Application of cognitive neuropsychological rehabilitation in post-stroke aphasia_West China Medical Journal

Authors：

HUANG Xing ¹ , ZHANG Qingsu ² ,  CHANG Jingling ^1,3 , GAO Ying ^1,3 , SUN Sulun ¹

1. Department of Encephalopathy, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, P. R. China;
2. Department of Hearing and Language Rehabilitation, China Rehabilitation Research Center, Beijing 100068, P. R. China;
3. Department of Traditional Chinese Medicine Encephalopathy, Beijing University of Chinese Medicine, Beijing 100700, P. R. China;

Corresponding?author：

CHANG Jingling, Email: ear6979@163.com

Keywords：

Stroke; Aphasia; Cognitive neuropsychology; Non-linguistic cognitive; Rehabilitation

DOI：

10.7507/1002-0179.202004002

Video：

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Aphasia is one of the common disabling lesions and sequelae in stroke patients. In post-stroke aphasia patients, impairments of non-verbal cognitive domain often occur, which seriously affect daily social contact and quality of life. Cognitive neuropsychological rehabilitation is a neuropsychological rehabilitation based on the development of cognitive neuropsychological theory. It is currently applied in the field of rehabilitation of brain cognitive function, opening up a new way for evaluation and treatment of post-stroke aphasia. This paper introduces the general features of the application of cognitive neuropsychological rehabilitation, expounds the evaluation model and treatment principles of cognitive neuropsychological rehabilitation, and discusses its application in the evaluation and treatment of post-stroke aphasia, so as to provide ideas for the linguistic and non-linguistic cognitive rehabilitation of post-stroke aphasia.

Citation： HUANG Xing, ZHANG Qingsu, CHANG Jingling, GAO Ying, SUN Sulun. Application of cognitive neuropsychological rehabilitation in post-stroke aphasia. West China Medical Journal, 2020, 35(5): 613-617. doi: 10.7507/1002-0179.202004002 Copy

1.	程蕊容, 辛秀峰, 劉章佩, 等. 卒中后認知障礙的研究進展. 臨床薈萃, 2018, 33(1): 89-92.
2.	Nouwens F, Visch-Brink EG, El Hachioui H, et al. Validation ofa prediction model for long-term outcome of aphasia after stroke. BMC Neurol, 2018, 18(1): 170.
3.	González Mc F, Lavados G P, Olavarría I V. Incidence of aphasia in patients experiencing an ischemic stroke. Rev Med Chil, 2017, 145(2): 194-200.
4.	劉鑫鑫, 馬艷玲, 劉艷君, 等. 卒中后失語患者非語言認知功能損害特點的臨床研究. 中國卒中雜志, 2019, 14(2): 116-120.
5.	王茜, 劉曉加, 王琪, 等. 腦卒中后失語患者認知功能評估的相關因素研究及年齡差異. 中華神經醫學雜志, 2016, 15(6): 598-603.
6.	El Hachioui H, Visch-Brink EG, Lingsma HF, et al. Nonlinguistic cognitive impairment in poststroke aphasia: a prospective study. Neurorehabil Neural Repair, 2014, 28(3): 273-281.
7.	Winstein CJ, Stein J, Arena R, et al. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 2016, 47(6): e98-e169.
8.	王茂斌. 更新觀念: 關于“國際功能、殘疾和健康分類(ICF)”. 中華物理醫學與康復雜志, 2002, 24(4): 196-198.
9.	Cicerone KD, Dahlberg C, Malec JF, et al. Evidence-based cognitive rehabilitation: updated review of the literature from 1998 through 2002. Arch Phys Med Rehabil, 2005, 86(8): 1681-1692.
10.	Rossetto F, Baglio F, Massaro D, et al. Social cognition in rehabilitation context: different evolution of affective and cognitive theory of mind in mild cognitive impairment. Behav Neurol, 2020, 2020(5): 1-9.
11.	謝欲曉. 認知康復的新領域—認知神經心理康復. 中國康復醫學雜志, 2004, 19(1): 5.
12.	Basso A. Aphasia and its therapy (medicine). Oxford: Oxford University Press, 2003.
13.	尹文剛. 認知神經心理康復—腦機能康復的新方向(待續). 現代康復, 1999, 3(1): 5-6.
14.	Ellis AW, Young AW. Human cognitive neuropsychology. United Kingdom: Lawrence Erlbaum Associates, 1988.
15.	尹文剛. 腦功能康復—認知神經心理學的臨床應用(一). 中國康復理論與實踐, 2002, 8(7): 396-397.
16.	尹文剛. 腦功能康復—認知神經心理學的臨床應用(二). 中國康復理論與實踐, 2002, 8(9): 562-565.
17.	常靜玲, 高穎. 英國 2014 年《失語的認知神經心理學評估與治療: 臨床指南》解讀. 中國康復醫學雜志, 2018, 33(8): 966-969.
18.	梁文德. 認知神經心理學的單字加工模型在失語癥評價中的應用. 中國康復理論與實踐, 2001, 7(3): 142-143.
19.	鄭秀麗, 敖純利, 沈抒, 等. 大腦高級皮質功能可塑性的認知神經心理學研究進展. 中國康復醫學雜志, 2007, 22(11): 1044-1046.
20.	Gerstenecker A, Lazar RM. Language recovery following stroke. Clin Neuropsychol, 2019, 33(5): 928-947.
21.	Whitworth A, webster D, Howard D. 失語的認知神經心理學評估與治療: 臨床指南. 2版. 常靜玲, 譯. 北京: 北京大學醫學出版社, 2016: 20-21, 81-82.
22.	Swinburn K, Porter G, Howard D. Comprehensive aphasia test. London: Psychology Press, 2004.
23.	Kay J, Lesser R, Coltheart M. Psycholinguistic assessments of language processing in aphasia (PALPA): an introduction. Aphasiology, 1996, 10(2): 159-180.
24.	Westbury C. The Alberta language function assessment battery. Brain Lang, 2006, 99(1/2): 63-64.
25.	Larrabee GJ. The multiple validities of neuropsychological assessment. Am Psychol, 2015, 70(8): 779-788.
26.	江鐘立, 于美霞, 單春雷, 等. 三種漢語失語癥檢查方法的臨床相關性研究. 中國康復醫學雜志, 2004, 19(9): 661-663.
27.	張紅豆. 卒中后失語患者認知障礙的康復特點及影響因素研究. 廣州: 南方醫科大學, 2017: 10-12.
28.	王愛琴, 常靜玲. 腦卒中后失語的語言功能中西醫評價方法探討. 中華中醫藥雜志, 2014, 29(9): 2899-2902.
29.	張善綱, 范建中, 王曉紅, 等. 顱腦損傷后認知功能的康復需兼顧高技術理念與人性化理念. 中國臨床神經外科雜志, 2012, 17(2): 109-112.
30.	Grawburg M, Howe T, Worrall L, et al. Describing the impact of aphasia on close family members using the ICF framework. Disabil Rehabil, 2014, 36(14): 1184-1195.
31.	Simmons-Mackie N, Kagan A. Application of the ICF in aphasia. Semin Speech Lang, 2007, 28(4): 244-253.
32.	常靜玲, 高穎. “形神合一”理論指導下的腦卒中后失語康復治療與評價. 中華中醫藥雜志, 2013, 28(9): 2523-2527.
33.	劉勇玲. 認知功能訓練在促進腦卒中后失語癥患者康復中的療效探討. 基層醫學論壇, 2019, 23(9): 1275-1276.
34.	Niolaki GZ, Masterson J, Terzopoulos AR. Spelling improvement through letter - sound and whole - word training in two multilingual Greek - and English - speaking children. Multilingual Education, 2014, 4(1): 1-23.
35.	梁俊杰, 陳卓銘, 陳玉美, 等. 基于認知神經心理學研究的失語癥評定及治療進展. 廣東醫學, 2017, 38(19): 3049-3051.
36.	祁冬晴, 江鐘立. 語義特征分析在失語癥治療中的應用進展. 中國康復醫學雜志, 2014, 29(3): 282-285.
37.	汪潔, 宋為群, 吳東宇. 語音治療對完全性失語癥同音詞圖命名的影響. 中國康復醫學雜志, 2011, 26(8): 711-714, 719.
38.	鄭秀麗, 尹文剛. 深層失讀及其認知神經心理康復. 心理科學進展, 2008, 16(1): 32-35.
39.	宋魯平, 鄭秀麗, 沈舒, 等. 深層失讀的認知神經心理康復效果研究. 中國卒中雜志, 2009, 4(11): 888-891.
40.	Baumgaertner A, Grewe T, Ziegler W, et al. FCET2EC (from controlled experimental trial to = 2 everyday communication): how effective is intensive integrative therapy for stroke-induced chronic aphasia under routine clinical conditions? A study protocol for a randomized controlled trial. Trials, 2013, 14: 308.
41.	Laine M, Martin N. Cognitive neuropsychology has been, is, and will be significant to aphasiology. Aphasiology, 2012, 26(11): 1362-1376.

1. 程蕊容, 辛秀峰, 劉章佩, 等. 卒中后認知障礙的研究進展. 臨床薈萃, 2018, 33(1): 89-92.
2. Nouwens F, Visch-Brink EG, El Hachioui H, et al. Validation ofa prediction model for long-term outcome of aphasia after stroke. BMC Neurol, 2018, 18(1): 170.
3. González Mc F, Lavados G P, Olavarría I V. Incidence of aphasia in patients experiencing an ischemic stroke. Rev Med Chil, 2017, 145(2): 194-200.
4. 劉鑫鑫, 馬艷玲, 劉艷君, 等. 卒中后失語患者非語言認知功能損害特點的臨床研究. 中國卒中雜志, 2019, 14(2): 116-120.
5. 王茜, 劉曉加, 王琪, 等. 腦卒中后失語患者認知功能評估的相關因素研究及年齡差異. 中華神經醫學雜志, 2016, 15(6): 598-603.
6. El Hachioui H, Visch-Brink EG, Lingsma HF, et al. Nonlinguistic cognitive impairment in poststroke aphasia: a prospective study. Neurorehabil Neural Repair, 2014, 28(3): 273-281.
7. Winstein CJ, Stein J, Arena R, et al. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 2016, 47(6): e98-e169.
8. 王茂斌. 更新觀念: 關于“國際功能、殘疾和健康分類(ICF)”. 中華物理醫學與康復雜志, 2002, 24(4): 196-198.
9. Cicerone KD, Dahlberg C, Malec JF, et al. Evidence-based cognitive rehabilitation: updated review of the literature from 1998 through 2002. Arch Phys Med Rehabil, 2005, 86(8): 1681-1692.
10. Rossetto F, Baglio F, Massaro D, et al. Social cognition in rehabilitation context: different evolution of affective and cognitive theory of mind in mild cognitive impairment. Behav Neurol, 2020, 2020(5): 1-9.
11. 謝欲曉. 認知康復的新領域—認知神經心理康復. 中國康復醫學雜志, 2004, 19(1): 5.
12. Basso A. Aphasia and its therapy (medicine). Oxford: Oxford University Press, 2003.
13. 尹文剛. 認知神經心理康復—腦機能康復的新方向(待續). 現代康復, 1999, 3(1): 5-6.
14. Ellis AW, Young AW. Human cognitive neuropsychology. United Kingdom: Lawrence Erlbaum Associates, 1988.
15. 尹文剛. 腦功能康復—認知神經心理學的臨床應用(一). 中國康復理論與實踐, 2002, 8(7): 396-397.
16. 尹文剛. 腦功能康復—認知神經心理學的臨床應用(二). 中國康復理論與實踐, 2002, 8(9): 562-565.
17. 常靜玲, 高穎. 英國 2014 年《失語的認知神經心理學評估與治療: 臨床指南》解讀. 中國康復醫學雜志, 2018, 33(8): 966-969.
18. 梁文德. 認知神經心理學的單字加工模型在失語癥評價中的應用. 中國康復理論與實踐, 2001, 7(3): 142-143.
19. 鄭秀麗, 敖純利, 沈抒, 等. 大腦高級皮質功能可塑性的認知神經心理學研究進展. 中國康復醫學雜志, 2007, 22(11): 1044-1046.
20. Gerstenecker A, Lazar RM. Language recovery following stroke. Clin Neuropsychol, 2019, 33(5): 928-947.
21. Whitworth A, webster D, Howard D. 失語的認知神經心理學評估與治療: 臨床指南. 2版. 常靜玲, 譯. 北京: 北京大學醫學出版社, 2016: 20-21, 81-82.
22. Swinburn K, Porter G, Howard D. Comprehensive aphasia test. London: Psychology Press, 2004.
23. Kay J, Lesser R, Coltheart M. Psycholinguistic assessments of language processing in aphasia (PALPA): an introduction. Aphasiology, 1996, 10(2): 159-180.
24. Westbury C. The Alberta language function assessment battery. Brain Lang, 2006, 99(1/2): 63-64.
25. Larrabee GJ. The multiple validities of neuropsychological assessment. Am Psychol, 2015, 70(8): 779-788.
26. 江鐘立, 于美霞, 單春雷, 等. 三種漢語失語癥檢查方法的臨床相關性研究. 中國康復醫學雜志, 2004, 19(9): 661-663.
27. 張紅豆. 卒中后失語患者認知障礙的康復特點及影響因素研究. 廣州: 南方醫科大學, 2017: 10-12.
28. 王愛琴, 常靜玲. 腦卒中后失語的語言功能中西醫評價方法探討. 中華中醫藥雜志, 2014, 29(9): 2899-2902.
29. 張善綱, 范建中, 王曉紅, 等. 顱腦損傷后認知功能的康復需兼顧高技術理念與人性化理念. 中國臨床神經外科雜志, 2012, 17(2): 109-112.
30. Grawburg M, Howe T, Worrall L, et al. Describing the impact of aphasia on close family members using the ICF framework. Disabil Rehabil, 2014, 36(14): 1184-1195.
31. Simmons-Mackie N, Kagan A. Application of the ICF in aphasia. Semin Speech Lang, 2007, 28(4): 244-253.
32. 常靜玲, 高穎. “形神合一”理論指導下的腦卒中后失語康復治療與評價. 中華中醫藥雜志, 2013, 28(9): 2523-2527.
33. 劉勇玲. 認知功能訓練在促進腦卒中后失語癥患者康復中的療效探討. 基層醫學論壇, 2019, 23(9): 1275-1276.
34. Niolaki GZ, Masterson J, Terzopoulos AR. Spelling improvement through letter - sound and whole - word training in two multilingual Greek - and English - speaking children. Multilingual Education, 2014, 4(1): 1-23.
35. 梁俊杰, 陳卓銘, 陳玉美, 等. 基于認知神經心理學研究的失語癥評定及治療進展. 廣東醫學, 2017, 38(19): 3049-3051.
36. 祁冬晴, 江鐘立. 語義特征分析在失語癥治療中的應用進展. 中國康復醫學雜志, 2014, 29(3): 282-285.
37. 汪潔, 宋為群, 吳東宇. 語音治療對完全性失語癥同音詞圖命名的影響. 中國康復醫學雜志, 2011, 26(8): 711-714, 719.
38. 鄭秀麗, 尹文剛. 深層失讀及其認知神經心理康復. 心理科學進展, 2008, 16(1): 32-35.
39. 宋魯平, 鄭秀麗, 沈舒, 等. 深層失讀的認知神經心理康復效果研究. 中國卒中雜志, 2009, 4(11): 888-891.
40. Baumgaertner A, Grewe T, Ziegler W, et al. FCET2EC (from controlled experimental trial to = 2 everyday communication): how effective is intensive integrative therapy for stroke-induced chronic aphasia under routine clinical conditions? A study protocol for a randomized controlled trial. Trials, 2013, 14: 308.
41. Laine M, Martin N. Cognitive neuropsychology has been, is, and will be significant to aphasiology. Aphasiology, 2012, 26(11): 1362-1376.

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