZHANG Qingsu, DU Xiaoxia. Effect of computer-assisted training on post-stroke dysarthria[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 520-525.

Figures/Tables 5

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References 38

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组别	n	性别 (男/女)/n	年龄/岁	利手 (左/右/混合)/n	卒中类型 (出血/缺血)/n	构音障碍严重程度 (极重/重/中/轻)/n
对照组	36	29/7	57.08±13.57	2/33/1	11/25	17/14/5/0
试验组	36	28/8	57.89±13.68	1/35/0	13/23	14/12/6/4
χ²/t值		0.084	0.253		0.250
P值		0.772	0.801	0.614^a	0.617	0.236^a

组别	n	治疗前	治疗后	治疗前后差值	Z值	P值
对照组	28	29.76 (24.71, 32.18)	34.41 (31.05, 37.17)	5.05 (3.27, 6.44)	-4.623	< 0.001
试验组	35	30.75 (27.10, 34.88)	35.00 (33.11, 37.08)	4.05 (2.45, 5.52)	-5.160	< 0.001
Z值		-1.314		-1.598
P值		0.189		0.110

组别	n	治疗前	治疗后	治疗前后差值	Z值	P值
对照组	28	0.65 (0.51, 0.84)	0.78 (0.67, 0.92)	0.08 (0.05, 0.17)	-4.183	< 0.001
试验组	35	0.73 (0.47, 0.93)	0.85 (0.68, 0.96)	0.08 (0.02, 0.21)	-4.677	< 0.001
Z值		-0.844		-0.277
P值		0.399		0.782

项目	对照组(n = 28)	试验组(n = 35)	δ_L	均数差及95%CI	t值	P值
治疗后评分	33.79±3.97	34.64±3.46	-3.5	-0.85 (-2.73, 1.02)	-4.650	< 0.001
治疗前后差值	5.35±2.75	4.26±2.47	-3.5	1.09 (-0.22, 2.41)	-3.656	< 0.001

Effect of computer-assisted training on post-stroke dysarthria

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