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: Mingyue XIONG, Yanyan TANG, Lihua CAO, Dian HUANG, Xiaodan LI, Jie TAN
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2021-06-01
Series:康复学报
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Online Access:http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2021.03007
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author Mingyue XIONG
Yanyan TANG
Lihua CAO
Dian HUANG
Xiaodan LI
Jie TAN
author_facet Mingyue XIONG
Yanyan TANG
Lihua CAO
Dian HUANG
Xiaodan LI
Jie TAN
author_sort Mingyue XIONG
collection DOAJ
description 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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spelling doaj-art-e30c931063174cc0a52e758791466be62025-01-14T10:03:27ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282021-06-013123424023133875Clinical Effects of Smart Phone Speech Training Combined with Scalp Acupuncture in Patients with Non-fluent Aphasia after StrokeMingyue XIONGYanyan TANGLihua CAODian HUANGXiaodan LIJie TANObjective: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.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2021.03007strokenon-fluent aphasiasmart phone speech trainingmobile technologyscalp acupuncture
spellingShingle Mingyue XIONG
Yanyan TANG
Lihua CAO
Dian HUANG
Xiaodan LI
Jie TAN
Clinical Effects of Smart Phone Speech Training Combined with Scalp Acupuncture in Patients with Non-fluent Aphasia after Stroke
康复学报
stroke
non-fluent aphasia
smart phone speech training
mobile technology
scalp acupuncture
title Clinical Effects of Smart Phone Speech Training Combined with Scalp Acupuncture in Patients with Non-fluent Aphasia after Stroke
title_full Clinical Effects of Smart Phone Speech Training Combined with Scalp Acupuncture in Patients with Non-fluent Aphasia after Stroke
title_fullStr Clinical Effects of Smart Phone Speech Training Combined with Scalp Acupuncture in Patients with Non-fluent Aphasia after Stroke
title_full_unstemmed Clinical Effects of Smart Phone Speech Training Combined with Scalp Acupuncture in Patients with Non-fluent Aphasia after Stroke
title_short Clinical Effects of Smart Phone Speech Training Combined with Scalp Acupuncture in Patients with Non-fluent Aphasia after Stroke
title_sort clinical effects of smart phone speech training combined with scalp acupuncture in patients with non fluent aphasia after stroke
topic stroke
non-fluent aphasia
smart phone speech training
mobile technology
scalp acupuncture
url http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2021.03007
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