中风后的语言恢复。,The Clinical Neuropsychologist

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中风后的语言恢复。
The Clinical Neuropsychologist ( IF 3.0 ) Pub Date : 2019-01-30 , DOI: 10.1080/13854046.2018.1562093
Adam Gerstenecker _{1,

2,

3} , Ronald M Lazar _{1,

3}

Affiliation

摘要目的：回顾与中风后语言恢复相关的研究文献，并讨论失语症患者的神经认知评估、语言恢复的时间过程、与语言恢复相关的因素以及旨在促进语言恢复的治疗技术。方法：文章通过 PubMed、MEDLINE、PsychINFO 和 Google Scholar 搜索确定。使用的关键词的例子包括“中风后失语症”、“中风后语言恢复”、“中风后神经认知评估”和“神经心理学和失语症”。结果：大多数语言恢复发生在中风后的最初几周，但残余恢复可能会持续多年。虽然最初失语症的严重程度是中风后语言恢复的最大决定因素，许多其他变量也有贡献。已经开发了几种技术来帮助恢复过程，包括语言治疗和无创脑刺激，尽管急性和亚急性治疗的有效性仍不清楚。失语症患者可以进行某种程度的有效神经认知评估，从这种评估中获得的信息可以帮助康复过程难的。有关初始失语症严重程度和语言以外认知领域完整性的信息可以帮助指导康复团队，并管理对康复的期望。已经开发了几种技术来帮助恢复过程，包括语言治疗和无创脑刺激，尽管急性和亚急性治疗的有效性仍不清楚。失语症患者可以进行某种程度的有效神经认知评估，从这种评估中获得的信息可以帮助康复过程难的。有关初始失语症严重程度和语言以外认知领域完整性的信息可以帮助指导康复团队，并管理对康复的期望。已经开发了几种技术来帮助恢复过程，包括语言治疗和无创脑刺激，尽管急性和亚急性治疗的有效性仍不清楚。失语症患者可以进行某种程度的有效神经认知评估，从这种评估中获得的信息可以帮助康复过程难的。有关初始失语症严重程度和语言以外认知领域完整性的信息可以帮助指导康复团队，并管理对康复的期望。尽管急性和亚急性治疗的有效性仍不清楚。失语症患者可以进行某种程度的有效神经认知评估，从这种评估中获得的信息可以帮助康复过程难的。有关初始失语症严重程度和语言以外认知领域完整性的信息可以帮助指导康复团队，并管理对康复的期望。尽管急性和亚急性治疗的有效性仍不清楚。失语症患者可以进行某种程度的有效神经认知评估，从这种评估中获得的信息可以帮助康复过程难的。有关初始失语症严重程度和语言以外认知领域完整性的信息可以帮助指导康复团队，并管理对康复的期望。中风后语言功能可能会显着恢复，但很难预测个体患者的恢复水平。有关初始失语症严重程度和语言以外认知领域完整性的信息可以帮助指导康复团队，并管理对康复的期望。中风后语言功能可能会显着恢复，但很难预测个体患者的恢复水平。有关初始失语症严重程度和语言以外认知领域完整性的信息可以帮助指导康复团队，并管理对康复的期望。

"点击查看英文标题和摘要"

Language recovery following stroke.

Abstract Objective: To review the research literature pertaining to post-stroke language recovery, and to discuss neurocognitive assessment in patients in the context of aphasia, time course of language recovery, factors associated with language recovery, and therapeutic techniques designed to facilitate language recovery. Method: Articles were identified through PubMed, MEDLINE, PsychINFO, and Google Scholar searches. Examples of utilized keywords include “post-stroke aphasia,” “post-stroke language recovery,” “post-stroke neurocognitive assessment,” and “neuropsychology and aphasia.” Results: Most language recovery occurs in the first few weeks following stroke, but residual recovery may occur for many years. Although initial aphasia severity is the single largest determinant of post-stroke language recovery, a number of other variables also contribute. Several techniques have been developed to aid in the recovery process including speech-language therapy and noninvasive brain stimulation, although the effectiveness of acute and subacute treatment remains unclear. Some degree of valid neurocognitive assessment is possible in patients with aphasia, and the information gained from such an evaluation can aid the rehabilitative process Conclusions: Significant recovery of language function is possible following a stroke, but prediction of level of recovery in an individual patient is difficult. Information about initial aphasia severity and the integrity of cognitive domains other than language can help guide the rehabilitation team, as well as manage expectations for recovery.

更新日期：2019-01-30

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