Ma mua o ka hoʻomaka ʻana.
Ke papa asynchronous "ʻO ka hoʻoponopono hou ʻana o aphasia”Loaʻa i kēia manawa. Loaʻa iā ia ma mua o 4 mau hola o nā wikiō e pili ana i nā hōʻike hou loa, nā hoʻokipa maikaʻi loa, nā ʻōlelo aʻoaʻo no ka mālama ʻana, nā mea hoʻoiho lehulehu. Ke kūʻai ʻia, e loaʻa ka papa i ka manawa pau ʻole. ʻO 80 ke kumu kūʻai me VAT.

ʻO kekahi o nā (mau) kiko kikoʻi hiki iā mākou ke loaʻa mai ka mea hope loa ʻO Cochrane loiloi o ka aphasia post-stroke (2016) pono e ikaika i ka haʻi'ōlelo haʻi'ōlelo. I ka pōkole, ʻoi aku ka maikaʻi o nā hola ma mua o kekahi a ʻoi aku ka nui o ka hana, ʻoi aku ka maikaʻi. Eia nō naʻe, ke hoʻomaka nei mai kēia kumu, ʻaʻole maopopo leʻa ke ʻano o ka lapaʻau koʻikoʻi a ehia mau hola e pono e hoʻolilo ʻia i kēlā me kēia pule.

ʻO kahi lapaʻau koʻikoʻi, i ka ʻoiaʻiʻo, hiki i nā:


  • Nā hola he nui i ka pule no kekahi mau pule
  • Nā hola hou aku i ka lā no kahi wā pōkole

Wahi a Bhogal, Teasell and Speechley (2003) pono e koi ʻia ka hoʻomaʻamaʻa koʻikoʻi ma ka liʻiliʻi he 8 mau hola i ka pule no 2 a 3 mau mahina. Eia nō naʻe i loko o ka ʻatikala like e kuhikuhi ʻia ana he "compressed" kahi hana nui i loko o kahi wā pōkole hiki ke lawe mai i nā hualoaʻa he nui aʻe ma mua o kahi lāʻau i hoʻolaha ʻia i loko o kahi wā lōʻihi.

Ua hoʻāʻo kekahi mau mea kākau e hoʻohana i nā kinikini e helu i ka ikaika o ka lāʻau.

  • Cumulative Intervention Intensity (Warren et al., 2007): Hana1 x Ana pinepine2 x Ka lōʻihi o ke komo ʻana
  • Ka Lākiō Hoʻolaha Lapaʻau (Babbitt et al., 2015): Ka helu o nā hola o ka hoʻomaʻamaʻa i kahi papahana hoʻomaʻamaʻa i hoʻokaʻawale ʻia e ka huina o nā hola o ke kūpono kūpono.

i nā palekana protocol ua ʻike mua lākou i nā maʻa lāʻau e lawelawe ai. ʻO kēia ka hihia, ʻo kahi laʻana, o ka CIAT (Constraint-Induced Aphasia Therapy) a i ʻole ILAT (Intensive Language Action Therapy), kahi e hiki ai ke mālama i nā hola he 3-4 i ka lā no ʻelua mau pule.

Ma ka laulā, e hele ana i nā puke āpau, ʻo ka hopena wale nō i hiki ke huki ʻia ʻo ia kēlā he Frequency Dose kiʻekiʻe2 ʻoi aku ka makemake ma kahi pae mua e kiʻi i ka hoʻomaikaʻi nui loa; i kahi pae ma hope, hiki ke noʻonoʻo i ka hōʻemi ʻana i nā hālāwai e mālama ai i kēia mau hoʻomaikaʻi.

1 Hana: Ka helu o nā ʻāpana aʻo i ka wā hoʻokahi
2 ʻO ke alapine pinepine: Hāʻawi ʻia kahi manawa i kahi mahele ma ka anakahi o ka manawa (ex: i kēlā me kēia hola)

ʻia ....................

Babbitt EM, Worrall L, Cherney LR. Nā Kūlana, Nā Hana, a me nā hopena i hoʻi hou ʻia mai kahi Polokalamu Aphasia Comprehensive Intensive. Am J ʻ Spelelo Lang Pathol. 2015 Nov; 24 (4): S854-63

ʻO Bhogal SK, Teasell R, Speechley M. Ka nui o ka hoʻomaʻamaʻa aphasia, ka hopena i ka loaʻa hou. Hahau. 2003 Apr; 34 (4): 987-93.

ʻO Brady MC, Kelly H, Godwin J, Enderby P, Campbell P. ʻechlelo a me ka hoʻomaʻamaʻa ʻōlelo no ka aphasia ma hope o ka hahau ʻana. ʻO Cochrane Pūnaewele o nā Manaʻo Pūnaewele 2016, Helu 6. 

Warren SF, Fey ME, Yoder PJ. ʻImi noiʻi ikaika ʻokoʻa: kahi loulou i nalo i ka hana ʻana i nā hana kūkā kamaʻilio kūpono. ʻO Ment Retard Dev Disabil Res Rev. 2007; 13 (1): 70-7. 

Hoʻomaka ka hana pākuʻi a hoʻopaʻa i ka Enter e huli

kikowaena: Maʻiʻo ua hoomaluia !!
Aphasia: ʻo ke ala hea e koho aiLoaʻa ka disgraphia