旋律语调疗法在非流畅性失语康复中的应用

Exploration of Melodic Intonation Therapy on Nonfluent Aphasia

目的:探讨旋律语调疗法(MIT)对脑损伤后遗症期非流畅性失语患者的康复疗效。方法:将MIT阶段性地运用于23例非流畅性失语症患者的语言功能训练中,观察患者各项语言功能变化情况,治疗前后采用西方失语症成套测验(WAB)评价其疗效。结果:阶段性训练后全量表总分和信息量、流畅度、听理解、动作指令、复述、命名、反应性命名项与治疗前比较差异具有统计学意义(P<0.05);是非理解、列名、句子补完项治疗前后变化差异无统计学意义(P>0.05)。结论:旋律语调疗法运用于语言训练中能提高后遗症期失语症患者口语表达流畅度,增加自发言语的产生,听理解、动作指令和命名能力也均有相应改善。

Objective： To explore the clinical curative effect of melodic intonation therapy（MIT） for cerebral injury patients with nonfluent aphasia. Methods： Twenty-three patients with nonfluent aphasia underwent blocks of MIT. Western aphasia battery（WAB）were obtained before and after treatment to record improvement in language tasks. Results： After blocks of MIT, the table showed that patients had significantly improved WAB scores（P0.05） in Information tasks, Fluency tasks, Auditory Comprehension tasks, Commands tasks, Repetition tasks, Naming tasks and Responsive Speech tasks. In contrast, the patients did not show improvement in tasks of Y/N questions, Word Fluency, Sentence Completion compared with before treament（P0.05）. Conclusion： MIT treatment can improve verbal expressive fluency, spontaneous speech, as well as Auditory Comprehension, Commands and Repetition and Naming for patients with sequela of chronic expressive aphasia.