Trojano Luigi, Moretta Pasquale, Cozzolino Autilia, Saltalamacchia Annamaria, Estraneo Anna
Department of Psychology, Second University of Naples, Italy.
Funct Neurol. 2011 Jan-Mar;26(1):55-9.
Conscious patients with severe motor and speech disorders have great difficulty interacting with the environment and communicating with other people. Several augmentative communication devices are now available to exploit these patients' expressive potential, but their use often demands considerable cognitive effort. Non-communicative patients with severe brain lesions may have, in addition, specific cognitive deficits that hinder the efficient use of augmentative communication methods. Some neuropsychological batteries are now available for testing these patients. On the basis of such cognitive assessments, cognitive rehabilitation training can now be applied, but we underline that this training must be tailored to single patients in order to allow them to communicate autonomously and efficiently.
患有严重运动和言语障碍的清醒患者在与环境互动和与他人交流方面存在极大困难。现在有几种辅助沟通设备可用于挖掘这些患者的表达潜力，但使用这些设备往往需要相当大的认知努力。此外，患有严重脑损伤的无沟通能力患者可能存在特定的认知缺陷，这会妨碍辅助沟通方法的有效使用。现在有一些神经心理测验组合可用于测试这些患者。基于此类认知评估，现在可以应用认知康复训练，但我们强调，这种训练必须针对单个患者量身定制，以便让他们能够自主、高效地进行沟通。
