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This article showed the work pattern of rehabilitation assessment, and made assessment of a patient who suffered from bilat-eral hemiplegia and pseudobulbar paralysis caused by multiple cerebral apoplexy. Finally, the special characteristics of rehabilitation treat-ment for a patient with bilateral paralysis were summarized.
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@#ObjectiveTo compare the effect of acupuncture and speech rehabilitation on motor aphasia after stroke with speech rehabilitation alone. Methods49 patients with aphasia were divided into treatment group (27 cases) and control group (22 cases) randomly. The cases in treatment group were treated with acupuncture and speech rehabilitation. The cases in control group were treated with speech rehabilitation alone. They were assessed before and 1 month, 3 months after treatment. ResultsThere was no significant difference between treatment group and control group 1 month after treatment (P>0.05), but was significant in auditory comprehension, speaking, reading, dictation and description (P<0.05) 3 months after treatment. ConclusionThe acupuncture can facilitate the recovery of motor aphas after stroke.
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@#Objective To investigate the status of rehabilitation demands of persons with speech disability in Beijing.Methods 355 persons with speech disability in Beijing in the Second National Sample Survey were involved in the study;their rehabilitation status and demands were evaluated.Results Persons with speech disability mainly needed rehabilitation in institute and in community and family,rehabilitation training and medicine service were needed mainly;persons with speech disability at different age and handicapped grade had different rehabilitation demands.Conclusion Rehabilitation awareness of persons with speech disability should be improved,a group of staffs on speech rehabilitation are base to satisfy rehabilitation training demands.
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@#Objective To observe the effect of Melodic Intonation Therapy on severe aphasia.Methods Additionally to the stimulus therapy,familiar songs were used in the treatment of listening,retelling and naming in 12 cases.Results The patients showed improvement in listening,retelling and naming.Conclusion Using familiar songs in the treatment can promote the recovery of aphasic patients.
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@#Objective To explore the feasibility of catheter sacculus expanding therapy for cricopharyngeal achalasia.Methods A patient cricopharyngeal achalasia after cerebral infarction treated with catheter sacculus expanding was reported.Results After 38 times expanding therapy,the patient could eat by himself without choke and whoosh.Video fluoroscopic(VF)showed that the cricopharyngeal muscle can open normally when the food went through.And there is no any aspiration.Conclusion Catheter sacculus expanding therapy can improve cricopharyngeal achalasia effectively,and can be applied easily,safe and reliable.
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@# Objective To investigate the characteristic and rehabilitation of polyglot aphasia.Methods A case whose native languages are both Chinese and Korean,and can also speak fluent Japanese,suffering aphasia after a traffic accident was reported.Results and Conclusion His communication ability mainly on understanding and expression improved after a few months rehabilitation.The rehabilitation in different languages improved on different level.
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@#ObjectiveTo investigate the reliability and validity of Chinese Rehabilitation Research Center Standard Aphasia Examination (CRRCAE) among patients with aphasia after cerebral injury. Methods40 patients were measured using the CRRCAE. For reliability, interclass correlation coefficients were analyzed. For validity, the correlation coefficients of the aphasia quotients and 4 items of CRRCAE and Western Aphasia Battery (WAB) were analyzed.ResultsThe interclass correlation coefficients>0.9, while the Cronbach α of total scale was 0.9411, the scale of the comprehension was 0.8677,the scale of express was 0.8889. CRRCAE had positive relationship with WAB(with the aphasia quotients, r=0.948,P<0.01). The effect size statistics scale was 0.94.ConclusionCRRCAE shows a good retest reliability and good internal consistency. The total scale of CRRCAE can be correlated with serious level of aphasia effectively.
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@#The Chinese Standard Aphasia Examination was made according to Chinese language and cultural habits by referring to Japanese Standard Language Test of Aphasia.151 normal people and patients whose brain damaged without aphasia were tested.Mean and standard deviations were calculated.The significant differences were not found by analysis of variance to age,sex,handedness,profession and education except oral instruction and describing pictures in different educational groups.Therefore,the examination is suitable for Chinese aphasics who live in different parts of China and spoken mandarin.
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@# 目的：对完全性失语的患者经言语治疗后的结果进行分析。研究方法：对10 例完全性失语患者进行筛查，采用中国康复研究中心失语症检查及头颅CT、MRI确诊为完全性失语，并对患者进行语言治疗。结果：10 例患者中5 例有改善，并且在发病后7－12个月比发病后的前6 个月恢复得快。结论：完全性失语的患者经言语治疗后可在一定范围内得到恢复，但要达到日常生活交流必须借助辅助交流。本文同时就完全性失语的定义、言语特征及预后进行讨论。