基于镜像神经元理论的动作观察疗法对脑卒中后非流畅性失语的影响

发布时间：2018-01-26 13:00

本文关键词： 动作观察疗法镜像神经元脑卒中非流畅性失语西方失语成套测验　出处：《中国康复医学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的:观察基于镜像神经元理论的动作观察疗法(action observation therapy,AOT)对脑卒中后非流畅性失语的疗效。方法:将30例脑卒中后非流畅性失语患者按随机数字表法分为对照组(n=15例)和AOT试验组(n=15例)。对照组给予每日2次语言康复训练,每次30min,每周5天,疗程4周。试验组在对照组基础上,在第一次语言功能训练前进行动作观察治疗,每次20min,每天1次,每周5天,疗程4周。于治疗前、治疗4周后,采用西方失语成套测验(WAB)评定2组患者的语言功能。结果:经过4周治疗后,对照组患者WAB评分中的自发言语、复述、命名、AQ值较治疗前有明显提高(P0.05);试验组患者WAB各项评分和AQ值较治疗前均有显著改善(P0.05);试验组患者WAB各项评分及AQ均显著优于对照组(P0.05)。结论:基于镜像神经元理论的动作观察疗法联合常规语言康复训练可显著改善脑卒中后非流畅性失语患者的语言功能。
[Abstract]:Objective: to observe the action observation therapy of action observation therapy based on mirror neuron theory. Methods: 30 patients with non-fluent aphasia after stroke were randomly divided into control group (n = 15) and AOT trial group (n = 15). The control group was given language rehabilitation training twice a day. The experimental group was treated with action observation before the first language function training for 20 minutes, once a day, 5 days a week, on the basis of the control group. Before and after 4 weeks of treatment, the language function of the two groups was assessed by Western aphasia test (WAB). Results: after 4 weeks of treatment. The spontaneous speech in the WAB score of the control group was significantly higher than that before the treatment (P 0.05). The scores of WAB and AQ in the trial group were significantly improved compared with those before treatment (P 0.05). The scores of WAB and AQ in the trial group were significantly better than those in the control group (P 0.05). Conclusion: motor observation therapy based on mirror neuron theory combined with conventional language rehabilitation training can significantly improve language function in patients with non-fluency aphasia after stroke.
【作者单位】：南京医科大学附属脑科医院康复医学科;
【分类号】：R493;R743.3
【正文快照】： 失语是脑卒中后常见的神经系统损伤症状之一,21%—性失语患者主要特征为言语表达障碍。本研究在常规语言38%[1]的急性脑卒中患者存在语言功能障碍,目前药物治疗康复训练的基础上辅以动作观察疗法,旨在探索动作观察疗或语言康复训练等方法的疗效都很有限[2],据报道32%—法对非

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