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中风后失语症的识别:筛查评估工具综述

Identification of aphasia post stroke: a review of screening assessment tools.

作者信息

Salter Katherine, Jutai Jeffrey, Foley Norine, Hellings Chelsea, Teasell Robert

机构信息

Department of Physical Medicine and Rehabilitation, Parkwood Hospital, St. Joseph's Health Centre, London, Ontario, Canada.

出版信息

Brain Inj. 2006 Jun;20(6):559-68. doi: 10.1080/02699050600744087.

DOI:10.1080/02699050600744087
PMID:16754281
Abstract

INTRODUCTION

Aphasia is one of the most common consequences of stroke. Early identification, diagnosis and treatment of language deficits are important steps in maximizing rehabilitation gains. A routine screening test is an invaluable tool in the identification and appropriate referral of patients with potential communication problems. The present study presents an evaluation of the measurement properties of screening tools for aphasia found within the stroke research literature.

METHODS

Screening tools were identified following searches of the published research literature in stroke. Instruments were reviewed on the basis of reliability, validity, classification sensitivity and practical utility.

RESULTS

Six aphasia screening tools were identified. For most tools, information pertaining to measurement properties and clinical utility was limited.

CONCLUSIONS

The Frenchay Aphasia Screening Test (FAST) appears to be the most widely used and thoroughly evaluated tool found within the stroke research literature. Further evaluation of the measurement properties and clinical utility of screening tools is recommended.

摘要

引言

失语症是中风最常见的后果之一。早期识别、诊断和治疗语言缺陷是实现最大康复效果的重要步骤。常规筛查测试是识别有潜在沟通问题的患者并进行适当转诊的宝贵工具。本研究对中风研究文献中发现的失语症筛查工具的测量特性进行了评估。

方法

通过检索已发表的中风研究文献来识别筛查工具。根据可靠性、有效性、分类敏感性和实际效用对工具进行了评估。

结果

识别出六种失语症筛查工具。对于大多数工具,有关测量特性和临床效用的信息有限。

结论

在中风研究文献中,法国ay失语症筛查测试(FAST)似乎是使用最广泛且评估最全面的工具。建议进一步评估筛查工具的测量特性和临床效用。

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