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A Moderately Intensive Functional Treatment For Severe Auditory Comprehension Deficits Associated with Aphasia

机译:与重度失语症相关的严重听觉理解障碍的中等强度功能治疗

摘要

Severe, chronic, auditory comprehension deficits secondary to aphasia can adversely impact an individual’s quality of life by limiting successful communication interactions (Bose et al., 2009). Furthermore, individuals lacking awareness of comprehension deficits may be less inclined to compensate for communication breakdowns (Knollman-Porter, Dietz, & Groh, 2012).Interventions utilizing intense and repetitive stimulation are recommended to promote neuroplasticity, and therefore, language function following a stroke (Kleim & Jones, 2008; Kurland et al., 2012). More specifically, highly intensive treatment protocols (two hours a day, five days a week for three weeks) for severe comprehension deficits have demonstrated promising gains in word comprehension and awareness with corrective feedback and researcher-selected stimuli (Knollman-Porter et al., 2012).However, not all clients and caregivers can tolerate intensive treatment protocols. Additionally, the importance of stimuli type, particularly personally relevant stimuli, has been suggested in promoting treatment outcomes (Hinckley & Carr, 2005; McKelvey et al., 2010). Therefore, further research is needed to examine more functional treatment options for individuals with comprehension deficits. This study investigated the impact of a moderately intensive treatment protocol using personally relevant stimuli and corrective feedback on auditory comprehension and self-awareness in individuals with severe, chronic, aphasia.
机译:失语继发的严重的,慢性的,听觉上的理解缺陷会限制成功的交流互动,从而对个人的生活质量产生不利影响(Bose等,2009)。此外,对理解能力缺乏了解的个体可能不太愿意补偿沟通障碍(Knollman-Porter,Dietz和&Groh,2012)。建议使用强烈和重复刺激进行干预以促进神经可塑性,因此中风后的语言功能(Kleim&Jones,2008; Kurland等,2012)。更具体地说,针对严重的理解能力缺陷的高强度治疗方案(每天两小时,每周五天,三周)已显示出在单词理解和意识方面具有可喜的进步,以及纠正性反馈和研究者选择的刺激(Knollman-Porter等人, 2012)。但是,并非所有的服务对象和看护者都可以忍受强化治疗方案。此外,已经提出了刺激类型,特别是个人相关刺激的重要性,可以促进治疗效果的提高(Hinckley&Carr,2005; McKelvey等,2010)。因此,需要进行进一步的研究以检查针对理解障碍患者的更多功能性治疗方案。这项研究调查了使用重度,慢性,失语症患者使用个人相关刺激和矫正反馈的中度强化治疗方案对听觉理解和自我意识的影响。

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