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"六字诀"训练治疗脑卒中后运动性言语障碍患者的多中心临床研究 被引量:8
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作者 丁珊珊 李改燕 +9 位作者 王婕 胡志俊 王琰 许颖 佘亦文 吴琦琳 樊航 张昌蔚 朱超然 张颖 《中华物理医学与康复杂志》 CAS CSCD 北大核心 2021年第10期890-894,共5页
目的观察"六字诀"训练对脑卒中后运动性言语障碍患者呼吸控制能力的改善作用。方法采用随机数字表法将157例脑卒中后运动性言语障碍伴呼吸控制异常患者分为观察组及对照组。对照组给予传统呼吸训练及常规构音训练(包括构音器... 目的观察"六字诀"训练对脑卒中后运动性言语障碍患者呼吸控制能力的改善作用。方法采用随机数字表法将157例脑卒中后运动性言语障碍伴呼吸控制异常患者分为观察组及对照组。对照组给予传统呼吸训练及常规构音训练(包括构音器官训练、语音训练等),观察组在常规构音训练基础上辅以"六字诀"训练,"六字诀"发音顺序为嘘、呵、呼、呬、吹、嘻,采用鼻吸口呼方式进行训练。于治疗2周后对2组患者进行疗效评定,以改良Frenchay构音障碍综合评价(FDA)结果为主要观察指标,以最长声时(MPT)、最大数数能力(MCA)、响度等级为次要观察指标。结果治疗后2组患者改良FDA评分、MPT、MCA及响度等级均较治疗前明显改善(P<0.05);并且治疗后观察组改良FDA改善值[3.99(3.49-4.48)分]、MPT改善值[3.38(2.86-3.90)s]及MCA改善值[3.01(2.43-3.59)s]亦显著优于对照组水平(P<0.05),而响度指标改善幅度与对照组间差异无统计学意义(P>0.05)。结论"六字诀"训练联合常规构音训练能更有效改善脑卒中后运动性言语障碍患者呼吸功能及综合言语能力,该联合疗法值得临床推广、应用。 展开更多
关键词 脑卒中后运动性言语障碍 六字诀 传统呼吸训练 基础构音训练
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运动障碍性构音障碍言语、声学水平机制及治疗进展 被引量:16
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作者 庞子建 李胜利 《中国康复理论与实践》 CSCD 2008年第5期445-448,共4页
构音障碍是由于神经病变以及与言语产生有关肌肉的麻痹、收缩力减弱或运动不协调所致的言语障碍。依据神经系统损害部位和言语受损严重程度不同,可分为6种类型:痉挛型、迟缓型、失调型、运动过强型、运动过弱型、混合型。构音障碍在脑... 构音障碍是由于神经病变以及与言语产生有关肌肉的麻痹、收缩力减弱或运动不协调所致的言语障碍。依据神经系统损害部位和言语受损严重程度不同,可分为6种类型:痉挛型、迟缓型、失调型、运动过强型、运动过弱型、混合型。构音障碍在脑卒中患者中的发生率为30%~40%。痉挛型构音障碍是构音障碍中最常见的类型。国外学者对此种言语障碍做过深入研究,获得了很多重要数据。由于语言的不同,一些数据、检测方法和治疗方法可能不适合中国患者。 展开更多
关键词 运动障碍构音障碍 运动性言语障碍 声学 综述
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言语失用的言语特征、评价及机制探讨 被引量:9
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作者 袁永学 《中国康复理论与实践》 CSCD 北大核心 2014年第7期637-640,共4页
言语失用是一种运动性言语障碍,具有特征性的言语表现和相关脑部定位。本文综述言语失用的各种特征性的言语表现及国内外常用的评价方法,探讨言语失用的机制及神经解剖学基础,以增强对言语失用的言语表现和影像学关联性的理解。
关键词 言语失用 运动性言语障碍 评价 失语症 岛叶 综述
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手势引导对言语失用伴口颜面失用的临床疗效观察 被引量:4
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作者 陆云 雷斌 +1 位作者 冉军 刘丽君 《中国听力语言康复科学杂志》 2020年第1期57-61,共5页
目的探索手势引导对言语失用伴口颜面失用导致的运动性言语障碍的临床疗效。方法选取2014年2月~2019年6月上海市养志康复医院神经康复科收治的脑卒中后存在重度言语失用伴口颜面失用患者30例,采用随机数字法分为试验组和对照组,2组患者... 目的探索手势引导对言语失用伴口颜面失用导致的运动性言语障碍的临床疗效。方法选取2014年2月~2019年6月上海市养志康复医院神经康复科收治的脑卒中后存在重度言语失用伴口颜面失用患者30例,采用随机数字法分为试验组和对照组,2组患者均给予常规康复治疗,试验组在此基础上辅以手势引导。治疗前后分别采用中国康复研究中心版言语失用(修改后)、口颜面失用评估量表及汉语拼音音节表评价患者言语功能改善情况。结果治疗前两组患者言语失用、口颜面失用、音节表评分组间差异均无统计学意义(P>0.05)。治疗后两组患者各项评分均较治疗前显著提高,且治疗后试验组患者的改善幅度较显著,与对照组间差异均具有统计学义(P<0.05)。试验组吹气、单音节单次复述、单音节多次复述、多音节多次复述评分显著优于对照组(P<0.05)。结论手势引导结合构音运动学及速度节律控制法能有效改善脑卒中患者言语失用、口颜面失用,显著提高患者口语表达功能,该联合疗法值得临床推广、应用。 展开更多
关键词 手势引导 言语失用 口颜面失用 运动性言语障碍
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Visualizing the Knowledge Domain of Motor Speech Disorders:A Scientific Review(2000-2019) 被引量:1
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作者 Huili WANG Shurong ZHANG Xueyan LI 《Chinese Journal of Applied Linguistics》 2021年第4期563-588,591,共27页
This review visualizes the knowledge domain of motor speech disorders(MSDs) in linguistics between 2000 and 2019 by means of scientometric methods. With topic searches, the study collected 869 bibliographic records an... This review visualizes the knowledge domain of motor speech disorders(MSDs) in linguistics between 2000 and 2019 by means of scientometric methods. With topic searches, the study collected 869 bibliographic records and 20, 411 references from Web of Science Core Collection(WoSCC) of Thomson Reuter. The clustered and visualized document co-citation network of the MSDs knowledge domain in CiteSpace identifies 15 research foci in different periods, including apraxia of speech, acoustics, children, technology, aphemia, childhood apraxia of speech, primary progressive aphasia, speech motor delay, Parkinson’s disease, amyotrophic lateral sclerosis, rhythm,foreign accent syndrome, phonation, phonological awareness, dose and speech perception.Revolving around linguistics, these foci could be divided into studies on speech characteristics of MSDs in terms of phonology and phonetics, remedies for MSDs in terms of neurolinguistics and acoustic phonetics, dysarthria secondary to neurological diseases based on pathological linguistics,subtypes of apraxia of speech, methods of MSDs based on auditory phonetics and a newly recognized subtype of MSDs. Meanwhile, the emerging trends of MSDs in linguistics are detected by the analysis of reference citation bursts, suggesting growing research in remedies for MSDs with the focus on assessments and effectiveness of treatments, speech characteristics and indexes of dysarthria secondary to neurological diseases and assistance to diagnose apraxia of speech. To sum up, the review has indicated that the acoustic measures to assess MSDs and acoustic remedies for dysarthria may not only be the past foci but also be future trends. 展开更多
关键词 motor speech disorders LINGUISTICS CITESPACE apraxia of speech DYSARTHRIA
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Clinical observation of scalp acupuncture plus speech rehabilitation for Broca's aphasia after cerebral stroke 被引量:26
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作者 滕莹颖 洪珏(译) 《Journal of Acupuncture and Tuina Science》 CSCD 2017年第2期104-108,共5页
Objective:To explore the clinical efficacy of scalp acupuncture plus speech rehabilitation in treating Broca&#39;s aphasia after cerebral stroke, for providing novel evidences for the treatment. Methods:Ninety-one ... Objective:To explore the clinical efficacy of scalp acupuncture plus speech rehabilitation in treating Broca&#39;s aphasia after cerebral stroke, for providing novel evidences for the treatment. Methods:Ninety-one eligible patients with Broca&#39;s aphasia after cerebral stroke were randomized into an observation group and a control group. Forty-six cases in the observation group were intervened by scalp acupuncture plus speech rehabilitation, while 45 cases in the control group were treated by speech rehabilitation alone. The aphasia battery of Chinese (ABC) and Boston diagnostic aphasia examination (BDAE) were adopted to evaluate the clinical efficacy. Results:After the treatment, the scores of oral expression, reading and writing and global score in the observation group were significantly higher than those in the control group (allP〈0.05). There was a significant difference in comparing the BDAE grading between the two groups after the treatment (P〈0.05). After intervention, the basically-recovered plus markedly-effective rate was 45.7% in the observation group versus 24.4% in the control group, and the between-group difference was statistically significant (P〈0.05). Conclusion:Scalp acupuncture plus speech rehabilitation is effective in treating Broca&#39;s aphasia after cerebral stroke, and worth promoting. 展开更多
关键词 Acupuncture Therapy Scalp Acupuncture Scalp Stimulation Areas Stroke COMPLICATIONS APHASIA BROCA Rehabilitation of Speech and Language Disorders
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