欧洲中风组织 (ESO) 关于失言症康复的指南
Marian C Brady1, Claire Mills2,3, Hege Prag Øra4,5
1Glasgow Caledonian University, Glasgow, UK.
European stroke journal
|May 22, 2025
概括
欧洲中风组织的指导方针建议使用更高的语音语言疗法 (SLT) 剂量来有效地康复失语症. 它还建议量身定制的治疗和数字/小组模型,同时建议对跨直流刺激 (tDCS) 保持谨慎.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 语音语言病理学 语言病理学
背景情况:
- 尽管有新的证据表明其有效性,阿法西亚康复干预措施和交付方法显示出广泛的差异.
- 需要高质量的,基于证据的指导方针来标准化与中风相关的失言症康复.
- 欧洲中风组织 (ESO) 使用标准程序和GRADE方法制定了建议.
研究的目的:
- 提供基于证据的多学科建议,为高质量的中风相关失语症康复提供建议.
- 确定临床相关的问题,并评价在语障康复中结果的重要性.
- 为了指导选择和交付语音语言治疗 (SLT) 干预的失语症.
主要方法:
- 对SLT用于中风相关失语症的随机对照试验 (RCT) 的系统文献搜索.
- 独立审稿人对标题,摘要和全文进行选;PRISMA对结果进行分析.
- 使用随机效应的元分析 (如果可能的话);偏差风险评估;证据质量和建议强度的GRADE方法.
主要成果:
- 低质量的证据支持推更高的总SLT剂量 (≥20小时) 改善语障康复结果.
- 建议包括更高的SLT强度和频率,个别定制的SLT以及数字/小组治疗交付模型.
- 与SLT一起进行的跨直流刺激 (tDCS) 的证据非常低,导致专家一致认为,它只能在高质量的试验中使用.
结论:
- 建议强调更高的总SLT剂量,强度和频率,以获得更好的语障康复结果.
- 根据目前的证据,建议采用个体定制,数字和小组治疗模式.
- 还强调了进一步的研究优先事项,以告知未来的SLT干预选择和语障康复治疗的交付.
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