Basilakos Alexandra, Hula William D, Johnson Lorelei Phillip, Kiran Swathi, Walker Grant M, Fridriksson Julius
Department of Communication Sciences and Disorders, University of South Carolina, Columbia, SC.
Geriatric Research, Education, and Clinical Center, VA Pittsburgh Healthcare System, Pittsburgh, PA; Audiology and Speech Pathology Service, VA Pittsburgh Healthcare System, Pittsburgh, PA; Department of Communication Science and Disorders, University of Pittsburgh, Pittsburgh, PA.
Arch Phys Med Rehabil. 2022 Mar;103(3):581-589. doi: 10.1016/j.apmr.2021.10.017. Epub 2021 Nov 5.
The Rehabilitation Treatment Specification System (RTSS) was developed as a systematic way to describe rehabilitation treatments for the purpose of both research and practice. The RTSS groups treatments by type and describes them by 3 elements: the treatment (1) ingredients and (2) the mechanisms of action that yield changes in the (3) target behavior. Adopting the RTSS has the potential to improve consistency in research, allowing for better cross-study comparisons to strengthen the body of research supporting various treatments. Because it is still early in its development, the RTSS has not yet been widely implemented across different rehabilitation disciplines. In particular, aphasia recovery is one area of rehabilitation that could benefit from a unifying framework. Accordingly, this article is part of a series where we illustrate how the RTSS can be applied to aphasia treatment and research. This article more specifically focuses on examining the neurobiological mechanisms of action associated with experimental aphasia therapies, including brain stimulation and pharmacologic intervention, as well as more traditional behavioral therapy. Key elements of the RTSS are described, and 4 example studies are used to illustrate how the RTSS can be implemented. The benefits of a unifying framework for the future of aphasia treatment research and practice are discussed.
康复治疗规范系统（RTSS）的开发是为了以系统的方式描述康复治疗，以用于研究和实践。RTSS按类型对治疗进行分组，并通过三个要素对其进行描述：治疗（1）成分、（2）产生（3）目标行为变化的作用机制。采用RTSS有可能提高研究的一致性，便于进行更好的跨研究比较，以加强支持各种治疗的研究体系。由于其仍处于发展初期，RTSS尚未在不同的康复学科中广泛实施。特别是，失语症恢复是一个可以从统一框架中受益的康复领域。因此，本文是一个系列文章的一部分，我们将说明RTSS如何应用于失语症治疗和研究。本文更具体地侧重于研究与实验性失语症治疗相关的神经生物学作用机制，包括脑刺激和药物干预，以及更传统的行为疗法。描述了RTSS的关键要素，并使用4个实例研究来说明如何实施RTSS。讨论了统一框架对失语症治疗研究和实践未来的益处。
