keskiviikko 20. helmikuuta 2013

Etäpuheterapiaa saksaksi: "teletherapie"

Etäpuheterapia on myös jo Saksassa tutkimuksen kohteena ollut logopedinen aihealue. Saksaa osaaville etäpuheterapiasta kiinnostuneille onkin alla koontia siitä, millaisia saksankielisiä artikkeleita aiheesta on saatavilla. Saksankielisiä etäpuheterapia-artikkeleita etsittäessä soveltuvia hakusanoja voivat olla esimerkiksi:

Lisäksi saksankielisessä Wikipediassa on artikkeli etäkuntoutuksesta/-terapiasta, jossa puheterapiakin mainitaan. Mikäli keksit lisää saksankielisiä hakusanoja, joilla tietoa olisi saatavilla tai löydät listalta puuttuvia artikkeleita, vinkkaa niitä kommentoimalla kirjoitustani niin lisään uudet lähteet listalle! Kahdesta ensimmäisestä tutkimuksesta oli saatavilla myös englanninkielinen abstrakti niille, joilla ei saksan osaamista ole:

(Eckart Rupp, Simone Sünderhauf, Jürgen Tesak)
Englanninkielinen abstrakti:

Teletherapy allows supervised intervention with high frequency for out-patient rehabilitation. The presented study investigates the effectivity of supervised tele- therapy by using two cross-over designs. Initially, supervised teletherapy was com- pared versus no treatment at all. In this context, the effectivity of supervised teletherapy was proven. In a second examination a comparison between conventi- onal therapy and supervised teletherapy was carried out. For both types of therapy significant improvements in language skills have been observed. However, no significant differences between the two types of therapy and the achieved improvements have been recognized.

Störungsspezifische Sprachtherapie bei Alzheimer-Demenz
Englanninkielinen abstrakti:

Speech-language therapy for patients with Alzheimer-type dementia (AD) remains greatly unexplored. Recent studies demonstrate that language performance in progressive language disorders can be improved through therapies of word processing. However, performance deteriorates again after therapy cessation. Computer-assisted home training appears to be a reasonable complement to long-term and high-frequent speech therapy. In the present study, we evaluated the effectiveness of a newly developed computer-based speech training in a single case with AD. Our aims were to maintain or even temporarily improve the patients’ current language abilities and gain further insights into this multimodal therapy regimen. A 69-year-old male presenting with Alzheimer-type dementia performed the supervised computer-assisted training procedure at home daily for three months. The software consisted of multimodal training of word production (picture naming) and word comprehension (word/picturematching). A comparison of pre- and post-tests showed a significant improvement for overt naming of trained items. Moreover, there was some degree of improvement in language comprehension. 

Our results revealed that a deficit-oriented therapy appears to improve language abilities in patients with progressive aphasia associated with Alzheimer’s disease. Thus, this high-frequent home-training offers a feasible way to offer patients with progressive language disorders effective and long-term speech therapy. Furthermore, the software was highly motivating for the patient, since he could work against further progression of his impairments to some degree. 

Ambulante Nachsorge und sprachtherapeutische Weiterbehandlung bei Aphasikern nach stationärer Rehabilitation - Was können zusätzliche telemedizinische Angebote bringen?
(Wilfried Schupp, Christina Lederhofer, Barbara Seewald, Ingo Haase)


In einer prospektiven Vergleichsstudie soll die Effizienz telemedizinischer Online-Sprachtherapie bei neurologischen Patienten mit schwerer Aphasie überprüft werden.

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