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与健康对照者相比,对多发性硬化症两个阶段(复发缓解型和继发进展型)的高级语言技能进行检查。

Examination of High-Level Language Skills in 2 Phases of Multiple Sclerosis (Relapsing-Remitting & Secondary Progressive) in Comparison With Healthy Counterparts.

作者信息

Rahimifar Parvaneh, Isazadeh Rezvan, Soltani Majid, Ghobadi Raheleh, Boazar Ali, Abaeian Golnoosh, Aliabdi Leyla, Majdinasab Nastaran, Amini Payam

机构信息

Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Department of Speech Therapy, School of Rehabilitation, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Med J Islam Repub Iran. 2025 Feb 6;39:22. doi: 10.47176/mjiri.39.22. eCollection 2025.

Abstract

BACKGROUND

Language skills compromised after neurological damage, such as multiple sclerosis (MS), significantly impacting patients' quality of life. MS impairs high-level language functioning. Despite existing research, no studies have examined high-level language functions during different phases of the disease. This is crucial for a better understanding of the linguistic profiles of affected patients.

METHODS

This descriptive-analytical study included 25 patients with RRMS, 27 patients with SPMS, and 30 healthy individuals (age range, 22-57 years). They were selected based on convenience sampling. All participants were sampled using the Persian version of the high-level language skills assessment test. The Kruskal-Wallis test was used to compare the performance of the 3 groups, and the Bonferroni test was employed to make pairwise comparisons between groups.

RESULTS

The Kruskal-Wallis test revealed significant differences in the total score and all subtest scores (P ≤ 0.05), except for the ambiguous sentence comprehension subtest (P ≥ 0.05). The Bonferroni test revealed a significant difference in the total score and all subtest scores (P ≤ 0.05) between healthy individuals and those with SPMS & RRMS, except for the ambiguous sentence comprehension subtest (P ≤ 0.05). Also, no significant differences were found in the total score and all subtest scores between the SPMS and RRMS patients (P ≥ 0.05).

CONCLUSION

The results of the present study showed that the high-level language functions were weaker in MS patients compared to healthy individuals. However, no significant difference was found between the RRMS and SPMS patients.

摘要

背景

神经系统损伤(如多发性硬化症,MS)后语言技能受损,严重影响患者的生活质量。MS损害高级语言功能。尽管已有相关研究,但尚无研究考察该疾病不同阶段的高级语言功能。这对于更好地了解受影响患者的语言特征至关重要。

方法

这项描述性分析研究纳入了25例复发缓解型多发性硬化症(RRMS)患者、27例继发进展型多发性硬化症(SPMS)患者和30名健康个体(年龄范围22 - 57岁)。他们是基于便利抽样选取的。所有参与者均使用高级语言技能评估测试的波斯语版本进行抽样。采用Kruskal - Wallis检验比较三组的表现,并使用Bonferroni检验进行组间两两比较。

结果

Kruskal - Wallis检验显示,除歧义句理解子测试外(P≥0.05),总分及所有子测试分数均存在显著差异(P≤0.05)。Bonferroni检验显示,除歧义句理解子测试外(P≤0.05),健康个体与SPMS及RRMS患者之间在总分及所有子测试分数上存在显著差异(P≤0.05)。此外,SPMS和RRMS患者之间在总分及所有子测试分数上未发现显著差异(P≥0.05)。

结论

本研究结果表明,与健康个体相比,MS患者的高级语言功能较弱。然而,RRMS和SPMS患者之间未发现显著差异。

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本文引用的文献

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Language and Cognitive Impairments in Multiple Sclerosis: a Comparative Study of RRMS and SPMS Patients.
Arch Clin Neuropsychol. 2025 May 21;40(4):775-782. doi: 10.1093/arclin/acae110.
2
Impairments of attention in RRMS patients: the role of disease duration.
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Secondary Progressive Multiple Sclerosis: New Insights.继发进展型多发性硬化症:新的认识。
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