Clinical Effects of Smart Phone Speech Training Combined with Scalp Acupuncture in Patients with Non-fluent Aphasia after Stroke
Objective:To observe the clinical effect of smart phone speech training combined with scalp acupuncture in patients with non-fluent aphasia after stroke, in order to explore a suitable combination of traditional Chinese and western medicine therapy for aphasia.Methods:A total of 40 patients with non...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Editorial Office of Rehabilitation Medicine
2021-06-01
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| Series: | 康复学报 |
| Subjects: | |
| Online Access: | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2021.03007 |
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| Summary: | Objective:To observe the clinical effect of smart phone speech training combined with scalp acupuncture in patients with non-fluent aphasia after stroke, in order to explore a suitable combination of traditional Chinese and western medicine therapy for aphasia.Methods:A total of 40 patients with non-fluent aphasia after stroke were randomly divided into treatment group and control group, with 20 cases in each group. The control group received acupuncture therapy and conventional speech training, and the treatment group received smart phone speech training on the basis of the control group. All treatments were given once a day, five times a week, for a total of 4 weeks. The language ability was evaluated by the Western Aphasia Battery(WAB), Boston diagnostic aphasia examination(BDAE)severity classification and the Communication Activities of Daily Living Test(CADL-T).Results:Before treatment, there were no significant differences in spontaneous speech comprehension, retelling, naming, Aphasia quotient(AQ), BDAE severity classification and CADL-T scores between the two groups. In the observation group, spontaneous speech(<italic>Z</italic>=-3.934, <italic>P</italic>=0.001), comprehension(<italic>Z</italic>=-3.922, <italic>P</italic>=0.001), retelling(<italic>Z</italic>=-3.642, <italic>P</italic>=0.001), naming(<italic>Z</italic>=-3.922, <italic>P</italic>=0.001), AQ(<italic>Z</italic>=-3.922, <italic>P</italic>=0.001)and CADL-T scores(<italic>Z</italic>=-3.922, <italic>P</italic>=0.001)were significantly improved before and after treatment, and the differences were statistically significant. In the control group, there were significant improvements in retelling(<italic>Z</italic>=-3.921, <italic>P</italic>=0.001), naming(<italic>Z</italic>=-3.922, <italic>P</italic>=0.001)and AQ(<italic>Z</italic>=-3.922, <italic>P</italic>=0.001)before and after treatment, but there were no significant improvements in spontaneous speech(<italic>Z</italic>=-2.255, <italic>P</italic>=0.061), comprehension(<italic>Z</italic>=-1.756, <italic>P</italic>=0.079)and CADL-T(<italic>Z</italic>=-1.403, <italic>P</italic>=0.161), and the differences were not statistically significant. After treatment, the scores of the observation group were higher than the control group, including spontaneous speech(<italic>Z</italic>=-3.034, <italic>P</italic>=0.002), comprehension(<italic>Z</italic>=-1.286, <italic>P</italic>=0.018), retelling(<italic>Z</italic>=-2.133, <italic>P</italic>=0.033), naming(<italic>Z</italic>=-2.857, <italic>P</italic>=0.004), AQ(<italic>Z</italic>=-2.911, <italic>P</italic>=0.003), BDAE severity classification(<italic>Z</italic>=-2.030, <italic>P</italic>=0.042)and CADL-T scores(<italic>Z</italic>=-4.099, <italic>P</italic>=0.001), and the differences were statistically significant.Conclusion:Smart phone speech training combined with scalp acupuncture therapy can significantly improve the language function of patients with non-fluency aphasia after stroke, which is embodied in spontaneous speech, comprehension, retelling, naming, AQ, aphasia severity classification and practical communication ability. The clinical efficacy is better than scalp acupuncture therapy alone, and it is worthy of clinical promotion. |
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| ISSN: | 2096-0328 |