Peach Richard K, Nathan Meghana R, Beck Katherine M
Department of Communication Disorders and Sciences, Rush University Medical Center, Chicago, Illinois.
Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota.
Semin Speech Lang. 2017 Feb;38(1):5-16. doi: 10.1055/s-0036-1597260. Epub 2017 Feb 15.
The need for a specific, language-based treatment approach to aphasic impairments associated with attentional deficits is well documented. We describe language-specific attention treatment, a specific skill-based approach for aphasia that exploits increasingly complex linguistic tasks that focus attention. The program consists of eight tasks, some with multiple phases, to assess and treat lexical and sentence processing. Validation results demonstrate that these tasks load on six attentional domains: (1) executive attention; (2) attentional switching; (3) visual selective attention/processing speed; (4) sustained attention; (5) auditory-verbal working memory; and (6) auditory processing speed. The program demonstrates excellent inter- and intrarater reliability and adequate test-retest reliability. Two of four people with aphasia exposed to this program demonstrated good language recovery whereas three of the four participants showed improvements in auditory-verbal working memory. The results provide support for this treatment program in patients with aphasia having no greater than a moderate degree of attentional impairment.
对于与注意力缺陷相关的失语症损伤，采用基于特定语言的治疗方法的必要性已有充分记录。我们描述了特定语言注意力治疗，这是一种针对失语症的基于特定技能的方法，它利用越来越复杂的语言任务来集中注意力。该计划包括八项任务，有些任务有多个阶段，用于评估和治疗词汇和句子处理。验证结果表明，这些任务涉及六个注意力领域：（1）执行注意力；（2）注意力转换；（3）视觉选择性注意力/处理速度；（4）持续注意力；（5）听觉言语工作记忆；以及（6）听觉处理速度。该计划展示了出色的评分者间和评分者内信度以及足够的重测信度。接受该计划的四名失语症患者中有两名表现出良好的语言恢复，而四名参与者中有三名在听觉言语工作记忆方面有所改善。这些结果为该治疗计划在注意力损伤不超过中度的失语症患者中提供了支持。
