Center for Aphasia Research and Treatment, Rehabilitation Institute of Chicago, Chicago, IL, USA.
Top Stroke Rehabil. 2010 Nov-Dec;17(6):423-31. doi: 10.1310/tsr1706-423.
This study examined the efficacy of a treatment, Oral Reading for Language in Aphasia (ORLA), delivered by computer to individuals with chronic nonfluent aphasia and compared its efficacy with the same treatment delivered by a speech-language pathologist (SLP).
With ORLA, the person with aphasia systematically and repeatedly reads aloud sentences, first in unison and then independently. Following a no-treatment period, 25 individuals with chronic nonfluent aphasia were randomly assigned to receive 24 sessions of ORLA, 1-3 times per week, either by computer or by the SLP.
For participants receiving computer ORLA, change made on the Western Aphasia Battery Aphasia Quotient (WAB-AQ) during the treatment phase was larger than the change made during the no-treatment phase. Positive effect sizes for change during treatment compared with change during the no-treatment phase were obtained and were benchmarked as medium or large for the WAB-AQ and discourse measures. There was no significant difference between outcomes for computer ORLA compared with SLP-ORLA.
Low-intensity ORLA, delivered by computer to individuals with chronic nonfluent aphasia, is efficacious and may be equivalent to ORLA delivered by an SLP.
本研究考察了一种治疗方法——口语阅读治疗在非流利性失语症中的疗效，该方法通过计算机提供给慢性非流利性失语症患者，并将其与由言语语言病理学家（SLP）提供的相同治疗进行比较。
在口语阅读治疗中，失语症患者系统且反复地大声朗读句子，首先是齐声朗读，然后是独立朗读。在无治疗期后，25 名患有慢性非流利性失语症的患者被随机分配接受 24 次治疗，每周 1-3 次，通过计算机或 SLP 进行。
对于接受计算机口语阅读治疗的参与者，在治疗阶段，Western Aphasia Battery Aphasia Quotient（WAB-AQ）上的变化大于无治疗阶段的变化。与无治疗阶段相比，治疗期间的变化的效应量为正，并且在 WAB-AQ 和话语测量方面被基准为中等或大。计算机口语阅读治疗与 SLP 口语阅读治疗的结果之间没有显著差异。
针对慢性非流利性失语症患者，通过计算机提供低强度的口语阅读治疗是有效的，并且可能与由 SLP 提供的口语阅读治疗效果相当。
