The Rehabilitation Effect of Computer-assisted Executive Function Combined with Speech Training on Post-stroke Articulation Disorders Patients

CAO Ying; JIN Xia; WANG Wu-zhen

doi:10.3969/j.issn.1672-4933.2025.01.019

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The Rehabilitation Effect of Computer-assisted Executive Function Combined with Speech Training on Post-stroke Articulation Disorders Patients

Rehabilitation Education | 更新时间：2026-07-11

- The Rehabilitation Effect of Computer-assisted Executive Function Combined with Speech Training on Post-stroke Articulation Disorders Patients
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 23, Issue 1, Pages: 79-82(2025)
- 作者机构：
  
  东南大学附属中大医院溧水分院（南京市溧水区人民医院）康复医学科南京 211200
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2025.01.019
  CLC： G762
- Received：07 April 2024，
  
  Published：15 January 2025
- 稿件说明：
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曹迎,金霞,汪吴臻.计算机辅助执行功能训练联合言语训练对脑卒中后构音障碍患者的康复效果[J].中国听力语言康复科学杂志,2025,23(01):79-82.

CAO Ying,JIN Xia,WANG Wu-zhen.The Rehabilitation Effect of Computer-assisted Executive Function Combined with Speech Training on Post-stroke Articulation Disorders Patients[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(01):79-82.
曹迎,金霞,汪吴臻.计算机辅助执行功能训练联合言语训练对脑卒中后构音障碍患者的康复效果[J].中国听力语言康复科学杂志,2025,23(01):79-82. DOI： 10.3969/j.issn.1672-4933.2025.01.019.

CAO Ying,JIN Xia,WANG Wu-zhen.The Rehabilitation Effect of Computer-assisted Executive Function Combined with Speech Training on Post-stroke Articulation Disorders Patients[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(01):79-82. DOI： 10.3969/j.issn.1672-4933.2025.01.019.

摘要

目的

探讨计算机辅助执行功能训练联合言语训练的康复效果。

方法

采用随机数字表法将纳入的150例脑卒中后构音障碍患者分为语言训练组、计算机组和联合组各50例。语言训练组行言语-语言疗法干预，计算机组接受计算机辅助执行功能训练，联合组进行言语-语言疗法和计算机辅助执行功能训练联合干预。比较3组疗效和治疗前后Frenchay构音障碍评价量表分级、言语功能、声学指标含最长发声时间（MPT）、音调、音量和平均发声气流量变化，采用卒中生存质量量表（stroke-specific qualley of life，SS-QOL）评价治疗前后患者生活质量变化。

结果

联合组治疗总有效率显著高于语言训练组和计算机组（96.00% vs. 74.00%/76.00%，

0.05）。3组患者治疗后Frenchay构音障碍评价量表分级、言语功能分级显著改善，MPT显著延长，SS-QOL评分显著提高（

0.05）。联合组患者治疗后言语功能分级、MPT、SS-QOL评分显著优于语言训练组和计算机组（

0.05）。

结论

计算机辅助执行功能训练联合言语-语言疗法能够显著提高脑卒中后构音障碍患者的康复效果，改善生活质量、延长发声时间。

Abstract

Objective

Exploring the effectiveness of computer-assisted executive function training combined with traditional speech language therapy.

Methods

Using a random number table method

150 prospective patients with post-stroke articulation disorders were divided into a language training group

a computer group

and a combination group

with 50 cases in each group. The language training group received speech language therapy intervention

the computer group received computer-assisted executive function training

and the combined group received both speech language therapy intervention and computer-assisted executive function training. Compare the efficacy of three groups and evaluate the changes in Frenchay articulation disorder grading

speech function

and acoustic indicators (maximum phonation time

MPT)

pitch

volume

and average photic airflow) before and after treatment. Use the Stroke Quality of Life Scale (SS-QOL) to assess the changes in patients' quality of life before and after treatment.

Results

The total effective rate of the combined treatment group was significantly higher than that of the language training group and the computer group (96.00% vs. 74.00%/76.00%

0.05). After treatment

the Frenchay articulation disorder evaluation scale grading and speech function grading of the three groups of patients were significantly improved

MPT was significantly prolonged

and SS-QOL score was significantly improved (

0.05). After treatment

the speech function grading of the combined group patients was significantly better than that of the language training group and the computer group

and the MPT was significantly longer than that of the language training group and the computer group. The SS-QOL score was significantly higher than that of the language training group and the computer group (

0.05).

Conclusion

The combination of computer-assisted executive function training and traditional speech language therapy can significantly improve the rehabilitation effect of post-stroke patients with articulation disorders

improve their quality of life

and prolong their speaking time. The effect is superior to traditional speech language therapy and computer-assisted executive function training conducted separately.

关键词

Keywords

references

Wu S , Wu B , Liu M , et al . Stroke in China: advances and challenges in epidemiology, prevention, and management [J ] . Lancet Neurol , 2019 , 18 ( 4 ): 394 - 405 .

Xie Q , Chen X , Xiao J , et al . Acupuncture combined with speech rehabilitation training for post-stroke dysarthria: A systematic review and meta-analysis of randomized controlled trials [J ] . Integr Med Res , 2020 , 9 ( 4 ): 100431 .

Yang X , Shi L , Ran D , et al . The treatment of post-stroke dysarthria with a combination of different acupuncture types and language rehabilitation training: a systematic review and network meta-analysis [J ] . Ann Transl Med , 2022 , 10 ( 23 ): 1281 .

段红莉 , 张中平 , 许秀 , 等 . 初发脑卒中后构音障碍的中医针刺、言语训练联合电刺激干预效果 [J ] . 世界中医药 , 2019 , 14 ( 1 ): 187 - 190 .

卓飞男 , 张中凯 , 李海燕 . 镜像神经元视觉反馈疗法结合语音矫治对脑卒中构音障碍的治疗效果 [J ] . 江苏医药 , 2021 , 47 ( 9 ): 882 - 885 .

阳杨 , 庞子建 , 刘恒鑫 , 等 . 励-协夫曼言语治疗对2例不同构音障碍患者嗓音的影响比较 [J ] . 中国听力语言康复科学杂志 , 2022 , 20 ( 1 ): 12 - 15 .

常丽静 , 王亚辉 , 邢军 , 等 . 构音小组综合康复训练对脑卒中后构音障碍患者言语功能及生活质量的影响 [J ] . 中华物理医学与康复杂志 , 2020 , 42 ( 9 ): 792 - 796 .

陈静 . 多层次执行功能训练护理模式对脑出血患者术后康复效果的影响 [J ] . 临床护理杂志 , 2023 , 22 ( 2 ): 51 - 54 .

国家卫生健康委脑卒中防治工程委员会 . 中国脑卒中防治指导规范(2021) [M ] . 北京 : 人民卫生出版社 , 2021 . 155 .

Riolo V , Pizzorni N , Guanziroli E , et al . Cross-cultural adaptation into Italian and validation of the Frenchay dysarthria assessment - 2 [J ] . Eur J Phys Rehabil Med , 2022 , 58 ( 3 ): 342 - 351 .

赖日英 , 董文兴 , 颜海霞 , 等 . 腹式呼吸训练结合语音训练在弛缓型构音障碍方面的运用效果 [J ] . 中国妇幼健康研究 , 2017 , ( S1 ): 519 - 520 .

章丽雅 , 徐福 , 叶祥明 , 等 . 头皮针结合体针对脑卒中后构音障碍的疗效 [J ] . 中国康复医学杂志 , 2019 , 34 ( 3 ): 334 - 336 .

王玉龙 . 康复功能评定学 [M ] . 2版 . 北京 : 人民卫生出版社 , 2013 . 154 - 400 .

葛胜男 , 王勇丽 , 尹敏敏 , 等 . 脑卒中构音障碍患者元音产出特征与言语清晰度的相关性 [J ] . 中国康复理论与实践 , 2021 , 27 ( 1 ): 43 - 47 .

Butt AK , Zubair R , Rathore FA . The role of Augmentative and Alternative Communication in Speech and Language Therapy: A mini review [J ] . J Pak Med Assoc , 2022 , 72 ( 3 ): 581 - 584 .

Spencer KA , Brown KA . Dysarthria following Stroke [J ] . Semin Speech Lang , 2018 , 39 ( 1 ): 15 - 24 .

杜丽 , 何佳 . 认知功能训练对脑卒中后失语症患者康复效果分析 [J ] . 医药前沿 , 2021 , 11 ( 3 ): 11 - 12, 15 .

Qiao J , Wu ZM , Ye QP , et al . Relationship between Post-Stroke Cognitive Impairment and Severe Dysphagia: A Retrospective Cohort Study [J ] . Brain Sci , 2022 , 12 ( 6 ): 803 .

Polanowska KE , Iwański S , Leśniak MM , et al . Computer-assisted training of executive functions in adult patients with non-progressive acquired brain damage-a pilot study on efficacy of a new therapeutic application [J ] . Appl Neuropsychol Adult , 2022 , 24 : 1 - 12 .

Liu M , Qian Q , Wang W , et al . Improvement in language function in patients with aphasia using computer-assisted executive function training: A controlled clinical trial [J ] . PM R , 2022 , 14 ( 8 ): 913 - 921 .

骆晓静 , 石拓 , 刘强 . 计算机化认知训练对脑卒中后认知功能障碍的影响 [J ] . 卒中与神经疾病 , 2020 , 27 ( 6 ): 821 - 823 .

韦添元 , 林煜凡 , 何怡 , 等 . 计算机辅助训练对脑卒中后构音障碍患者的效果 [J ] . 中国康复理论与实践 , 2024 , 30 ( 5 ): 520 - 525 .

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