基于镜像神经元理论的动作观察疗法联合MIT在卒中后非流畅性失语患者中的应用效果

Application effects of mirror neuron theory-based action observation therapy combined with MIT in patients with nonfluent aphasia after stroke

目的:观察基于镜像神经元理论的动作观察疗法联合旋律语调疗法(MIT)在卒中后非流畅性失语患者中的应用效果。方法:选取78例卒中后非流畅性失语患者为研究对象,按照摸球法分为观察组与对照组各39例。对照组予以常规语言康复训练,观察组在对照组基础上给予基于镜像神经元理论的动作观察疗法联合MIT,比较两组疗效、中国康复研究中心汉语标准失语症检查量表(CRRCAE)评分、西部失语成套测验(WAB)评分和日常生活交流能力评定法评分。结果:观察组治疗总有效率为94.87%,明显高于对照组的79.49%,差异有统计学意义(P<0.05);训练后,两组CRRCAE、WAB、日常生活交流能力评定法评分均高于训练前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规语言康复训练基础上采用基于镜像神经元理论的动作观察疗法联合MIT可提高卒中后非流畅性失语患者治疗总有效率、CRRCAE评分、WAB评分和日常生活交流能力评定法评分,效果优于单纯常规语言康复训练。

Objective: To observe application effects of mirror neuron theory-based action observation therapy combined with melodic intonation therapy(MIT) in patients with nonfluent aphasia after stroke. Methods: 78 patients with nonfluent aphasia after stroke were selected as the research objects, and were divided into observation group and control group according to the ball touching method, 39 cases in each group.The control group was given routine language rehabilitation training, while the observation group was given mirror neuron theory-based action observation therapy combined with MIT on the basis of that of the control group. The curative effects, the Chinese rehabilitation research center standard aphasia examination(CRRCAE) score, the western aphasia battery(WAB) score and the communicative activities in daily living assessment score were compared between the two groups. Results: The total effective rate of the observation group was 94.87%, which was significantly higher than the control group of 79.49%, and the difference was statistically significant(P<0.05). After the training, the scores of CRRCAE, WAB, and communicative activities in daily living in both groups were higher than those before the training;those of the observation group were higher than those of the control group;and the differences were statistically significant(P<0.05). Conclusions: On the basis of routine language rehabilitation training, the mirror neuron theory-based action observation therapy combined with MIT can improve the total effective rate, the CRRCAE score, the WAB score and the communicative activities in daily living assessment score of the patients with nonfluent aphasia after stroke. Moreover, it is superior to single routine language rehabilitation training.