| Objective To explore the effect of listening zhidiao tone in the five elements music together with language training on the stroke patients with aphasia.Method According to Diagnosis and reception standardization,63 subjects of stroke patients with aphasia were randomly divided into three groups,one was zhidiao music group:the language training with listening to the zhidiao music,one was west music group:the language training with listening to the west music,and the other was the control group:simple language training. Four weeks after the intervention, respectively using the scale devised by the China rehabilitation research centre called {the "Chinese Rehabilitation Research Center Standard Aphasia Examination (CRRCAE)} to evaluate the lingual function of the patients, the scale of clinical neurologic deficit of stroke patient to evaluate the neural function defect,and the Stroke Aphasic Depression Questionnaire Hospital Version(SADQ—H) to evaluate depression in patiens with poststroke aphasia, to see the variance of scores of language function,the neural function defect and depression in the three groups patients before and after intervention.Result1.Lingual functionThe three groups in the correction rate of CRRCAE are no significant difference before the intervention (P> 0.05), But after the intervention they had different degree increastion. The correction rate of repeating in CRRCAE were significant better in zhidiao music group than in west music group (P<0.05),the correction rate of listening, repeating and speaking in CRRCAE were also significant better in zhidiao music group than in control group (P<0.05),and the correction rate of listening and phonating were significant differences in west music group than in control group (P<0.05).Compared with enrollment, three groups in the five correct answer rate of comprehension, repeating,speaking, phonating, reading were improved in different degrees. There were significant differences of the CRRCAE sub item correct answer rate in comprehension, repeating,speaking, phonating, reading in the zhidiao music group after the test compared to before(P< 0.01), but there were no significant group differences in transcribing, depicting, dictating and counting before and after course of treatment (P> 0.05);There were significant differences of the CRRCAE sub item correct answer rate in comprehension, repeating.speaking, phonating, reading in the western music group after the test compared to before(P< 0.01), but there were no significant group differences in transcribing, depicting, dictating and counting before and after the course of treatment (P> 0.05);There were significant differences of the CRRCAE sub item correct answer rate in comprehension, repeating.speaking, phonating, reading in the control group after the test compared to before (P< 0.05), or the CRRCAE sub item correct answer rate in speaking, and reading (P< 0.01), although there was increasing trend in other sub item, but no significant difference (P> 0.05).2. Nerve function defectThere were not significant difference in neural function defect score before and after the intervention among groups(P> 0.05), but after the intervention, three groups of clinical function defect score decreased, there was significant difference compared with enrollment (P< 0.01)in three group respectively.3. Depression moodThe scores of depression scale SADQ before the intervention showed that stroke patients with aphasia had severe depression of psychological status, but no significant difference among three groups (P> 0.05); After the intervention, depressed mood scores of three groups decreased significantly (P< 0.01), zhidiao music group experienced less depressed mood compared with the control group, there was significant difference between them (P< 0.01). There were also significant difference between western music group and control group (P< 0.05).4. Clinical curative effectAccording the Ridit analysis, the clinical curative effect was significantly better in the zhidiao music group than in the western music group or in the control group (P<0.05).Conclusion zhidiao music combined with language training intervention in stroke patients with aphasia can promote patient language function improvement, can improve the patients’listening comprehension and oral expression ability, and the intervention effect in stroke patients with aphasia was obviously superior to the western music, relatively better than simple language training.In addition listening to music but also can improve the depression state, improve compliance and enthusiasm of language training, so as to promote the rehabilitation of language function. Listening to music had positive effect on the stroke patient with aphasia, it is worth popularizing.Conclusion Zhidiao music combined with language training intervention in stroke patients with aphasia, can contribute to the improvement of language function in patients, and help to improve the patient’s auditory comprehension and oral expression ability;And also can improve the patients’ depression status, and improve compliance and enthusiasm of language training, so as to promote the rehabilitation of the language function;The clinical curative effect was significantly better in the zhidiao music group than in the western music group or in the control group. Listen to zhidiao music had a positive role in language rehabilitation in stroke patients with aphasia, and worthy of further promotion and application. |
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