The research of clinical results of rehabilitation in different time pointsfor aphasia post cerebral stroke
GE Yue1 CHU Hai-juan1 ZHAO Kai1 CHEN He-mu1 FAN Wei1 WANG Yi1,2 GAO Xiao-ping1
1.Department of Rehabilitation,The first affiliated hospital of Anhui Medical University,Anhui Province,Hefei 230022,China;
2.Department of Neurosurgery,West China Hospital of Sichuan University,Sichuan Province Chengdu 610041,China
Abstract:Objective To study the optimal time of Broca aphasia after stroke.Methods From September 2012 to July 2015,62 patients with Broca aphasia after stroke treated in department of Rehabilitation in The first affiliated hospital of AnHui Medical University were selected as the subjects,and divided into three groups according to the interval between stroke to rehabilitation treatment:less than 15 d from stroke to accept speech rehabilitation(19 cases);more than 15 d but less than 30 d(21 cases);more than 30 d(22 cases).The terminal time point of this study was one year after accept speech rehabilitation.The assessments of speech ability were clinical rehabilitation research center aphasia examination (CR-RCAE) and the evaluation time points were 1 month,3 months,6 months and 1 year post speech rehabilitation.The rehabilitation were compared among the three groups.Results There was not significiant difference between less than 15 d and more than 15 d but less than 30 d groups in the speech rehabilitation results (P>0.05),but all of them were better than more than 30 d group,the difference was statistically significant (P<0.05).The outcome of patients within three months to accept speech rehabilitation was better than more than three months in the 30 d group,but without significiant difference (P>0.05).Conclusion For Broca associated with stroke,the optional time point to accept speech rehabilitation is within 30 d. The prognosis of patients who accept speech rehabilitation more than 3 months post stroke is poor.
葛玥 储海娟 赵凯 陈和木 范炜 王毅 高晓平 . 脑卒中后Broca失语不同康复时间临床疗效的研究#br#[J]. 中国当代医药, 2017, 24(36): 20-23.
GE Yue CHU Hai-juan ZHAO Kai CHEN He-mu FAN Wei WANG Yi GAO Xiao-ping. The research of clinical results of rehabilitation in different time pointsfor aphasia post cerebral stroke. 中国当代医药, 2017, 24(36): 20-23.
Brainin M,Zorowitz R D.Advances in stroke:recovery and rehabilitation[J].Stroke,2013,44(2):311.
[1]
Go AS,Mozaffarian D,Roger VL,et al.Heart Disease and Stroke Statistics—2013 Update[J].Circulation,2012,125(4):18-209.
[5]
Irewall AL,Ogren J,Laurell K,et al.Implementation of telephone-based secondary preventive intervention after stroke and transient ischemic attack-participation rate,reasons for nonparticipation and one-year mortality[J].Cerebrovasc Dis Extra,2014,4(1):28-39.
[6]
Berthier ML,Garcíacasares N,Walsh SF,et al.Recovery from post-stroke aphasia:lessons from brain imaging and implications for rehabilitation and biological treatments[J].Discov Med,2011,12(65):275.
[7]
Abdullah HA,Tarry C,Lambert C,et al.Results of clinicians using a therapeutic robotic system in an inpatient stroke rehabilitation unit[J].J NeuroEng Rehabil,2011,8(1):50.
[9]
Caiati MD,Cherubini E.Fluoxetine impairs GABAergic signaling in hippocampal slices from neonatal rats[J].Front Cell Neurosci,2013,7(4):63.
[11]
Wan C Y,Zheng X,Marchina S,et al.Intensive therapy induces contralateral white matter changes in chronic stroke patients with Broca's aphasia[J].Brain Lang,2014,9(136):1-7.
[12]
Jeon YW,Kim SH,Ji YL,et al.Dynamic CT Perfusion Imaging for the Detection of Crossed Cerebellar Diaschisis in Acute Ischemic Stroke[J].Korean J Radiol,2012,13(1):12-19.
[15]
Carragher M,Sage K,Conroy P.Outcomes of treatment targeting syntax production in people with Broca's-type aphasia: evidence from psycholinguistic assessment tasks and everyday conversation[J].Int J Lang Commun Disord,2015,50(3):322-336.