Purpose The study aims at understanding the overall linguistic ability of ATT, which is a new treatment for aphasic patients. The study conducted speech therapy by utilizing ATT and existing treatment(CILT) and attempted to verify and discuss their effect.
Subjects and Method The study targeted 30 adult aphasic patients at a care ...
Purpose The study aims at understanding the overall linguistic ability of ATT, which is a new treatment for aphasic patients. The study conducted speech therapy by utilizing ATT and existing treatment(CILT) and attempted to verify and discuss their effect.
Subjects and Method The study targeted 30 adult aphasic patients at a care hospital located in Jeonju, Jeollabukdo, who displayed problems in language comprehension and expression due to brain damage. Those selected for the study were arbitrarily classified into an experimental group(ATT Group) of 15 patients who received treatment with ATT(AphasiaTrainingTool, henceforth referred to as ATT) and a control group(CILT Group) of 15 patients who received treatment with existing CILT(Constraint-Induced Language henceforth referred to as CILT). The subject selection standard of the study is as follows. (1) When evaluating the severity of the aphasia with K-WAB『Korean version-The Western Aphasia Battery, henceforth K-WAB』(Kim Hyang-hee·Na Deok-ryul, 2001), patient must have been diagnosed as aphasic; (2) one year must have been past since the final occurrence; (3) the patient must have received six years or more of education; (4) the patient must not suffer from decline in intelligence from dementia or otherneural damage; (5) patient must not have sensory disabilities; (6) and patients under 20 years of age were excluded, due to active brain activity and knowledge acquisition, in preparation of variables from age. (7) The patient must not have received treatment from another agency and (8) and all of 30 patients selected were to have never received speech therapy before. Such a selection standard prevents the subjects from undergoing difficulty during speech therapy involving ATT, and the overlapping of treatment effects resulting from the speech therapy of a different agency. The four items of spontaneous speech, auditory verbal comprehension, repetition, and naming as well as four items of test results from the AQ(Aphasia Quotient) were evaluated pre-to-post by using the 『Korean version-The Western Aphasia Battery, K-WAB』, which is the domestic standardized aphasia evaluation tool, with the purpose of confirming overall linguistic ability.
Speech therapy used existing CILT and the new treatment tool, ATT, for five sessions a week, at 30-40 minutes per session, for a total of six weeks and a combined 60 sessions. Data collection was done in a quiet room insulated from outside noise, and subjects capable of movement sat down on a comfor표 chair while those with mobility impairments used wheelchairs or stretcher carts during treatment.
Results and Conclusion
First, applying the standardized test tool K-WAB after ATT mediation statistically significantly increased(p<.05) the K-WAB aphasia index scores(17.54±7.09), compared to before the mediation. Also, each of the K-WAB subtests(spontaneous speech(7.66±2.23), auditory verbal comprehension(5.99±1.46), repetition(6.02±1.8), naming(4.92±1.71)) showed a statistically significant increase(p<.05) in all areas.
Second, K-WAB revealed that the existing treatment of CILT also statistically significantly increased the K-WAB aphasia index scores(6.97±4.48), compared to before the mediation. Also, each of the K-WAB subtests(spontaneous speech(7.66±2.23), auditory verbal comprehension(5.99±1.46),repetition(6.02±1.8), naming(4.92±1.71)) observed an improvement in all areas, although only spontaneous speech, auditory verbal comprehension, and naming showed a statistically significant improvement.(p<.05)
Third, when the aphasia index and subtest(spontaneous speech(p=.006), auditory verbal comprehension(p=.138), repetition, and naming) scores obtained through K-WAB from the existing CILT and ATT treatments were compared, the aphasia index, repetition, and naming of ATT displayed statistically significant increase(p<.05) than the existing treatment.
Purpose The study aims at understanding the overall linguistic ability of ATT, which is a new treatment for aphasic patients. The study conducted speech therapy by utilizing ATT and existing treatment(CILT) and attempted to verify and discuss their effect.
Subjects and Method The study targeted 30 adult aphasic patients at a care hospital located in Jeonju, Jeollabukdo, who displayed problems in language comprehension and expression due to brain damage. Those selected for the study were arbitrarily classified into an experimental group(ATT Group) of 15 patients who received treatment with ATT(Aphasia Training Tool, henceforth referred to as ATT) and a control group(CILT Group) of 15 patients who received treatment with existing CILT(Constraint-Induced Language henceforth referred to as CILT). The subject selection standard of the study is as follows. (1) When evaluating the severity of the aphasia with K-WAB『Korean version-The Western Aphasia Battery, henceforth K-WAB』(Kim Hyang-hee·Na Deok-ryul, 2001), patient must have been diagnosed as aphasic; (2) one year must have been past since the final occurrence; (3) the patient must have received six years or more of education; (4) the patient must not suffer from decline in intelligence from dementia or other neural damage; (5) patient must not have sensory disabilities; (6) and patients under 20 years of age were excluded, due to active brain activity and knowledge acquisition, in preparation of variables from age. (7) The patient must not have received treatment from another agency and (8) and all of 30 patients selected were to have never received speech therapy before. Such a selection standard prevents the subjects from undergoing difficulty during speech therapy involving ATT, and the overlapping of treatment effects resulting from the speech therapy of a different agency. The four items of spontaneous speech, auditory verbal comprehension, repetition, and naming as well as four items of test results from the AQ(Aphasia Quotient) were evaluated pre-to-post by using the 『Korean version-The Western Aphasia Battery, K-WAB』, which is the domestic standardized aphasia evaluation tool, with the purpose of confirming overall linguistic ability.
Speech therapy used existing CILT and the new treatment tool, ATT, for five sessions a week, at 30-40 minutes per session, for a total of six weeks and a combined 60 sessions. Data collection was done in a quiet room insulated from outside noise, and subjects capable of movement sat down on a comfor표 chair while those with mobility impairments used wheelchairs or stretcher carts during treatment.
Results and Conclusion
First, applying the standardized test tool K-WAB after ATT mediation statistically significantly increased(p<.05) the K-WAB aphasia index scores(17.54±7.09), compared to before the mediation. Also, each of the K-WAB subtests(spontaneous speech(7.66±2.23), auditory verbal comprehension(5.99±1.46), repetition(6.02±1.8), naming(4.92±1.71)) showed a statistically significant increase(p<.05) in all areas.
Second, K-WAB revealed that the existing treatment of CILT also statistically significantly increased the K-WAB aphasia index scores(6.97±4.48), compared to before the mediation. Also, each of the K-WAB subtests(spontaneous speech(7.66±2.23), auditory verbal comprehension(5.99±1.46),repetition(6.02±1.8), naming(4.92±1.71)) observed an improvement in all areas, although only spontaneous speech, auditory verbal comprehension, and naming showed a statistically significant improvement.(p<.05)
Third, when the aphasia index and subtest(spontaneous speech(p=.006), auditory verbal comprehension(p=.138), repetition, and naming) scores obtained through K-WAB from the existing CILT and ATT treatments were compared, the aphasia index, repetition, and naming of ATT displayed statistically significant increase(p<.05) than the existing treatment.
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