| Objective: To systematically evaluate the efficacy of a specialized training program using Chinese idiomatic phrases in improving language function and daily communicative abilities in patients with motor and transcortical motor aphasia. Methods: A total of 78 patients with post-stroke motor/transcortical motor aphasia admitted to the Department of Neurology, Renmin Hospital of Wuhan University were enrolled. Participants were randomized into an intervention group (n=37) and a control group (n=41) using a random number table. Both groups received standard pharmacotherapy and rehabilitation (60 min/session, twice daily), while the intervention group underwent additional 50-min daily idiomatic expression training for 2 weeks. Training materials (high-frequency idioms) were delivered via multimodal stimuli (text/images/videos), including reading aloud, repetition, and contextual application exercises. Outcomes were assessed using the Chinese Rehabilitation Research Center for Aphasia Examination (CRRCAE) and Communicative Abilities in Daily Living (CADL) scales. Results: After intervention, the listening comprehension, paraphrasing, speaking, speaking and reading scores in both groups of CRRCAE scales were higher than before intervention (P<0.01), and those in the study group were higher than the control group (P<0.01). The CADL scores of both groups were higher than before intervention (P<0.01), and those in the study group were higher than the control group (P<0.01). Conclusion: Specialized training based on idioms can effectively promote language function reconstruction in patients with post-stroke motor and transcortical motor aphasia. |
