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, 刘章佩, 等. 卒中后认知障碍的研究进展. 临床荟萃, 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.	刘鑫鑫, 马艳玲, 刘艳君, 等. 卒中后失语患者非语言认知功能损害特点的临床研究. 中国卒中杂志, 2019, 14(2): 116-120.
5.	王茜, 刘晓加, 王琪, 等. 脑卒中后失语患者认知功能评估的相关因素研究及年龄差异. 中华神经医学杂志, 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. 更新观念: 关于“国际功能、残疾和健康分类(ICF)”. 中华物理医学与康复杂志, 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.	谢欲晓. 认知康复的新领域—认知神经心理康复. 中国康复医学杂志, 2004, 19(1): 5.
12.	Basso A. Aphasia and its therapy (medicine). Oxford: Oxford University Press, 2003.
13.	尹文刚. 认知神经心理康复—脑机能康复的新方向(待续). 现代康复, 1999, 3(1): 5-6.
14.	Ellis AW, Young AW. Human cognitive neuropsychology. United Kingdom: Lawrence Erlbaum Associates, 1988.
15.	尹文刚. 脑功能康复—认知神经心理学的临床应用(一). 中国康复理论与实践, 2002, 8(7): 396-397.
16.	尹文刚. 脑功能康复—认知神经心理学的临床应用(二). 中国康复理论与实践, 2002, 8(9): 562-565.
17.	常静玲, 高颖. 英国 2014 年《失语的认知神经心理学评估与治疗: 临床指南》解读. 中国康复医学杂志, 2018, 33(8): 966-969.
18.	梁文德. 认知神经心理学的单字加工模型在失语症评价中的应用. 中国康复理论与实践, 2001, 7(3): 142-143.
19.	郑秀丽, 敖纯利, 沈抒, 等. 大脑高级皮质功能可塑性的认知神经心理学研究进展. 中国康复医学杂志, 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. 失语的认知神经心理学评估与治疗: 临床指南. 2版. 常静玲, 译. 北京: 北京大学医学出版社, 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.	江钟立, 于美霞, 单春雷, 等. 三种汉语失语症检查方法的临床相关性研究. 中国康复医学杂志, 2004, 19(9): 661-663.
27.	张红豆. 卒中后失语患者认知障碍的康复特点及影响因素研究. 广州: 南方医科大学, 2017: 10-12.
28.	王爱琴, 常静玲. 脑卒中后失语的语言功能中西医评价方法探讨. 中华中医药杂志, 2014, 29(9): 2899-2902.
29.	张善纲, 范建中, 王晓红, 等. 颅脑损伤后认知功能的康复需兼顾高技术理念与人性化理念. 中国临床神经外科杂志, 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.	常静玲, 高颖. “形神合一”理论指导下的脑卒中后失语康复治疗与评价. 中华中医药杂志, 2013, 28(9): 2523-2527.
33.	刘勇玲. 认知功能训练在促进脑卒中后失语症患者康复中的疗效探讨. 基层医学论坛, 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, 陈卓铭, 陈玉美, 等. 基于认知神经心理学研究的失语症评定及治疗进展. 广东医学, 2017, 38(19): 3049-3051.
36.	祁冬晴, 江钟立. 语义特征分析在失语症治疗中的应用进展. 中国康复医学杂志, 2014, 29(3): 282-285.
37.	汪洁, 宋为群, 吴东宇. 语音治疗对完全性失语症同音词图命名的影响. 中国康复医学杂志, 2011, 26(8): 711-714, 719.
38.	郑秀丽, 尹文刚. 深层失读及其认知神经心理康复. 心理科学进展, 2008, 16(1): 32-35.
39.	宋鲁平, 郑秀丽, 沈舒, 等. 深层失读的认知神经心理康复效果研究. 中国卒中杂志, 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, 刘章佩, 等. 卒中后认知障碍的研究进展. 临床荟萃, 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. 刘鑫鑫, 马艳玲, 刘艳君, 等. 卒中后失语患者非语言认知功能损害特点的临床研究. 中国卒中杂志, 2019, 14(2): 116-120.
5. 王茜, 刘晓加, 王琪, 等. 脑卒中后失语患者认知功能评估的相关因素研究及年龄差异. 中华神经医学杂志, 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. 更新观念: 关于“国际功能、残疾和健康分类(ICF)”. 中华物理医学与康复杂志, 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. 谢欲晓. 认知康复的新领域—认知神经心理康复. 中国康复医学杂志, 2004, 19(1): 5.
12. Basso A. Aphasia and its therapy (medicine). Oxford: Oxford University Press, 2003.
13. 尹文刚. 认知神经心理康复—脑机能康复的新方向(待续). 现代康复, 1999, 3(1): 5-6.
14. Ellis AW, Young AW. Human cognitive neuropsychology. United Kingdom: Lawrence Erlbaum Associates, 1988.
15. 尹文刚. 脑功能康复—认知神经心理学的临床应用(一). 中国康复理论与实践, 2002, 8(7): 396-397.
16. 尹文刚. 脑功能康复—认知神经心理学的临床应用(二). 中国康复理论与实践, 2002, 8(9): 562-565.
17. 常静玲, 高颖. 英国 2014 年《失语的认知神经心理学评估与治疗: 临床指南》解读. 中国康复医学杂志, 2018, 33(8): 966-969.
18. 梁文德. 认知神经心理学的单字加工模型在失语症评价中的应用. 中国康复理论与实践, 2001, 7(3): 142-143.
19. 郑秀丽, 敖纯利, 沈抒, 等. 大脑高级皮质功能可塑性的认知神经心理学研究进展. 中国康复医学杂志, 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. 失语的认知神经心理学评估与治疗: 临床指南. 2版. 常静玲, 译. 北京: 北京大学医学出版社, 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. 江钟立, 于美霞, 单春雷, 等. 三种汉语失语症检查方法的临床相关性研究. 中国康复医学杂志, 2004, 19(9): 661-663.
27. 张红豆. 卒中后失语患者认知障碍的康复特点及影响因素研究. 广州: 南方医科大学, 2017: 10-12.
28. 王爱琴, 常静玲. 脑卒中后失语的语言功能中西医评价方法探讨. 中华中医药杂志, 2014, 29(9): 2899-2902.
29. 张善纲, 范建中, 王晓红, 等. 颅脑损伤后认知功能的康复需兼顾高技术理念与人性化理念. 中国临床神经外科杂志, 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. 常静玲, 高颖. “形神合一”理论指导下的脑卒中后失语康复治疗与评价. 中华中医药杂志, 2013, 28(9): 2523-2527.
33. 刘勇玲. 认知功能训练在促进脑卒中后失语症患者康复中的疗效探讨. 基层医学论坛, 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, 陈卓铭, 陈玉美, 等. 基于认知神经心理学研究的失语症评定及治疗进展. 广东医学, 2017, 38(19): 3049-3051.
36. 祁冬晴, 江钟立. 语义特征分析在失语症治疗中的应用进展. 中国康复医学杂志, 2014, 29(3): 282-285.
37. 汪洁, 宋为群, 吴东宇. 语音治疗对完全性失语症同音词图命名的影响. 中国康复医学杂志, 2011, 26(8): 711-714, 719.
38. 郑秀丽, 尹文刚. 深层失读及其认知神经心理康复. 心理科学进展, 2008, 16(1): 32-35.
39. 宋鲁平, 郑秀丽, 沈舒, 等. 深层失读的认知神经心理康复效果研究. 中国卒中杂志, 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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