Rehabilitation of aphasia

  I. Rehabilitation training of motor aphasia Patients with motor aphasia can usually understand language well, but cannot express themselves in spoken language, so language training should be the main focus.  (1) Training of articulatory organs: first do simple opening mouth, tongue stretching, teeth showing, cheek puffing, then soft palate raising training, instruct patients to open their mouths wide and teach them to pronounce the a sound; tongue training, let patients stretch their tongues outward as much as possible, repeatedly do tongue stretching movement, from slow to fast, gradually increase their movement speed, tongue tip licking upper and lower lips, left and right lip corners, and then do forward and reverse licking whole tongue movement; lip training, instruct patients to repeatedly Patients were instructed to repeatedly perform pursing and pouting training. After 1 week of training, all patients in this group were able to complete the training movements.  (2) Pronunciation training: Using the method of Demonstration D imitation, we started from the English phonetic symbols a-e-i-o-u, and then learned the glottal h and ha, labial b and p, and lingual-dental d and t sounds. After 1 week of training for this group of patients, the vowel sounds were pronounced well, while the laryngeal, labial and lingual-dental sounds were trained with some difficulty. 14 patients basically mastered them after 1 month, and 7 patients could only achieve sometimes accurate pronunciation but sometimes difficult.  (3) Word and sentence training: After 1 week of single-sound training, the patients were gradually trained to pronounce words D phrases D phrases. Start with simple words, such as “watermelon”, “bed”, “chicken”, “dinner” and so on. If you say “eat”, the patient will say “rice”, and finally say the complete word “eat”; for example, imitate the action of eating fruit and induce the patient to say “eat apple”. “Patients of level 0-1 were mainly trained with words, while patients of level 2-3 were mainly trained with phrases and short sentences.  (4) Reading training: Patients in this group with aphasia level 2 or above can receive training in reading along or reading short texts after 1 to 2 weeks of training and mastering general phrases and short sentences.  (5) Writing training: Patients with level 0 to 1 started with simple words such as “fire” and “water”, and gradually moved to words and sentences; patients with level 2 to 3 were trained in words and sentences and short articles. This training is conducted 10 times a day for 10 min each time. Rehabilitation training for sensory aphasia Sensory aphasia has difficulty in understanding spoken and written language, so the main focus should be on improving comprehension training.  (1) Auditory training: sound stimulation. Let the patient listen to radio, music, and newspaper reading twice a day for 20 min each time to stimulate thinking and improve comprehension of language.  (2) Gesture training: stimulate comprehension through gestures that are more familiar to the patient. Such as drinking water, the nurse or family members do the drinking action, let the patient imitate and repeat, 9 patients can basically master after 7 weeks of training, 5 patients are unstable.  (3) Physical stimulation: let the patients say the names of the physical objects they see, and the nurse can remind them appropriately for repeated training.  (4) Memory training: Patients were asked to recall impressive past events, and most of the patients in this group cooperated positively and answered correctly to these questions.  (5) Interest training: Starting from patients’ interests, such as playing mahjong, singing, chess, etc., which are often easily accepted by patients because of their deep memories.  (3) Rehabilitation training for complete aphasia Patients with complete aphasia have almost complete loss of language function, their comprehension and oral expression ability are severely impaired, and generally only produce monotone sounds. Training should focus on listening and comprehension, supplemented by speech training. These patients are sensitive to eyes, tone, expressions and gestures, so they should be trained mainly in non-verbal communication, such as opening the mouth for drinking, eating, eating fruits, closing the eyes for sleeping, pointing to the commode for urinating and defecating, and making the sounds of “eat”, “drink” and “urinate”. “After 7 weeks of training, the patients in this group were able to express their basic needs with simple words and simple body language.  In conclusion, the above training methods require patient guidance of medical staff and close cooperation of patients’ families; standardized training methods have obvious effects on the rehabilitation of aphasic patients and alleviate their pain.