| Objective: To investigate the effect of executive function training on language function of aphasia after cerebral apoplexy. Methods: A total of 60 patients with aphasia after stroke were randomly divided into control group and experimental group. The control group was given routine speech training, and the intervention group was given executive function training on the basis of the control group. The patients in the two groups were assessed before and after intervention with Western aphasia battery (WAB), Mini-mental state examination (MMSE) and executive function test. Results: The speaking and retelling scores of patients in the control group after training were significantly improved (P<0.05), the understanding and naming scores and Aphasia Quotient were not significantly improved, and the difference was not statistically significant. The scores of conversation, understanding and retelling of patients in the experimental group after training were significantly increased as compared with those before training (P<0.01), the naming score and AQ were significantly increased as compared with those before training (P<0.05). The differences were statistically significant. After training, the differences in understanding, retelling, naming and conversation scores, and AQ between the two groups were statistically significant (P<0.05). The MMSE score in the control group was not significantly improved as compared with that before training, and the difference was not statistically significant. The MMSE score of patients in the experimental group was significantly improved as compared with that before training, and the difference was statistically significant (P<0.05). After training, the improvement of MMSE score in the experimental group was significantly superior to that in the control group, and the difference was statistically significant (P<0.05). After treatment, the score of Stroop test, and Verbal fluency test animal (VFTa) score in the evaluation of executive function of patients in the control group were significantly higher than those before treatment, shown in statistics as well. The tower of London Test score, the proverb Test score, Trail Making Test A (TMT-A) score, Trail Making Test B, (TMT-B) score, and Verbal fluency test vegetable (VFTv) score showed no significant difference before and after treatment. The evaluation of executive function in the intervention group was significantly improved after therapy. The total effective rate of speech rehabilitation treatment in the intervention group was significantly higher than that in the control group (P<0.05). Conclusion: Executive function training can help resume the executive and language function of aphasia after cerebral apoplexy. |
