失语症患者音乐与语言能力的关系

Naomi Kobinata, Hideto Yoshikawa, Yuji Iwasaka, N. Kawate
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摘要

本研究旨在探讨失语症患者音乐能力与语言能力之间的关系。我们回顾了2014年5月至2018年8月在亚急性康复病房住院的32例脑卒中失语患者的临床记录。我们分析了入院和出院时收集的《失语症标准语言测试》(SLTA)中旋律和节奏再现测试以及听觉理解和言语部分的子测试结果。采用Spearman秩相关系数(rs)分析1)旋律再现测试分数与SLTA听觉理解子测试分数的升高、2)旋律再现测试分数与SLTA语音子测试分数的升高、3)节奏再现测试分数与SLTA听觉理解子测试分数的升高、4)节奏再现测试分数与SLTA语音子测试分数的升高之间的相关性。旋律再现与听力理解分测验“文字理解”(n = 14, rs = 0.57, p < 0.05)和“言语指令执行”(n = 31, rs = 0.42, p < 0.05)存在显著正相关。SLTA语音子测试得分-动作命名-与节奏再现呈正相关(n = 31, rs = 0.44, p < 0.05)。本研究提示卒中后失语症患者旋律再现能力与听觉理解有关,节奏再现能力与言语产生有关。
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Relationship between musical and linguistic abilities in patients with aphasia
This retrospective study aimed to investigate the relationship between musical and linguistic abilities in patients with aphasia. We reviewed the clinical records of 32 stroke patients with aphasia admitted to subacute rehabilitation units between May 2014 and August 2018. We analyzed the results of melody and rhythm reproduction tests and subtests of auditory comprehension and speech sections in the Standard Language Test of Aphasia ( SLTA ) collected upon admission and discharge. The Spearman rank correlation coefficient ( rs ) was used to analyze the correlation between 1 ) the increase in melody reproduction test scores and SLTA auditory comprehension subtest scores, 2 ) the increase in melody reproduction test scores and SLTA speech subtest scores, 3 ) the increase in rhythm reproduction test scores and SLTA auditory comprehension subtest scores, and 4 ) the increase in rhythm reproduction test scores and SLTA speech subtest scores. There were significant positive correlations between melody reproduction and auditory comprehension subtest scores on the SLTA: “ word comprehension ” ( n = 14, rs = 0.57, p < 0.05 ) and “ following verbal instructions ” ( n = 31, rs = 0.42, p < 0.05 ) . An SLTA speech subtest score ― action naming ― was positively correlated with rhythm reproduction ( n = 31, rs = 0.44, p < 0.05 ) . This study implies that melody reproduction ability is related to auditory comprehension and that rhythm reproduction ability is related to speech production in patients with aphasia after experiencing a stroke.
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