虚拟现实技术治疗布洛卡失语症的临床研究

Yaowen Zhang, Peirong Chen, Xin Li, G. Wan, Chunqing Xie, Xianjia Yu
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CRRCAE was used to evaluate the language ability before and after treatment. The Boston Diagnostic Aphasia Examination, BDAE was used to assess the severity of aphasia. Bucco-facial-apraxia and speech apraxia Methods were used to assess the patient's state of bucco facial function and speech function. Result: There was no significant difference (P > 0.5) between the situations of two groups in general data, bucco-facial-apraxia and speech apraxia. Before treatment, the difference in CRRCAE and BDAE between the two groups is also not so big(P > 0.05). After 4 weeks of treatment, the severity of aphasia was improved in both groups (P < 0.05). Except computing ability, listening comprehension, repetition, expression, readout, reading, transcription, depiction and dictation were all improved (P < 0.01). 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引用次数: 7

摘要

目的:探讨虚拟现实技术对脑卒中后布洛卡失语症患者言语功能的治疗效果。方法:选取2016年12月至2017年8月中山大学附属第三医院康复医学科脑卒中患者18例。采用随机数字表法将患者分为观察组和对照组。两组都接受了语言功能的训练。观察组接受每天20分钟的常规语音训练、每天20分钟的虚拟现实(VR)训练;对照组给予与观察组相同的训练内容,每天40分钟的常规言语训练。两组患者均每周治疗5天,持续治疗4周。采用CRRCAE评价治疗前后患者的语言能力。采用波士顿失语症诊断检查(BDAE)评估失语症的严重程度。采用颊部面部失用和言语失用方法评估患者颊部面部功能和言语功能状态。结果:两组患者在一般情况、面部失用和言语失用方面差异无统计学意义(P > 0.5)。治疗前,两组患者CRRCAE、BDAE差异亦无统计学意义(P > 0.05)。治疗4周后,两组患者失语严重程度均有所改善(P < 0.05)。除计算能力外,听力理解能力、重复能力、表达能力、读出能力、阅读能力、转录能力、描述能力和听写能力均有提高(P < 0.01)。在名词重复(P = 0.03)、句子重复(P = 0.01)、名词表达(P < 0.01)、动词表达(P = 0.02)、句子表达(P < 0.01)、喜剧表达(P = 0.01)、枚举(P = 0.03)、动词读出(P = 0.04)、动词阅读(P < 0.01)、句子阅读(P = 0.04)、名词抄写(P = 0.02)、句子抄写(P = 0.048)、动词描绘(P = 0.01)等方面,观察组的语言能力显著优于对照组。结论:虚拟现实技术结合言语功能训练可提高布洛卡失语症患者的语言能力,且其改善效果优于单纯的言语功能训练。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical research on therapeutic effect of virtual reality technology on Broca Aphasia patients
Objective: To explore the therapeutic effect of virtual reality technology on speech function of Broca Aphasia patients after stroke. Method: Eighteen patients with stroke were enrolled in the Rehabilitation Medicine Department, the Third Affiliated Hospital of Sun Yat-sen University from December 2016 to August 2017. The patients were divided into observation group and control group by random number table. Both groups were trained in speech function. The observation group received regular speech training for 20 minutes per day, Virtual Reality (VR) training for 20 minutes per day; the control group was given conventional speech training 40 minutes per day but the same training content with the observation group. And both groups of patients were treated for 5 days per week lasting for 4 weeks. CRRCAE was used to evaluate the language ability before and after treatment. The Boston Diagnostic Aphasia Examination, BDAE was used to assess the severity of aphasia. Bucco-facial-apraxia and speech apraxia Methods were used to assess the patient's state of bucco facial function and speech function. Result: There was no significant difference (P > 0.5) between the situations of two groups in general data, bucco-facial-apraxia and speech apraxia. Before treatment, the difference in CRRCAE and BDAE between the two groups is also not so big(P > 0.05). After 4 weeks of treatment, the severity of aphasia was improved in both groups (P < 0.05). Except computing ability, listening comprehension, repetition, expression, readout, reading, transcription, depiction and dictation were all improved (P < 0.01). And in noun repetition(P = 0.03), sentence repetition (P = 0.01), noun expression(P < 0.01), verb expression (P = 0.02), sentence expression (P < 0.01), comic expression (P = 0.01), enumeration (P = 0.03), verb readout(P = 0.04), verb reading(P < 0.01), sentence reading (P = 0.04), noun transcription (P = 0.02), sentence transcription (P = 0.048), verb depiction (P = 0.01) and so on, language ability of the observation group is significantly better than the control group. Conclusion: Virtual reality technology combined with speech function training can improve the language ability of patients with Broca Aphasia, and its improvement is better than the simple speech function training.
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