Krzok Franziska, Rieger Verena, Niemann Katharina, Nobis-Bosch Ruth, Radermacher Irmgard, Huber Walter, Willmes Klaus, Abel Stefanie
Department of Neurology, Medical Faculty, RWTH Aachen University, Aachen, Germany.
Section of Continuous Learning, German Association of Logopedics (dbl), Germany.
Int J Lang Commun Disord. 2018 Mar;53(2):308-323. doi: 10.1111/1460-6984.12350. Epub 2017 Nov 8.
SAPS-'Sprachsystematisches Aphasiescreening'-is a novel language-systematic aphasia screening developed for the German language, which already had been positively evaluated. It offers a fast assessment of modality-specific psycholinguistic components at different levels of complexity and the derivation of impairment-based treatment foci from the individual performance profile. However, SAPS has not yet been evaluated in combination with the new SAPS-based treatment.
To replicate the practicality of SAPS and to investigate the effectiveness of a SAPS-based face-to-face therapy combined with computerised home training in a feasibility study. To examine the soundness of the treatment design, to determine treatment-induced changes in patient performance as measured by SAPS, to assess parallel changes in communicative abilities, and to differentiate therapy effects achieved by face-to-face therapy versus add-on effects achieved by later home training.
METHODS & PROCEDURES: Sixteen participants with post-stroke aphasia (PWAs) were included into the study. They were administered the SAPS and communicative testing before and after the treatment regimen. Each PWA received one therapy session followed by home training per day, with the individual treatment foci being determined according to initial SAPS profile, and duration of treatment and possible change of focus dependent on performance assessed by continuous therapy monitoring.
OUTCOMES & RESULTS: The combination of therapy and home training based on the SAPS was effective for all participants. We showed significant improvements for impairment-based SAPS performance and, with high inter-individual variability, in everyday communication. These two main targets of speech and language therapy were correlated and SAPS improvements after therapy were significantly higher than after home training.
CONCLUSIONS & IMPLICATIONS: SAPS offers the assessment of an individual performance profile in order to derive sufficiently diversified, well-founded and specific treatment foci and to follow up changes in performance. The appending treatment regimen has shown to be effective for our participants. Thus, the study revealed feasibility of our approach.
SAPS（“语言系统性失语症筛查”）是一种专为德语开发的新型语言系统性失语症筛查工具，已得到积极评价。它能快速评估不同复杂程度的特定模态心理语言成分，并根据个体表现概况得出基于损伤的治疗重点。然而，SAPS尚未与基于SAPS的新治疗方法相结合进行评估。
在一项可行性研究中，复制SAPS的实用性，并研究基于SAPS的面对面治疗与计算机化家庭训练相结合的有效性。检查治疗设计的合理性，确定通过SAPS测量的患者表现的治疗引起的变化，评估沟通能力的平行变化，并区分面对面治疗所取得的治疗效果与后期家庭训练所取得的附加效果。
16名中风后失语症患者（PWA）被纳入研究。在治疗方案前后，对他们进行了SAPS和沟通测试。每位PWA每天接受一次治疗，随后进行家庭训练，根据初始SAPS概况确定个体治疗重点，治疗持续时间和重点的可能变化取决于通过持续治疗监测评估的表现。
基于SAPS的治疗与家庭训练相结合对所有参与者均有效。我们发现基于损伤的SAPS表现有显著改善，并且在日常沟通中存在较高的个体间差异。言语和语言治疗的这两个主要目标是相关的，治疗后SAPS的改善明显高于家庭训练后。
SAPS提供个体表现概况评估，以便得出足够多样化、有充分依据且具体的治疗重点，并跟踪表现变化。附加的治疗方案已证明对我们的参与者有效。因此，该研究揭示了我们方法的可行性。
