Thiel Lindsey, Sage Karen, Conroy Paul
a NARU, School of Psychological Sciences, University of Manchester , Manchester , UK ;
b Bristol Speech and Language Therapy Research Unit, University of the West of England , Bristol , UK.
Disabil Rehabil. 2016 Oct;38(21):2122-34. doi: 10.3109/09638288.2015.1114038. Epub 2016 Jan 5.
Improving writing in people with aphasia could improve ability to communicate, reduce isolation and increase access to information. One area that has not been sufficiently explored is the effect of impairment based spelling therapies on functional writing. A multiple case study was conducted with eight participants with aphasia subsequent to stroke. This aimed to measure the effects of spelling therapy on functional writing and perception of disability.
Participants engaged in 10 sessions of copy and recall spelling therapy. Outcome measures included spelling to dictation of trained and untrained words, written picture description, spelling accuracy within emails, a disability questionnaire and a writing frequency diary.
All participants made significant gains on treated words and six demonstrated improvements to untreated words. Group analyses showed significant improvements to written picture description, but not email writing, writing frequency or perceptions of disability.
These results show that small doses of writing therapy can lead to large gains in specific types of writing. These gains did not extend to improvements in frequency of writing in daily living, nor ecological measures of email writing. There is a need to develop bridging interventions between experimental tasks towards more multi-faceted and ecological everyday writing tasks. Implications for Rehabilitation Acquired dysgraphia can restrict people from participating in social, educational and professional life. This study has shown that copy and recall spelling therapies can improve the spelling of treated words, untreated words and written picture description in people with a range of types and severities of dysgraphia following stroke. The results of this study suggest that more specific additional training is required for other writing activities such as email writing.
改善失语症患者的书写能力可以提高其沟通能力，减少孤立感并增加信息获取。一个尚未得到充分探索的领域是基于损伤的拼写疗法对功能性书写的影响。对八名中风后失语症患者进行了一项多案例研究。其目的是测量拼写疗法对功能性书写和残疾认知的影响。
参与者进行了10次抄写和回忆拼写治疗课程。结果测量包括对训练过和未训练过的单词进行听写拼写、书面图片描述、电子邮件中的拼写准确性、一份残疾问卷和一份书写频率日记。
所有参与者在接受治疗的单词上都有显著进步，六名参与者在未治疗的单词上也有改善。组间分析显示书面图片描述有显著改善，但电子邮件写作、写作频率或残疾认知方面没有改善。
这些结果表明，小剂量的书写治疗可以在特定类型的书写方面带来显著进步。这些进步并未扩展到日常生活中书写频率的提高，也未扩展到电子邮件写作的生态学测量方面。需要开发从实验任务到更多多方面和生态学日常书写任务的过渡性干预措施。对康复的意义 获得性书写障碍会限制人们参与社会、教育和职业生活。这项研究表明，抄写和回忆拼写疗法可以改善中风后患有一系列类型和严重程度书写障碍的患者对治疗过的单词、未治疗的单词和书面图片描述的拼写。这项研究的结果表明，对于其他书写活动，如电子邮件写作，需要更具体的额外培训。
