朝向改善中风后失语症:远程康复用于延续性护理的使用日益增加之试点研究。

Toward Improving Poststroke Aphasia: A Pilot Study on the Growing Use of Telerehabilitation for the Continuity of Care.

机构信息

IRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.

IRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.

出版信息

J Stroke Cerebrovasc Dis. 2019 Oct;28(10):104303. doi: 10.1016/j.jstrokecerebrovasdis.2019.104303. Epub 2019 Jul 29.

Abstract

BACKGROUND

Aphasia is a quite common and very disabling symptom following stroke, negatively affecting patient's quality of life. Aim of the study is to evaluate the effectiveness of a rehabilitation training for aphasia that employ a touch-screen tablet using a virtual reality rehabilitation system (VRRS-Tablet).

MATERIAL AND METHODS

Thirty patients with aphasia due to ischemic or hemorrhagic stroke were randomized into either the control or the experimental group and assessed by means of a specific neuropsychological evaluation. The study lasted 6 months and included 2 phases. During the former, the experimental group underwent an experimental linguistic treatment performed using the VRRS-Tablet, while the control group was trained with a traditional linguistic treatment. In the latter, the control groups were delivered to territorial services, while the experimental group was provided with the VRRS-Tablet.

RESULTS

The experimental group improves in all the investigated areas, except for writing, while the control group only improves in comprehension, depression, and quality of life.

CONCLUSIONS

Our study has demonstrated the effectiveness of a home-based telerehabilitation program specific for poststroke aphasia. The use of telerehabilitation by means of VRRS-Tablet could be one of the best solutions to treat aphasic patients after their discharge, promoting continuity of care by monitoring functional outcomes, maintaining preserved abilities, reducing depression, and improving linguistic functions, besides the psychological well-being.

摘要

背景

失语症是中风后一种相当常见且非常致残的症状,严重影响患者的生活质量。本研究旨在评估使用虚拟现实康复系统(VRRS-Tablet)的触摸屏平板电脑进行失语症康复训练的效果。

材料和方法

30 名因缺血性或出血性中风导致失语症的患者被随机分为对照组和实验组,并通过特定的神经心理学评估进行评估。该研究持续 6 个月,包括 2 个阶段。在前者中,实验组接受使用 VRRS-Tablet 进行的实验性语言治疗,而对照组则接受传统语言治疗。在后一阶段,对照组被送到当地服务机构,而实验组则提供 VRRS-Tablet。

结果

实验组在所有调查领域均有所改善,除了书写,而对照组仅在理解、抑郁和生活质量方面有所改善。

结论

我们的研究表明,针对中风后失语症的家庭远程康复计划是有效的。通过 VRRS-Tablet 进行远程康复可以是治疗出院后失语症患者的最佳解决方案之一,通过监测功能结果、维持保留能力、减轻抑郁和改善语言功能,以及心理健康,促进连续性护理。

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