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首页> 外文期刊>Stroke: A Journal of Cerebral Circulation >Long-term stability of improved language functions in chronic aphasia after constraint-induced aphasia therapy.
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Long-term stability of improved language functions in chronic aphasia after constraint-induced aphasia therapy.

机译：约束性失语症治疗后慢性失语症患者语言功能改善的长期稳定性。

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BACKGROUND AND PURPOSE: In response to the established notion that improvement of language functions in chronic aphasia only can be achieved through long-term treatment, we examined the efficacy of a short-term, intensive language training, constraint-induced aphasia therapy (CIAT). This program is founded on the learning principles of prevention of compensatory communication (constraint), massed practice, and shaping (induced). METHODS: Twenty-seven patients with chronic aphasia received 30 hours of training over 10 days. Twelve patients were trained with the CIAT program. For 15 patients the training included a module of written language and an additional training in everyday communication, which involved the assistance of family members (CIATplus). Outcome measures included standardized neurolinguistic testing and ratings of the quality and the amount of daily communication. RESULTS: Language functions improved significantly after training for both groups and remained stable over a 6-month follow-upperiod. Single case analyses revealed statistically significant improvements in 85% of the patients. Patients and relatives of both groups rated the quality and amount of communication as improved after therapy. This increase was more pronounced for patients of the group CIATplus in the follow-up. CONCLUSIONS: Results confirm that a short-term intense language training, based on learning principles, can lead to substantial and lasting improvements in language functions in chronic aphasia. The use of family and friends in the training provides an additional valuable element. This effective intervention can be successfully used in the rehabilitation of chronic aphasia patients. Additionally, its short-term design makes it economically attractive for service providers.
机译：背景和目的：响应已确立的观念，即只有通过长期治疗才能改善慢性失语症的语言功能，我们研究了短期，强化语言训练，约束性失语症治疗（CIAT）的功效。该程序基于预防补偿性沟通（约束），大众实践和塑造（诱发）的学习原理。方法：27名慢性失语症患者在10天内接受了30小时的训练。 12名患者接受了CIAT计划的培训。对15名患者的培训包括书面语言模块和日常沟通的其他培训，其中涉及家庭成员的协助（CIATplus）。结果措施包括标准化的神经语言测试以及对日常交流的质量和数量的评估。结果：两组的语言功能在训练后均得到显着改善，并且在6个月的随访期内保持稳定。单例分析显示85％的患者有统计学上的显着改善。两组的患者和亲戚都认为治疗后交流的质量和数量有所改善。在随访中，对于CIATplus组的患者，这种增加更为明显。结论：结果证实，基于学习原则的短期强化语言培训可以导致慢性失语症患者语言功能的实质性和持久性改善。在培训中使用家人和朋友提供了额外的宝贵元素。这种有效的干预措施可以成功地用于慢性失语症患者的康复。此外，其短期设计使其在经济上吸引服务提供商。

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