Cognitive function training for patients with thalamic aphasia
- VernacularTitle:丘脑性失语患者的认知功能训练
- Author:
Lianping MA
- Publication Type:Journal Article
- From:
Chinese Journal of Tissue Engineering Research
2005;9(44):160-161
- CountryChina
- Language:Chinese
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Abstract:
BACKGROUND: Aphasia is present in many patients of acute stroke,many of that are thalamic aphasia cases. How to make a rehabilitation plan to improve their language ability for thalamic aphasia patients is a warm spot of research on cerebrovascular disease currently because thalami is connect with cognitive.OBJECTIVE: To probe the effect of cognitive training on patients with thalamic aphasia.DESIGN:Cases-contrast trial.SETTING: Neurological Department of Central Hospital of Xinxiang,Henan Province.PARTICIPANTS: From June 1999 to August 2002, 30 in-patients in our department, being diagnosed cerebral stroke. By CT or MRI, had language and cognize disorders, graduated from senior high school, included 16 males, 14 females, 13 cerebral hemorrhage and 17 cerebral infarction, were selected and randomly divided into treatment group and control group with 15 in each group.METHODS:Patients were treated with routine drug at the neurological department including anti-inflammation, limit fluid, desiccation, support,and other treatments and speech training, such as listening comprehension,spoken expression, reading comprehension and writing (one-to-one, one time a day, once 30 minutes). According to those mentioned above, patients in the treatment group received cognitive neural psychological straining (one-to-one, one time a day, once 45 minutes). Treatment period was two months. Language Evaluation: Before treatment, according to standard Chinese testing method of never internal medicine for aphasia from Bejing Medical College Side No 1. Seven typical items (information capacity, influency, repeat, right and wrong, distinguish, dictate and select words to fill blank) were selected in this testing method. Two bridle-wise linguists evaluate them.MAIN OUTCOME MEASUERS:Informative capacity, influence, repeat,right and wrong, distinguish, dictate, select words to fill blank and MMSE of treatment group and control group before treatment.RESULTS: Totally 30 patients data was entered the final analysis.Scores of language and cognitive function were not significantly different in the two groups before treatment (P ＞ 0.05); but those were significantly different after treatment (P ＜ 0.05) especially scores of repeat and listening comprehension in treatment group were higher than those in control group [(72.6±24.5), (41.2±16.1) points; (63.7±17.8), (35.8±14.9)points, P＜0.01].CONCLUSION: Cognitive training combine with language training can help the patients with thalamic aphasia, so cognitive training and language training should be taken at the same time for thalamic aphasia patients.
