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Can Script Training Improve Narrative and Conversation in Aphasia across Etiology?

机译:脚本培训可以在整体学中提高叙事和谈话中的叙事和对话吗?

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Script training is an effective treatment of stable (e.g., stroke-induced) and progressive aphasia of varying severities and subtypes. The theoretical underpinnings of script training are discussed and include fluency-inducing conditions, speech shadowing, principles of neuroplasticity, and automatization. Script training outcomes are reviewed, with a focus on discourse in persons with stable aphasia (PWSAs) and in persons with primary progressive aphasia (PWPPAs). PWSAs and PWPPAs are able to acquire and maintain short scripted monologues or conversational dialogues, with some evidence of generalization to untrained topics and settings. Advances in both technology and access have enriched script training protocols, so they now range from no-tech written script approaches to high-tech audiovisual support and avatars. Advances in audio and/or visual support promote large amounts of practice of less errorful whole-message language processing during a fluent language inducing condition. With enough practice, users decrease reliance on supports and independently produce scripted content. Script training can be delivered in a variety of settings (individual, group, telepractice), lends itself well to homework programs, and is in accordance with the principles of neuroplasticity for neurorehabilitation. Incorporating script training into therapy programming is advantageous throughout aphasia recovery following brain injuries such as stroke. It is also beneficial for persons with progressive disease for prophylaxis, remediation, and compensation. Recommendations for implementing script training in clinical practice and future research directions are presented.
机译:脚本培训是对不同严重程度和亚型的稳定(例如,中风诱导)和渐进性厌食症的有效治疗。讨论了脚本培训的理论基础,包括流畅的诱导条件,语音阴影,神经塑性原理和自动化。审查脚本培训结果,重点关注具有稳定的失语症(PWSA)的话语,并在初级进步性失语症(PWPPA)中。 PWSAS和PWPPA能够获取和维护短脚本的独白或会话对话,以证明未经训练的主题和设置的概括。技术和访问的进步已经丰富了剧本培训协议,因此他们现在的无科学书面脚本方法是高科技视听支持和头像。音频和/或视觉支持的进步促进了在流利语言诱导条件下促进了大量错误的整个消息语言处理的实践。具有足够的实践,用户减少对支持的依赖,并独立生成脚本内容。脚本培训可以在各种设置(个人,群体,远程术)中交付,对家庭作业课程提供很好,并且符合神经塑性的神经塑性原则。将脚本培训纳入治疗编程,在脑卒中等脑损伤后,在脑损伤之后的开胃恢复是有利的。对于具有预防,修复和补偿的渐进性疾病的人也是有益的。提出了在临床实践中实施脚本培训和未来研究方向的建议。

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