Kao Henry Sr, Lam Stewart Pw, Kao Tin Tin
Calligraphy Therapy Laboratory, Shenzhen Institute of Neuroscience, Shenzhen, China.
Reearch and Development Division, Calli-Health Society.
Neuropsychiatr Dis Treat. 2018 Jan 31;14:407-417. doi: 10.2147/NDT.S147753. eCollection 2018.
This study investigated the efficacy of Chinese calligraphy handwriting (CCH) for the awakening of patients under a vegetative state after stroke. The theories, the instrument, and the treatment protocols were reported. A single case of a severe stroke patient who was in a coma state for 2 years is presented in this study. The objectives were to apply finger writing as a new method to awaken a stroke patient in a coma state and to test the effect of this method in improving the patient's vegetative states over time.
A 55-year-old man suffered a severe stroke in 2004 which left him in a coma for 2 years without any systematic rehabilitation. A culture-based finger-writing method of visual-spatial intervention was then applied to improve his condition. The writing tasks involved aided viewing and finger tracing of sets of innovative characters with enriched visual-spatial and movement characteristics. Following regular treatment protocols involving diverse movement and sensory feedback, the patient was awakened after 12 months. As a consequence, the patient showed significant behavioral changes favoring enhanced focusing, alertness, visual scan, visual span, and quickened visual and motor responses. The treatment continued for another 12 months. As the treatment progressed, we gradually observed improvements in his attention span and mental concentration. His eye ball movements - the left eye in particular - were quickened and showed wider visual angularity in his focal vision. Currently, the patient can now watch television, engage in improved visual sighting, and focus on visual-spatial and cognitive-linguistic materials.
This CCH method of training by finger tracking has shown its effectiveness in awakening the patient from his coma state and in producing long-term, clinical outcomes that were similar from those that took place 10 years ago. This finding supports the efficacy of the system for clinical improvement of the patient's conditions.
本研究调查了中国书法书写（CCH）对中风后处于植物人状态患者苏醒的疗效。报告了相关理论、工具和治疗方案。本研究呈现了一例严重中风患者昏迷两年的病例。目标是应用手指书写作为一种新方法来唤醒处于昏迷状态的中风患者，并测试该方法随时间推移改善患者植物人状态的效果。
一名55岁男性在2004年遭受严重中风，昏迷两年且未接受任何系统康复治疗。随后应用了一种基于文化的手指书写视觉空间干预方法来改善他的状况。书写任务包括辅助观看和手指追踪具有丰富视觉空间和运动特征的创新字符集。遵循包含多样运动和感觉反馈的常规治疗方案，患者在12个月后苏醒。结果，患者表现出显著的行为变化，有利于增强注意力、警觉性、视觉扫描、视觉广度以及加快视觉和运动反应。治疗又持续了12个月。随着治疗进展，我们逐渐观察到他的注意力广度和精神集中度有所改善。他的眼球运动——尤其是左眼——加快，并且在注视视野中显示出更宽的视角。目前，该患者现在可以看电视、改善视觉观察，并专注于视觉空间和认知语言材料。
这种通过手指追踪进行CCH训练的方法已显示出其在使患者从昏迷状态苏醒以及产生与10年前相似的长期临床结果方面的有效性。这一发现支持了该系统对临床改善患者状况的疗效。
