镜像神经元康复疗法治疗脑卒中后运动性失语症的疗效观察

Effect of Mirror Neuron Rehabilitation Therapy on Motor Aphasia affer Stroke

员玲玲;王欣;李越;

1:山东省省立第三医院

摘要

目的探讨镜像神经元康复疗法对脑卒中后运动性失语症的疗效。方法以符合入选标准的60例脑卒中后运动性失语症患者为研究对象,运用随机数字表分成治疗组和对照组,每组30例。两组均给予常规言语康复训练,治疗组在此基础上增加镜像神经元康复疗法,每次30 min,每周5次,连续治疗8周。干预前后采用汉语标准失语症检查表(China rehabilitation research center aphasia examination,CRRCAE)和波士顿诊断性失语症检查法(Boston diagnostic aphasia examination,BDAE)对两组疗效进行评定。结果两组干预前CRRCAE 9个亚项的正答率差异无统计学意义(P>0.05),在干预后治疗组CRRCAE中9个亚项的正答率均显著提高(P<0.05),对照组在干预后仅有5个亚项正答率显著提高(P<0.05);干预后治疗组CRRCAE 9个亚项的正答率均显著高于对照组(P<0.05)。BDAE评级结果显示,治疗组干预后总疗效较对照组好(P<0.05)。结论镜像神经元康复疗法可明显改善脑卒中后运动性失语症患者的语言功能,其临床疗效显著。

关键词

运动性失语;脑卒中;镜像神经元;言语训练

基金项目(Foundation):

作者

员玲玲;王欣;李越;

参考文献

1 黄芳.脑卒中失语症的康复治疗进展[J].中华物理医学与康复杂志,2016,38:465.

2 Ertelt D,Binkofski F.Action observation as a tool for neurorehabilitation to moderate motor deficits and aphasia following stroke[J].Neural Regeneration Research[中国神经再生研究(英文版)],2012,7:2063.

3 谢瑛,吴春薇,丁玎,等.基于镜像神经元理论治疗技术在卒中后运动和认知及言语康复中的应用[J].中国脑血管病杂志,2015,12:659.

4 Chen WL,Ye Q ,Ji X,et al.Mirror neuron system based therapy for aphasia rehabilitation.[J].Frontiers in Psychology,2015,6:1665.

5 Nooshin L,Faranak K,Leila G.The introduction of IMITATE-R and its comparison with the IMITATE treatment method in the naming ability of two Persian speaking aphasic patients[J].Neuropsychological Rehabilitation,2020,30:709.

6 徐倩,王萍,施伯瀚,等.镜像神经元系统在失语症中的应用进展[J].中国康复理论与实践,2019,25:771.

7 陈韵佳,陈柱,朱燕,等.神经调控技术在失语症治疗中的应用进展[J].中国康复理论与实践,2019,25:930.

8 王新德.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29:379.

9 李胜利,肖兰,田鸿,等.汉语标准失语症检查法的编制与常模[J].中国康复理论与实践,2000,6:162.

10 汪洁,张清丽,吕焱玲,等.波士顿诊断性失语症检查汉语版的编制与常模[J].中国康复,1996,11:49.

11 Townend E,Brady M,Mclaughlan K.A systematic evaluation of the adaptation of depression diagnostic methods for stroke survivors who have aphasia[J].Stroke,2007,38:3076.

12 Rizzolatti G,Craighero L.The mirror neuron system [J].Annu Rev Neurosci,2004,27:169.

13 Stefan K,Cohen LG,Duque J,et al.Formation of a motor memory by action observation [J].J Neurosci,2005,25:9339.

14 Iacoboni M,Dapretto M.The mirror neuron system and the consequences of its dysfunction [J].Nat Rev Neurosci,2006,7:942.

15 Cattaneo L,Rizzolatti G.The mirror neuron system [J] .Arch Neurol,2009,66:557.

16 Carvalho D,Teixeira S,Lucas M,et al.The mirror neuron system in post-stroke rehabilitation [J].In Arc Med,2013,6:41.

17 Rizzolatti G.The mirror neuron system and its function in humans[J].Anatomy & Embryology,2005,210:419.

18 谢青,宋小慧.脑卒中康复治疗技术发展史[J].中国现代神经疾病杂志,2015,15:177.

19 吴勇,李小刚.镜像神经元系统在脑卒中后运动功能康复中的作用[J].医学综述,2010,16:96.

20 Graziano MS,Taylor CS,Moore T,et al.The cortical control of movement revisited[J].Neuron,2002,36:349.

21 Romanski LM,Goldman-Rakic PS.An auditory domain in primate prefrontal cortex[J].Nat Neurosci,2002,5:15.

22 Oliveira FF,Damasceno BP.Short-term prognosis for speech and language in first-stroke patients[J].Arq Neuropsiquiatr,2009,67:849.

23 Meinzer M,Breitenstein C.Functional imaging studies of treatment-induced recovery in chronic aphasia[J].Aphasiology,2008,22:1251.

24 Thompson CK,den Ouden DB.Neuroimaging and recovery language in aphasia[J].Curr Neurol Neurosci Rep,2008,8:475.

25 Richter M,Miltner WHR,Straube T.Association between therapy outcome and right-hemispheric activation in chronic aphasia[J].Brain,2008,131:1391.

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