Department of ENT, PGIMER, Chandigarh, India.
Disabil Rehabil Assist Technol. 2023 Jul;18(5):596-602. doi: 10.1080/17483107.2021.1892844. Epub 2021 Mar 10.
Stimulation approach is a therapy technique to improve language production using auditory and visual stimulation. Jellow app is a mobile app designed for compensating for impaired language skills and may be used in the intervention of persons with aphasia. The study aimed to determine the benefits of using the Jellow app as a facilitator of stimulus therapy to improve language and psychosocial domains in chronic Broca's Aphasia. Ten right-handed male adults with Broca's Aphasia were assessed on WAB and SIQOL39g tests. The control group ( = 5) was enrolled only for stimulation therapy. Pictures of objects were used for therapy with the help of auditory or auditory and visual cues. In the study group ( = 5), along with stimulus therapy, subjects were also trained on the use of icons in the Jellow app to facilitate functional communication needs. After six-months tests were readministered. Post-therapy, on WAB, the improvement in spontaneous speech, repetition, and naming were found to be significantly more in the study group (4.6 ± 0.55, 4.89 ± 0.56, 5.74 ± 0.24 respectively) than the control group (2.6 ± 0.89, 3.22 ± 0.49, 3.97 ± 0.3 respectively) on 2-sample -test. Similarly, significantly more improvement was seen in the communication domain of SAQOL39g in the study group (2.03 ± 0.17) compared to the control group (1.14 ± 0.45). Use of the Jellow app may be a beneficial adjunct to stimulation therapy for improving linguistic abilities and quality of life in persons with chronic Broca's aphasia.IMPLICATIONS FOR REHABILITATIONFollowing are the implications of this study in the rehabilitation of persons with chronic Broca's Aphasia:• Multimodality in therapy approach in traditional stimulation therapy is beneficial.• AAC Apps like the Jellow app can be used as an adjunct to the traditional stimulation approach of language intervention which facilitates the language abilities like spontaneous speech, repetition, and naming.• Language improvement due to rehabilitation is beneficial in improving the quality of life in this population.• The caregivers must be involved in the therapy program as they act as communication partners and can repeat the therapy tasks at home.• Similar type of study is warranted in a larger population so that people with chronic Broca's aphasia may get the benefit of the latest technology which may be cheaper and easier to use.
刺激法是一种通过听觉和视觉刺激来提高语言表达能力的治疗技术。Jellow 应用程序是一款专为补偿语言障碍而设计的移动应用程序，可用于失语症患者的干预。本研究旨在确定使用 Jellow 应用程序作为刺激疗法促进剂来改善慢性布罗卡失语症患者语言和社会心理领域的益处。10 名右利手男性慢性布罗卡失语症患者接受 WAB 和 SIQOL39g 测试。对照组（n = 5）仅参加刺激疗法。使用对象图片，通过听觉或听觉和视觉线索进行治疗。在研究组（n = 5）中，除了刺激疗法外，还对患者进行了 Jellow 应用程序图标的使用培训，以促进其功能性沟通需求。6 个月后重新进行测试。治疗后，研究组在 WAB 中的自发言语、重复和命名方面的改善明显高于对照组（分别为 4.6 ± 0.55、4.89 ± 0.56、5.74 ± 0.24），而对照组为 2.6 ± 0.89、3.22 ± 0.49、3.97 ± 0.3 （分别）（2 样本 t 检验）。同样，研究组在 SAQOL39g 的交流领域的改善也明显高于对照组（2.03 ± 0.17）。Jellow 应用程序的使用可能是慢性布罗卡失语症患者语言治疗的有益辅助手段，可以改善语言能力和生活质量。对康复的启示：•传统刺激疗法中的多模态治疗方法是有益的。•像 Jellow 应用程序这样的 AAC 应用程序可以作为语言干预传统刺激方法的辅助手段，促进自发言语、重复和命名等语言能力。•康复引起的语言改善有益于改善该人群的生活质量。•必须让照顾者参与治疗计划，因为他们是沟通伙伴，可以在家中重复治疗任务。•需要在更大的人群中进行类似的研究，以便慢性布罗卡失语症患者能够受益于最新的技术，这种技术可能更便宜且更易于使用。
