Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea.
Eur Neurol. 2011;65(2):113-7. doi: 10.1159/000324036. Epub 2011 Feb 5.
Administration time of 1 min for semantic verbal fluency measures can be overly long and therefore bothersome for aphasic patients because they can often retrieve only a few items after a certain period of time. The purpose of this study was to determine whether an administration time of 30 s would be more efficient in differentiating among aphasics, nonaphasic stroke patients, and normal controls. The subjects were 53 stroke patients and 28 normal controls. They had to generate as many animal names as they could within a given time. The number of animal names is gradually diminished in three groups (p < 0.001) in each time frame, that is, during the entire 60 s, the initial 30 s, and the following 30 s. The reaction time (RT) measure indicated that the RT of the aphasic patients was significantly increased compared to those of the other two groups (p < 0.001). The most optimal cutoff scores that differentiated each group are presented. These results suggest that an administration time of 30 s has discriminative validity to differentiate between the two patient groups. This shorter administration time could make the test more efficient by reducing the burden on both examiners and aphasic patients.
对于失语症患者来说,1 分钟的语义流畅性测试时间可能过长,因此会感到厌烦,因为他们在一段时间后通常只能回忆出几个项目。本研究的目的是确定 30 秒的测试时间是否更有效地区分失语症患者、非失语症卒中患者和正常对照组。研究对象为 53 名卒中患者和 28 名正常对照者。他们必须在给定的时间内尽可能多地说出动物的名称。在每个时间段内,即整个 60 秒、前 30 秒和后 30 秒,三组的动物名称数量逐渐减少(p<0.001)。反应时间(RT)测量表明,与其他两组相比,失语症患者的 RT 显著增加(p<0.001)。本文提出了区分每组的最佳截断分数。这些结果表明,30 秒的测试时间具有区分两个患者组的判别有效性。这种更短的测试时间可以通过减轻检查者和失语症患者的负担,使测试更高效。
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