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Language and Mild Cognitive Impairment

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Front. Psychol. | doi: 10.3389/fpsyg.2018.02312

Telerehabilitation combined speech-language and cognitive training effectively promoted recovery in aphasia patients

 Qiumin Zhou1, Xiao Lu1, Ying Zhang2,  Zhenghui Sun3, Jianan Li1 and  Zude Zhu3*
  • 1Department of Rehabilitation Medicine, The First Affiliated Hospital of Nanjing Medical University, China
  • 2Suzhou Xiangcheng People's Hospital, China
  • 3School of Linguistics Sciences and Arts, Jiangsu Normal University, China

The present study investigated the efficacy of a computerized intervention for aphasia that combined speech-language and cognitive training delivered on an inpatient unit or via telerehabilitation to discharged patients. Forty inpatient and discharged aphasia patients were recruited and randomly assigned to the training group or control group. While routine intervention was provided for the control group, computerized speech-language and cognitive training was provided for 14 days to the inpatients and 30 days to the discharged patients. Compared with the control group, training group had significantly more improved language function as assessed by the Western Aphasia Battery (WAB) and practical communication skills as assessed by the Communicative Abilities in Daily Living Test (CADL). It was also found that the positive effects of the computerized training when delivered via telerehabilitation to the discharged group were smaller than the effects when delivered on the inpatient unit. The results suggest that combining speech-language and cognitive training program is efficacious in promoting the recovery of patients with aphasia, both inpatients and discharged patients, and that the program works even when administered from a remote location.

Keywords: speech-language training;, Cognitive training;, aphasia;, intervention;, telerehabilitation

Received: 07 Aug 2018; Accepted: 05 Nov 2018.

Edited by:

Carlo Semenza, Università degli Studi di Padova, Italy

Reviewed by:

Silvia Benavides-Varela, Università degli Studi di Padova, Italy
Costanza Papagno, University of Trento, Italy  

Copyright: © 2018 Zhou, Lu, Zhang, Sun, Li and Zhu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Prof. Zude Zhu, School of Linguistics Sciences and Arts, Jiangsu Normal University, Xuzhou, Jiangsu Province, China, zhuzude@163.com