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流字诀气功与传统呼吸训练治疗脑卒中后合并异常呼吸控制的构音障碍:一项单中心随机对照试验的结果。

Liuzijue qigong versus traditional breathing training for patients with post-stroke dysarthria complicated by abnormal respiratory control: Results of a single-center randomized controlled trial.

机构信息

Department of Rehabilitation, Shanghai Xuhui Central Hospital, Shanghai, China.

School of Kinesiology, Shanghai University of Sport, Shanghai, China.

出版信息

Clin Rehabil. 2021 Jul;35(7):999-1010. doi: 10.1177/0269215521992473. Epub 2021 Feb 1.

DOI:10.1177/0269215521992473
PMID:33517744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8193589/
Abstract

OBJECTIVE

The aim of the study was to investigate whether liuzijue qigong could improve the ability of respiratory control and comprehensive speech in patients with stroke dysarthria.

DESIGN

A randomized controlled trial.

SETTING

The research was carried out in the department of rehabilitation.

PARTICIPANTS

Altogether, a total of 98 stroke patients with dysarthria participated in the study.

INTERVENTIONS

Patients were randomly divided into two groups (the experimental group: basic articulation + liuzijue qigong, 48 patients or the control group: basic articulation + traditional breathing training, 50 patients). All therapies were conducted once a day, five times a week for three weeks.

MAIN MEASURES

: Speech breathing level of the modified Frenchay Dysarthria Assessment. : the modified Frenchay Dysarthria Assessment, maximum phonation time, maximal counting ability, /s/, /z/, s/z ratio, and the loudness level. All outcome measures were assessed twice (at baseline and after three weeks).

RESULTS

At three weeks, There were significant difference between the two groups in the change of speech breathing level (81% vs 66%,  = 0.011), the modified Frenchay Dysarthria Assessment (5.54 (4.68-6.40) vs 3.66 (2.92-4.40),  = 0.001), maximum phonation time (5.55 (4.92-6.18) vs 3.01(2.31-3.71),  < 0.01), maximal counting ability (3.08(2.45-3.71) vs 2.10 (1.53-2.67),  = 0.018), and /s/ (3.08 (2.39-3.78) vs 1.87 (1.23-2.51),  = 0.004), while no significant differences were found in the change of /z/ (3.08 (2.31-3.86) vs 2.10 (1.5-2.64),  = 0.08), / ratio (1.26 (0.96-1.55) vs 1.03 (0.97-1.09),  = 0.714), and the change of loudness level (69% vs 60%,  = 0.562).

CONCLUSIONS

Liuzijue qigong, combined with basic articulation training, could improve the respiratory control ability, as well as the comprehensive speech ability of stroke patients with dysarthria.

TRIAL REGISTRATION

ChiCTR-INR-16010215.

摘要

目的

研究六字诀气功是否能提高脑卒中构音障碍患者的呼吸控制能力和综合言语能力。

设计

随机对照试验。

地点

康复科。

参与者

共 98 名脑卒中构音障碍患者参与了研究。

干预措施

患者随机分为两组(实验组:基础发音+六字诀气功,48 例;对照组:基础发音+传统呼吸训练,50 例)。所有治疗均每天进行一次,每周进行 5 次,共 3 周。

主要观察指标

改良 Frenchay 构音障碍评估中的言语呼吸水平;改良 Frenchay 构音障碍评估、最长发音时间、最大计数能力、/s/、/z/、s/z 比值和响度水平。所有结果指标均在基线和 3 周后进行两次评估。

结果

3 周后,两组患者言语呼吸水平的变化(81%比 66%,=0.011)、改良 Frenchay 构音障碍评估(5.54(4.68-6.40)比 3.66(2.92-4.40),=0.001)、最长发音时间(5.55(4.92-6.18)比 3.01(2.31-3.71),<0.01)、最大计数能力(3.08(2.45-3.71)比 2.10(1.53-2.67),=0.018)和/s/比值(3.08(2.39-3.78)比 1.87(1.23-2.51),=0.004)均有显著差异,而/z/比值(3.08(2.31-3.86)比 2.10(1.5-2.64),=0.08)、响度水平的变化(69%比 60%,=0.562)无显著差异。

结论

六字诀气功联合基础发音训练可提高脑卒中构音障碍患者的呼吸控制能力和综合言语能力。

试验注册

ChiCTR-INR-16010215。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59cc/8193589/762bcdd4c649/10.1177_0269215521992473-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59cc/8193589/762bcdd4c649/10.1177_0269215521992473-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59cc/8193589/762bcdd4c649/10.1177_0269215521992473-fig1.jpg

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