Estimulación Cognitiva en un caso de Afasia Primaria Progresiva no fluente

Kimberly Andrea Fonseca-Silva, Y. Z. Arias-Ramírez
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Abstract

PPA is characterized by a marked agrammatism, which can bring cognitive and functional defects according to the progression of the disease. Its etiological and semiological recognition is essential in linking to an appropriate treatment. The study aims to identify the effects of cognitive language stimulation based on AAC strategies in a female of 67 years old. She has 1 year of schooling and is diagnosed with major neurocognitive disorder, frontotemporal lobar degeneration nfvPPA. A single case experimental design was used. Several measurements with the ESAPP and the DAD-E instruments and 19 sessions of cognitive language stimulation were done. The qualitative analysis for the ESAPP instrument indicates improvement in participation, communicative interaction and higher tolerance to frustration. For the DAD-E instrument, visual analysis indicates a trend of stable behavior at baseline with a delayed level change after the start of the intervention. Percentage of non-overlapping data (PND) gave as a result a treatment being quite effective, moderately effective and with a significant effect. The results obtained in other single-case research, as well as in this one, show that the use of alternative interventions brings benefits at the level of participation and therefore in the quality of life of people with PPA.
原发性进行性失语症的认知刺激不流利
PPA的特点是明显的语法紊乱,根据疾病的进展可带来认知和功能缺陷。其病因学和符号学识别是必要的连接到一个适当的治疗。本研究旨在确定基于AAC策略的认知语言刺激对67岁女性的影响。她有一年的学校教育,并被诊断患有严重的神经认知障碍,额颞叶变性nfvPPA。采用单例实验设计。使用ESAPP和DAD-E仪器进行了几次测量,并进行了19次认知语言刺激。对ESAPP工具的定性分析表明,参与、交际互动和对挫折的容忍度都有所提高。对于DAD-E仪器,目测分析表明,在干预开始后,基线时的行为趋于稳定,水平变化延迟。非重叠数据(PND)给出的治疗结果是相当有效、中等有效和显著效果的百分比。其他单例研究以及本研究的结果表明,使用替代干预措施在参与水平上带来了好处,从而提高了PPA患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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