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表达性失语症的语言康复:文献综述

Rehabilitation of language in expressive aphasias: a literature review.

作者信息

da Fontoura Denise Ren, Rodrigues Jaqueline de Carvalho, Carneiro Luciana Behs de Sá, Monção Ana Maria, de Salles Jerusa Fumagalli

机构信息

Fonoaudióloga, Doutora em Ciências da Linguagem/Psicolinguística pela Universidade Nova de Lisboa (UNL), Mestre em Ciências da Saúde/Neurociências pela Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Especialista em Reabilitação Fonoaudiológica/ Voz pelo Instituto Metodista IPA e Pós Graduada em Neuropsicologia/ Linguagem pela PUCRS.

Psicóloga Clínica, Mestranda em Psicologia no Programa de Pós-Graduação em Psicologia, Universidade Federal do Rio Grande do Sul - UFRGS.

出版信息

Dement Neuropsychol. 2012 Oct-Dec;6(4):223-235. doi: 10.1590/S1980-57642012DN06040006.

Abstract

OBJECTIVE

This paper reviews the methodological characteristics of studies on rehabilitation of expressive aphasia, describing the techniques of rehabilitation used.

METHODS

The databases Medline, Science Direct and PubMed were searched for relevant articles (January 1999 to December 2011) using the keywords Expressive / Broca / Nonfluent Aphasia, combined with Language or Speech Rehabilitation / Therapy / Intervention.

RESULTS

A total of 56 articles were retrieved describing rehabilitation techniques, including 22 with a focus on lexical processing, 18 on syntax stimulation, seven with the aim of developing speech and nine with multiple foci.

CONCLUSION

A variety of techniques and theoretical approaches are available, highlighting the heterogeneity of research in this area. This diversity can be justified by the uniqueness of patients' language deficits, making it difficult to generalize. In addition, there is a need to combine the formal measures of tests with measures of pragmatic and social skills of communication to determine the effect of rehabilitation on the patient's daily life.

摘要

目的

本文回顾了表达性失语症康复研究的方法学特点,描述了所使用的康复技术。

方法

利用关键词“表达性/布洛卡区/非流利性失语症”,并结合“语言或言语康复/治疗/干预”,在Medline、ScienceDirect和PubMed数据库中检索相关文章(1999年1月至2011年12月)。

结果

共检索到56篇描述康复技术的文章,其中22篇聚焦于词汇加工,18篇关于句法刺激,7篇旨在发展言语,9篇具有多个重点。

结论

有多种技术和理论方法可用,突出了该领域研究的异质性。这种多样性可由患者语言缺陷的独特性来解释,这使得难以进行概括。此外,需要将测试的形式化测量与语用和社交沟通技能的测量相结合,以确定康复对患者日常生活的影响。

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本文引用的文献

1
Extending the use of Spanish Computer-assisted Anomia Rehabilitation Program (CARP-2) in people with aphasia.
J Commun Disord. 2011 Nov-Dec;44(6):666-77. doi: 10.1016/j.jcomdis.2011.06.002. Epub 2011 Jul 2.
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Computer-based script training for aphasia: emerging themes from post-treatment interviews.
J Commun Disord. 2011 Jul-Aug;44(4):493-501. doi: 10.1016/j.jcomdis.2011.04.002. Epub 2011 Apr 27.
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J Commun Disord. 2011 Jul-Aug;44(4):459-69. doi: 10.1016/j.jcomdis.2011.02.004. Epub 2011 Apr 1.
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Arch Phys Med Rehabil. 2011 Apr;92(4):519-30. doi: 10.1016/j.apmr.2010.11.015.
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Neuropsychologia. 2010 Sep;48(11):3211-27. doi: 10.1016/j.neuropsychologia.2010.06.036. Epub 2010 Jul 23.
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Oral reading for language in aphasia: impact of aphasia severity on cross-modal outcomes in chronic nonfluent aphasia.
Semin Speech Lang. 2010 Feb;31(1):42-51. doi: 10.1055/s-0029-1244952. Epub 2010 Apr 8.
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The neural correlates of semantic feature analysis in chronic aphasia: discordant patterns according to the etiology.
Semin Speech Lang. 2010 Feb;31(1):52-63. doi: 10.1055/s-0029-1244953. Epub 2010 Mar 10.

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