语言多样化人群失语症的治疗:现状与未来方向。

Treatment of aphasia in linguistically diverse populations: current and future directions.

作者信息

Imaezue Gerald C, Ajayi David, Davis Celine

机构信息

Department of Communication Sciences and Disorders, University of South Florida, Tampa, FL, United States.

出版信息

Front Psychol. 2025 Aug 14;16:1612413. doi: 10.3389/fpsyg.2025.1612413. eCollection 2025.

Abstract

Aphasia is a multimodal language disorder that affects individuals across all language cultures, disrupting speaking, listening, reading, writing, and gestural communication. Although aphasia is challenging to manage in monolingual individuals, it becomes even more complex in linguistically diverse populations due to factors such as differences in language-specific features, limited linguistically customizable behavioral therapies and clinicians' cross-linguistic competence. This critical review examines current and emerging treatment approaches for linguistically diverse populations, highlighting the progression from traditional behavioral interventions to innovative modalities, including state-of-the-art AI-driven and culturally sensitive interventions designed to overcome cultural and linguistic barriers and enhance therapy outcomes. The review emphasizes the growing need for aphasia care specific to linguistically diverse populations, with a focus on personalized treatment strategies and innovations in digital therapeutics that account for cultural and linguistic nuances. Specifically, we advocate for: (1) personalizing restorative aphasia therapies to users' preferred languages; (2) restorative therapies that leverage universal nonverbal systems and neurobiological modulations as primary treatment modalities; and (3) digital innovations such as multilingual artificial intelligence systems for restorative aphasia therapy, particularly delivered through smartphones. Additionally, ethical considerations-including cultural responsiveness, clinician preparedness, and patient data protection-are discussed to inform future directions in equitable and effective aphasia care. Overall, this study provides insights to guide the development of inclusive and innovative aphasia interventions for linguistically diverse populations.

摘要

失语症是一种多模态语言障碍,影响着所有语言文化背景的个体,会干扰口语、听力、阅读、写作和手势交流。虽然失语症在单语个体中难以处理,但在语言多样化的人群中,由于特定语言特征的差异、语言可定制行为疗法有限以及临床医生的跨语言能力等因素,情况变得更加复杂。这篇批判性综述探讨了针对语言多样化人群的现有和新兴治疗方法,强调了从传统行为干预到创新模式的发展,包括旨在克服文化和语言障碍并提高治疗效果的最先进的人工智能驱动和文化敏感型干预措施。该综述强调了对语言多样化人群失语症护理的需求日益增长,重点是个性化治疗策略以及考虑文化和语言细微差别的数字疗法创新。具体而言,我们主张:(1)根据用户的首选语言对失语症恢复疗法进行个性化定制;(2)利用通用非语言系统和神经生物学调节作为主要治疗方式的恢复疗法;(3)数字创新,如用于失语症恢复治疗的多语言人工智能系统,特别是通过智能手机提供。此外,还讨论了伦理考量,包括文化响应性、临床医生准备情况和患者数据保护,以为公平有效的失语症护理的未来方向提供参考。总体而言,本研究提供了见解,以指导为语言多样化人群开发包容性和创新性的失语症干预措施。

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