Constraint-induced aphasia therapyを実施した慢性期Broca失語症患者の1例

Constraint-induced Aphasia Therapy in a Case of Chronic Broca's Aphasia

Constraint-induced aphasia therapy (CIAT) is becoming increasingly popular worldwide. It is based on the theory of CI therapy, which is supported by considerable evidence as being useful for rehabilitation after stroke. The CIAT-II protocol (Johnson et al., 2015) was modified to a Japanese version, consisting of intensive training using five expressive language exercises, with shaping and a transfer package for 3 hr/day for 15 consecutive weekdays. We assessed outcomes using the Standard Language Test of Aphasia (SLTA) and Verbal Activity Log (VAL) before and after therapy. We confirmed some improvements in language function using the SLTA and remarkable improvement in VAL amount-of-use scores. Language function and communication skills can be improved using CIAT in patients with chronic aphasia, based on their language function evaluation. The present findings suggest that CIAT might be effective as speech therapy for Japanese patients with chronic aphasia.

Constraint-induced aphasia therapy (CIAT) is becoming increasingly popular worldwide. It is based on the theory of CI therapy, which is supported by considerable evidence as being useful for rehabilitation after stroke. The CIAT-II protocol (Johnson et al., 2015) was modified to a Japanese version, consisting of intensive training using five expressive language exercises, with shaping and a transfer package for 3 hr/day for 15 consecutive weekdays. We assessed outcomes using the Standard Language Test of Aphasia (SLTA) and Verbal Activity Log (VAL) before and after therapy. We confirmed some improvements in language function using the SLTA and remarkable improvement in VAL amount-of-use scores. Language function and communication skills can be improved using CIAT in patients with chronic aphasia, based on their language function evaluation. The present findings suggest that CIAT might be effective as speech therapy for Japanese patients with chronic aphasia.