Salis Christos, Hwang Faustina, Howard David, Lallini Nicole
Speech and Language Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
Biomedical Engineering Section, School of Biological Sciences, University of Reading, Reading, United Kingdom.
Semin Speech Lang. 2017 Feb;38(1):29-39. doi: 10.1055/s-0036-1597262. Epub 2017 Feb 15.
Although the roles of verbal short-term and working memory on spoken sentence comprehension skills in persons with aphasia have been debated for many years, the development of treatments to mitigate verbal short-term and working memory deficits as a way of improving spoken sentence comprehension is a new avenue in treatment research. In this article, we review and critically appraise this emerging evidence base. We also present new data from five persons with aphasia of a replication of a previously reported treatment that had resulted in some improvement of spoken sentence comprehension in a person with aphasia. The replicated treatment did not result in improvements in sentence comprehension. We forward recommendations for future research in this, admittedly weak at present, but important clinical research avenue that would help improve our understanding of the mechanisms of improvement of short-term and working memory training in relation to sentence comprehension.
尽管失语症患者的言语短期记忆和工作记忆在口语句子理解技能中的作用已争论多年,但开发减轻言语短期记忆和工作记忆缺陷以改善口语句子理解的治疗方法是治疗研究中的一条新途径。在本文中,我们回顾并批判性地评估了这一新兴的证据基础。我们还展示了来自五名失语症患者的新数据,这些数据是对先前报道的一种治疗方法的重复,该治疗方法曾使一名失语症患者的口语句子理解有了一定改善。重复的治疗并未使句子理解得到改善。我们针对这一目前虽薄弱但重要的临床研究途径提出了未来研究的建议,这将有助于增进我们对短期和工作记忆训练与句子理解改善机制的理解。