Effectiveness of speech training combined with electrical nerve stimulation on elderly nonfluent aphasia after stroke
LI Jing
JIAO Le
HUANG Huan
ZHU Xinxing
Abstract：Objective To explore the effectiveness of the combination of speech training and electrical nerve stimulation on nonfluent aphasia after stroke in elderly patients.Methods A total of 102 elderly patients with post-stroke nonfluent aphasia admitted to our department from January 2020 to June 2024 were prospectively enrolled,and then randomly assigned into a study group(51 cases,speech training combined with electrical nerve stimulation)and a control group(51 cases,speech training only).All patients received corresponding interventions for 14 d.The differences in disease symptoms(China Rehabilitation Research Center Standard Aphasia Examination),cognitive function[Non-Language-based Cognitive Assessment(NLCA)],psychological status[Stroke Aphasia Depression Questionnaire(SADQ),Chinese version of Geriatric Anxiety Inventory-Short Form(GAI-SF)]and quality of life[Stroke Aphasia Quality of Life Scale-39(SAQOL-39g)]were compared between groups.Results After treatment,the study group demonstrated significantly higher scores in the dimensions of auditory comprehension,retelling ability,cartoon description,noun enumeration,spontaneous conversation,and reading,description,dictation and computing abilities when compared with the control group(P＜0.05,P＜0.01).Moreover,the total score of NLCA and scores of dimensions of memory,attention,execution,visual space and logical reasoning in the study group were obviously higher than those in the control group(P＜0.05,P＜0.01).Notably lower the GAI-SF score and SADQ score were observed in the study group in comparison to the control group(2.10±0.65 vs 2.45±0.72,P＜0.05;20.15±4.83 vs 23.42±4.95,P＜0.01).The total score of SAQOL-39g and the scores of dimensions of communication and psychosociology in the study group after treatment were statistically higher than those in the control group(131.90±13.78 vs 126.15±15.02,P＜0.05;24.30±2.85 vs 22.45±2.90,P＜0.01;55.30±5.80 vs 51.75±6.10,P＜0.01).Conclusion For elderly patients with nonfluent aphasia after stroke,speech training combined with electrical nerve stimulation can help alleviate the symptoms of aphasia,enhance cognitive function,relieve psychological distress,and effectively improve the quality of life.
Keywords：strokespeech therapytranscutaneous electric nerve stimulationaphasiaBroca
Publication Date：2026-03-15
Online Publishing Date：2026-03-31(First online date of this platform, not the publication date of the document)
Pages：5( 358-362 )