Abstract：
There is a long history of behavioral interventions for poststroke aphasia with hundreds of studies supporting the benefits of aphasia treatment. However, interventions for aphasia are complex with many interacting components, and no one treatment is appropriate for all persons with aphasia. We present a novel, simple framework for classifying aphasia interventions. The framework is incorporated within the overarching International Classification of Functioning, Disability, and Health (ICF) model and is consistent with the commonly-held definition that aphasia is a multimodality disorder that impairs, in varying degrees, the understanding and expression of both oral and written language modalities. Furthermore, within the language impairment level, it distinguishes between the linguistic areas of phonology, semantics, and syntax that may be impaired individually or in combination. We define the terminology of the proposed framework and then categorize some common examples of behavioral interventions for post-stroke aphasia. We describe some of these interventions in greater detail to illustrate the extensive toolbox of evidence-based treatments for aphasia. We address some key issues that clinicians, usually speech-language pathologists, consider when selecting interventions for their specific patients with aphasia, including dose. Finally, we address various models of service delivery for persons with aphasia such as Intensive Comprehensive Aphasia Programs (ICAPs) and Aphasia Centers.
摘要：
中风后失语症的行为干预有很长的历史，有数百项研究支持失语症治疗的益处。然而,失语症的干预措施是复杂的，有许多相互作用的成分，没有一种治疗方法适合所有失语症患者。我们提出了一个小说,对失语症干预措施进行分类的简单框架。该框架被纳入总体国际功能分类，残疾,和健康（ICF）模型，并且与通常的定义一致，即失语症是一种多模态障碍，在不同程度上，口头和书面语言方式的理解和表达。此外，在语言障碍水平内，它区分了语音的语言领域，语义，和可能单独或组合受损的语法。我们定义了拟议框架的术语，然后对中风后失语症的行为干预的一些常见示例进行分类。我们更详细地描述了其中一些干预措施，以说明基于证据的失语症治疗的广泛工具箱。我们解决了一些关键问题，临床医生，通常是语言病理学家，在为特定的失语症患者选择干预措施时考虑，包括剂量。最后,我们为失语症患者提供各种服务模式，如密集综合失语症计划(ICAP)和失语症中心。
