a Facoltà di Medicina , Università Politecnica Marche , Ancona , Italy.
Neuropsychol Rehabil. 2013;23(5):715-31. doi: 10.1080/09602011.2013.804847. Epub 2013 Jun 4.
The study aimed to determine the efficacy of a Conversational Therapy approach in the treatment of chronic patients with moderately severe non-fluent aphasia. Eight patients completed a six week intensive language training. Every two weeks, each patient received rehabilitation using a different videoclip depicting everyday life. To elicit verbal communication, patients were required to observe each videoclip and to converse about it with the help of an experienced clinician. To measure any significant improvement in speech production all patients were tested before and after treatment. A significant increase in their ability to produce correct informative words (C-Units), verbs, nouns, adjectives, adverbs, as well as closed-class words (pronouns, articles and conjunctions) and well-formed sentences was found after therapy. Such improvement persisted at one week and one month after the end of the treatment. These results suggest that conversational therapy, applied through intensive language training, has a significant efficacy in the recovery of verbal communication in chronic non-fluent aphasic individuals. This approach should be considered for patients with moderately severe non-fluent aphasia, as it enhances not only the ability to use informative language but also its correct use in daily living.
本研究旨在确定对话疗法在治疗慢性中重度非流利性失语症患者中的疗效。八名患者完成了为期六周的强化语言训练。每两周，每位患者都会使用不同的日常生活视频片段进行康复治疗，以激发言语交流。为了让患者进行口头交流，要求他们观察每个视频片段，并在经验丰富的临床医生的帮助下对其进行讨论。为了衡量言语产生方面的任何显著改善，所有患者在治疗前后都进行了测试。治疗后，他们在正确表达信息词（C 单位）、动词、名词、形容词、副词以及封闭类词（代词、冠词和连词）和完整句子的能力方面都有显著提高。这种改善在治疗结束后一周和一个月仍持续存在。这些结果表明，通过强化语言训练应用的对话疗法对慢性非流利性失语症患者的言语交流恢复具有显著疗效。对于中重度非流利性失语症患者，应考虑采用这种方法，因为它不仅增强了使用信息性语言的能力，而且增强了其在日常生活中的正确使用能力。
