CN104598758A - System and method for evaluating hearing-speech rehabilitation training and curative effect of patients with post-stroke dysarthria - Google Patents
System and method for evaluating hearing-speech rehabilitation training and curative effect of patients with post-stroke dysarthria Download PDFInfo
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Abstract
The invention provides a system for evaluating hearing-speech rehabilitation training and curative effect of patients with post-stroke dysarthria and a device thereof. The system comprises a patient selecting module (1), an effect evaluating module (2), a training module (3) and a clinical curative effect evaluating module (4). The invention also provides a method for evaluating hearing-speech rehabilitation training and curative effect of patients with post-stroke dysarthria. The method comprises the following steps: selecting patients with post-stroke dysarthria, evaluating before training, training language, evaluating after training and evaluating clinical curative effect. The system and the method are used for training pronunciation and reading in hearing-speech rehabilitation treatment of the patients with post-stroke dysarthria, providing curative effect evaluation, improving pronunciation accuracy degree and continuous pronunciation coordination ability of the patients, subdividing treatment grades according to different conditions of the patients, making individual training schemes and improving pertinence, relieving working strength of hearing-speech rehabilitation therapists and effectively improving the working efficiency and the individual treatment training effect.
Description
Technical field
The present invention relates to medical rehabilitation technical field, particularly relate to the training of a kind of post-stroke dysarthric patient speech rehabilitation and curative effect evaluation system and method.
Background technology
Language is that the mankind express thoughts, transmission of information, the human communication of participation society a significant capability.It reaches the ability of interchange by using symbol, is the result of complicated neuropsychological activity, and the routine set up according to language society realizes.Symbol comprises oral with written and posture, as gesture, expression etc., thereby produces understanding, imports into, expresses, spreads out of four kinds of basic language performance modes.Speech refers to oracy, is that individuality utilizes language to carry out the active procedure of communicating, needs the coordinated movement of various economic factors of lip and tongue.
Dysarthrosis (articulation disorders) refers to that the exception due to the nervimuscular pathology of vocal organs or structure makes sounding, pronunciation, sympathetic response, the rhythm extremely.Show as dysphonia, cacoepy, to sting word unclear, the change of the sound, tone and the speech audition feature such as the exception such as speed, the rhythm and pace of moving things and Hypernasality.Say time serious that partial, language do not form a complete sentence, and are difficult to understand, completely mute time the most serious, there is alalia.
Under the cerebral cortex of Patients with Post Stroke, cortex, capsula interna, corona radiata, brain stem, cerebellum by for a long time, all can there is dysarthrosis.At present, dysarthric Pathological Physiology is not clear.The research display of Urban etc., Patients with Lacunar Infarction beyond cerebellum, block cortex brain stem tongue path and have important meaning to dysarthric generation, electrophysiologic study all show core connects impaired, for bilateral cortex brain stem tongue fiber is abnormal, or ipsilateral cortex brain stem tongue fiber and cortex brain stem actinal surface fiber abnormal.In patients with cerebral apoplexy, dysarthrosis is very common, has its incidence of disease of report to be 8-30%.
For the sings and symptoms that patients with cerebral apoplexy clinical signs is disposable or permanent brain disorder.Wherein, most post-stroke dysarthric patient there will be verbal exposition obstacle, its main manifestations is: pronounce smudgy, sound is female cannot organically combine, and clearly cannot express tone, often needs for this type of patient the speech phonation coordination ability improving them by the mode of intervening.
At present, a set of hearing speech rehabilitation system based on adult has been invented by acoustics institute of Chinese Academy of Sciences East Sea research station, this system mainly for be because hearing loss causes disfluency patient.The disfluency caused due to hearing loss causes the pathogenesis of disfluency different from cerebral apoplexy, and the former brain speech function perfects, and the latter to be brain there is organic damage, brain need be carried out and reinvent.Whether this cover rehabilitation system also not mentionedly has rehabilitation efficacy to post-stroke dysarthric patient.
At home and abroad all be studied for the dysarthric system and method for training, dutch royal PHILIPS Co. provides the system and method for the dysarthric speaker of a kind of training based on computer system at the patent CN101454816A that China applies for, wherein this system requirements (101) patient sends the pronunciation of display word on a monitor, automatic evaluation (104,105) voice quality, and use suitable device to feed back (106) voice quality to improve or worsen.The training system that this patent provides and method are comparatively applicable to external language pronouncing feature, and are not suitable for the language pronouncing speciality of Chinese.Chinese patent CN103405217A discloses a kind of dysarthrosis multi-dimensional measuring system based on real-time structure sound modeling technique, and this system comprises: voice-input unit, and it is for inputting the speech data of Water demand; Judgement unit, it judges the Voice and unvoice type of speech data; Analytic unit, it is according to Voice and unvoice type-collection and the parameters,acoustic of analyzing speech data; Cutting unit, it is split speech data according to parameters,acoustic, generates voice segments; Indexing unit, it marks the voice segments after segmentation according to parameters,acoustic, obtains measurement result.This patent mainly for the dysarthrosis multi-dimensional measuring system that the language pronouncing speciality of Chinese is developed, but only carries out being separated, extracting and analyzing for Voice and unvoice type, and the comprehensive Chinese language rehabilitation for dysarthric patient also exists a definite limitation.
Summary of the invention
The present invention solves the aforementioned problems in the prior proposition.
An object of the present invention is to provide the training of a kind of post-stroke dysarthric patient speech rehabilitation and curative effect evaluation system.
Another object of the present invention is to provide a kind of device comprising the training of above-mentioned post-stroke dysarthric patient speech rehabilitation and curative effect evaluation system.
Also object of the present invention is to provide the method for the training of a kind of post-stroke dysarthric patient speech rehabilitation and curative effect evaluation.
For achieving the above object, the present invention is by the following technical solutions:
First aspect of the present invention is to provide the training of a kind of post-stroke dysarthric patient speech rehabilitation and curative effect evaluation system, and described system comprises: patient selects module (1), effect assessment module (2), training module (3), evaluation of clinical curative effect module (4); Wherein,
Described patient selects module (1), for classifying to patient and filtering out the patient of applicable described systematic training;
Described effect assessment module (2), does the front pronunciation evaluation of instruction and the rear pronunciation evaluation of instruction, to determine difference before and after the dysarthric order of severity and training for selected patient; Wherein, quantum evaluation comprises initial consonant evaluation (21), simple or compound vowel of a Chinese syllable evaluation (22), tone evaluation (23);
Described training module (3), for carrying out speech training to selected patient;
Described evaluation of clinical curative effect module (4), for the data analysis process in described effect assessment module (3), to judge rehabilitation effect, this rehabilitation effect is divided into effective, effective, invalid:
Effective: in statistical significance, assess accuracy before training later evaluation accuracy and training and compare, be greater than 15%;
Effective: in statistical significance, assess accuracy before training later evaluation accuracy and training and compare, between 5%-15%;
Invalid: to assess accuracy before training later evaluation accuracy and training and compare, no statistical significance result, or be less than 5%.
In a preferred version of said system, described patient selects module (1) to comprise further:
Enter group standard (11), for determining the condition being suitable for patient, entering set condition and comprising: 18 years old-85 years old post-stroke dysarthric patient;
Exclusion standard (12), for determining patient's exclusiveness, i.e. every patient's this system inapplicable meeting any one condition following, even if meet into group standard (11):
I () is not inconsistent and is incorporated into group standard person;
(ii) clouded in mind or cognition dysfunction person;
(iii) hemorrhagic disease and high fever patient is had;
(iv) acute infectious disease stage of attack person;
V () suffers from cancer or malignant tumour person;
(vi) women is period of gestation person;
(vii) other can not tolerate and use this system person;
Rejecting standard (13), for rejecting selected patient, namely selected patient is in this systematic training process of use, meets following condition person, then must stop at once using this systematic training:
I (), at training period, does not use this system by regulation, cannot judge effect, or effect or security judgement person are tested in the not congruent impact of data;
(ii) there is blood pressure, heart rate, adnormal respiration and can not resistance to receptor during test;
(iii) a variety of causes causes other systemic disease of whole body and is not suitable for the person of proceeding;
(iv) diagnosis is not suitable with the patient of this systematic training in the training process.
In a preferred version of said system, described effect assessment module (2) comprises further:
Initial consonant evaluates (21), by the pronunciation evaluation to patient's initial consonant, determines the coordinated movement of various economic factors situation of patient's lips and teeth tongue position;
Simple or compound vowel of a Chinese syllable evaluates (22), by the pronunciation evaluation to patient's simple or compound vowel of a Chinese syllable, determines coordinated movement of various economic factors situation and the sympathetic response situation of patient's lips and teeth tongue position;
Tone evaluates (23), by the pronunciation evaluation to patient's tone, determines that patient is to current-controlled situation.
In a preferred version of said system, described training module (3) comprises further:
Elementary training (31), for dysarthrosis severe patient, train from the most basic Chinese speech pronunciation, reinvent vocal organs function, this elementary training (31) comprises the pronunciation correction training of single vowel, simple two simple or compound vowel of a Chinese syllable, simple initial consonant;
Intermediate training (32), for the heavier patient of dysarthrosis, this intermediate training (32) comprises composite vowel pronunciation training, as big uncork simple or compound vowel of a Chinese syllable such as forward and backward nasal sound, and obscures the training of initial consonant pronunciation correction, as flat tongue sticking up initial consonant;
Advanced training (33), for the lighter patient of dysarthrosis, this advanced training (33) comprises composite vowel training, as little opening composite vowel ia, iang, ian etc., initial consonant j, q, x, r, and training tone;
Combined training (34), for dysarthric patient pronunciation combined training, to train patient to speak continuously the coordinated movement of various economic factors of the organ in process, this combined training (34) comprising: the training patient root of the tongue lifts pronunciation; The pronunciation that training patient lip is closed; Training Hypernasality patient reduces the number of times pronounced through the nose; Train multiple nasal sound.
In the further preferred version of said system, after carrying out the elementary training (31) of training module (3) described in single, intermediate training (32), advanced training (33) or combined training (34), evaluated by described effect assessment module (2), to judge whether to carry out refreshment or train across level.More preferably, the refreshment number of times of described single training is no more than 5 times; The time of described single training is no more than 30 minutes.
Second scheme of the present invention is to provide the device of the training of a kind of post-stroke dysarthric patient speech rehabilitation and curative effect evaluation, and described device comprises the system of post-stroke dysarthric patient speech rehabilitation as above training and curative effect evaluation.
3rd aspect of the present invention is to provide the method for the training of a kind of post-stroke dysarthric patient speech rehabilitation and curative effect evaluation, said method comprising the steps of: the dysarthric patient of post-stroke selects, instruct front assessment, speech training, instruction later evaluation, evaluation of clinical curative effect; Wherein,
The dysarthric patient of described post-stroke selects to comprise: enter group standard (11), exclusion standard (12) as defined above, reject standard (13);
The quantum evaluation of assessment before described instruction, instruction later evaluation comprises: initial consonant evaluation (21) as defined above, simple or compound vowel of a Chinese syllable evaluation (22), tone evaluation (23);
Described speech training comprises: elementary training (31) as defined above, intermediate training (32), advanced training (33) or combined training (34);
The score data of described evaluation of clinical curative effect to the quantum evaluation of assessment before described instruction, instruction later evaluation carries out analyzing and processing, and to judge rehabilitation effect, this rehabilitation effect is divided into effective, effective, invalid:
Effective: in statistical significance, assess accuracy before training later evaluation accuracy and training and compare, be greater than 15%;
Effective: in statistical significance, assess accuracy before training later evaluation accuracy and training and compare, between 5%-15%;
Invalid: to assess accuracy before training later evaluation accuracy and training and compare, no statistical significance result, or be less than 5%.
The present invention is used for the pronunciation of post-stroke dysarthric patient in speech rehabilitation treatment and reads aloud training, and improve patient and to speak effort, tone, volume sharply change, with the pronunciation order of accuarcy improving patient and the coordination ability of pronouncing continuously.
The present invention adopts technique scheme, compared with prior art, has following technique effect:
The present invention reads aloud training for training the pronunciation of post-stroke dysarthric patient in speech rehabilitation treatment, and provides therapeutic evaluation, improves patient and to pronounce the coordination ability of order of accuarcy and pronunciation continuously; According to patient's different state of an illness segmentation treatment grade, formulate personalized training program, strengthen specific aim; Alleviate the working strength of speech rehabilitation therapist, effectively increase work efficiency and the training effect of individual treatment.
Accompanying drawing explanation
Fig. 1 is the composition frame chart of post-stroke dysarthric patient speech rehabilitation of the present invention training and curative effect evaluation system;
Fig. 2 is the execution FB(flow block) of the method for post-stroke dysarthric patient speech rehabilitation of the present invention training and curative effect evaluation;
Fig. 3 is the speech training process flow diagram of post-stroke dysarthric patient speech rehabilitation of the present invention training and curative effect evaluation system.
Embodiment
Carry out detailed and concrete introduction below by specific embodiment to the present invention, to make better to understand the present invention, but following embodiment does not limit the scope of the invention.
Fig. 1 shows the composition frame chart of post-stroke dysarthric patient speech rehabilitation of the present invention training and curative effect evaluation system, and described system comprises: patient selects module (1), effect assessment module (2), training module (3), evaluation of clinical curative effect module (4); Wherein,
Described patient selects module (1), and for classifying to patient and filtering out the patient of applicable described systematic training, described patient selects module (1) to comprise further:
Enter group standard (11), for determining the condition being suitable for patient, entering set condition and comprising: 18 years old-85 years old post-stroke dysarthric patient;
Exclusion standard (12), for determining patient's exclusiveness, i.e. every patient's this system inapplicable meeting any one condition following, even if meet into group standard (11):
I () is not inconsistent and is incorporated into group standard person;
(ii) clouded in mind or cognition dysfunction person;
(iii) hemorrhagic disease and high fever patient is had;
(iv) acute infectious disease stage of attack person;
V () suffers from cancer or malignant tumour person;
(vi) women is period of gestation person;
(vii) other can not tolerate and use this system person;
Rejecting standard (13), for rejecting selected patient, namely selected patient is in this systematic training process of use, meets following condition person, then must stop at once using this systematic training:
I (), at training period, does not use this system by regulation, cannot judge effect, or effect or security judgement person are tested in the not congruent impact of data;
(ii) there is blood pressure, heart rate, adnormal respiration and can not resistance to receptor during test;
(iii) a variety of causes causes other systemic disease of whole body and is not suitable for the person of proceeding;
(iv) diagnosis is not suitable with the patient of this systematic training in the training process;
Described effect assessment module (2), does the front pronunciation evaluation of instruction and the rear pronunciation evaluation of instruction, to determine difference before and after the dysarthric order of severity and training for selected patient; Wherein, described effect assessment module (2) comprises further:
Initial consonant evaluates (21), by the pronunciation evaluation to patient's initial consonant, determines the coordinated movement of various economic factors situation of patient's lips and teeth tongue position;
Simple or compound vowel of a Chinese syllable evaluates (22), by the pronunciation evaluation to patient's simple or compound vowel of a Chinese syllable, determines coordinated movement of various economic factors situation and the sympathetic response situation of patient's lips and teeth tongue position;
Tone evaluates (23), by the pronunciation evaluation to patient's tone, determines that patient is to current-controlled situation;
Described training module (3), for carrying out speech training to selected patient, described training module (3) comprises further:
Elementary training (31), for dysarthrosis severe patient, train from the most basic Chinese speech pronunciation, reinvent vocal organs function, this elementary training (31) comprises the pronunciation correction training of single vowel, simple two simple or compound vowel of a Chinese syllable, simple initial consonant;
Intermediate training (32), for the heavier patient of dysarthrosis, this intermediate training (32) comprises composite vowel pronunciation training, as big uncork simple or compound vowel of a Chinese syllable such as forward and backward nasal sound, and obscures the training of initial consonant pronunciation correction, as flat tongue sticking up initial consonant;
Advanced training (33), for the lighter patient of dysarthrosis, this advanced training (33) comprises composite vowel training, as little opening composite vowel ia, iang, ian etc., initial consonant j, q, x, r, and training tone;
Combined training (34), for dysarthric patient pronunciation combined training, to train patient to speak continuously the coordinated movement of various economic factors of the organ in process, this combined training (34) comprising: the training patient root of the tongue lifts pronunciation; The pronunciation that training patient lip is closed; Training Hypernasality patient reduces the number of times pronounced through the nose; Train multiple nasal sound;
Described evaluation of clinical curative effect module (4), for the data analysis process in described effect assessment module (3), to judge rehabilitation effect, this rehabilitation effect is divided into effective, effective, invalid:
Effective: in statistical significance, assess accuracy before training later evaluation accuracy and training and compare, be greater than 15%;
Effective: in statistical significance, assess accuracy before training later evaluation accuracy and training and compare, between 5%-15%;
Invalid: to assess accuracy before training later evaluation accuracy and training and compare, no statistical significance result, or be less than 5%.
Fig. 2 shows the execution FB(flow block) of the method for post-stroke dysarthric patient speech rehabilitation of the present invention training and curative effect evaluation, said method comprising the steps of: the dysarthric patient of post-stroke selects the front effect assessment module (2) of module (1), instruction, speech training module (3), instruction rear effect evaluation module (2), evaluation of clinical curative effect module (4); Wherein,
The dysarthric patient of described post-stroke selects module (1) to comprise: enter group standard (11), exclusion standard (12) as defined above, reject standard (13);
Before described instruction, after effect assessment module (2), instruction, the quantum evaluation of effect evaluation module (2) comprising: initial consonant evaluation (21) as defined above, simple or compound vowel of a Chinese syllable evaluation (22), tone evaluation (23);
Described speech training module (3) comprising: elementary training (31) as defined above, intermediate training (32), advanced training (33) or combined training (34);
The score data of described evaluation of clinical curative effect module (4) to the quantum evaluation of assessment before described instruction, instruction later evaluation carries out analyzing and processing, and to judge rehabilitation effect, this rehabilitation effect is divided into effective, effective, invalid:
Effective: in statistical significance, assess accuracy before training later evaluation accuracy and training and compare, be greater than 15%;
Effective: in statistical significance, assess accuracy before training later evaluation accuracy and training and compare, between 5%-15%;
Invalid: to assess accuracy before training later evaluation accuracy and training and compare, no statistical significance result, or be less than 5%.
Fig. 3 shows the speech training process flow diagram of post-stroke dysarthric patient speech rehabilitation of the present invention training and curative effect evaluation system.
As shown in Figure 3, patient carries out the elementary training (31) of training module (3) described in single, intermediate training (32), advanced training (33) or combined training (34), described elementary training (31), intermediate training (32), advanced training (33) comprises simple or compound vowel of a Chinese syllable training, initial consonant is trained, training tone, described combined training (34) comprises anteposition and assembles, rear position is assembled, nasal sound is low, nasal sound is excited, evaluated by described effect assessment module (2) after word training, to judge whether to carry out refreshment or train across level, or carry out the training of fresh content.More preferably, the refreshment number of times of described single training is no more than 5 times; The time of described single training is no more than 30 minutes; Time complete or content complete after terminate training.In the training process, need to judge whether patient occurs fatigue, be weary of, negative emotions or the full situation of training burden, if judge to occur one of above-mentioned situation, then stop training, carry out next refreshment, do not occur if judge, then proceed training or refreshment.
The present invention reads aloud training for training the pronunciation of post-stroke dysarthric patient in speech rehabilitation treatment, and provides therapeutic evaluation, improves patient and to pronounce the coordination ability of order of accuarcy and pronunciation continuously; According to patient's different state of an illness segmentation treatment grade, formulate personalized training program, strengthen specific aim; Alleviate the working strength of speech rehabilitation therapist, effectively increase work efficiency and the training effect of individual treatment.
Be described in detail specific embodiments of the invention above, but it is just as example, the present invention is not restricted to specific embodiment described above.To those skilled in the art, any equivalent modifications that the present invention is carried out and substituting also all among category of the present invention.Therefore, equalization conversion done without departing from the spirit and scope of the invention and amendment, all should contain within the scope of the invention.
Claims (9)
1. a post-stroke dysarthric patient speech rehabilitation training and curative effect evaluation system, it is characterized in that, described system comprises: patient selects module (1), effect assessment module (2), training module (3), evaluation of clinical curative effect module (4); Wherein,
Described patient selects module (1), for classifying to patient and filtering out the patient of applicable described systematic training;
Described effect assessment module (2), does the front pronunciation evaluation of instruction and the rear pronunciation evaluation of instruction, to determine difference before and after the dysarthric order of severity and training for selected patient; Wherein, quantum evaluation comprises initial consonant evaluation (21), simple or compound vowel of a Chinese syllable evaluation (22), tone evaluation (23);
Described training module (3), for carrying out speech training to selected patient;
Described evaluation of clinical curative effect module (4), for the data analysis process in described effect assessment module (3), to judge rehabilitation effect, this rehabilitation effect is divided into effective, effective, invalid:
Effective: in statistical significance, assess accuracy before training later evaluation accuracy and training and compare, be greater than 15%;
Effective: in statistical significance, assess accuracy before training later evaluation accuracy and training and compare, between 5%-15%;
Invalid: to assess accuracy before training later evaluation accuracy and training and compare, no statistical significance result, or be less than 5%.
2. system according to claim 1, is characterized in that, described patient selects module (1) to comprise further:
Enter group standard (11), for determining the condition being suitable for patient, entering set condition and comprising: 18 years old-85 years old post-stroke dysarthric patient;
Exclusion standard (12), for determining patient's exclusiveness, i.e. every patient's this system inapplicable meeting any one condition following, even if meet into group standard (11):
I () is not inconsistent and is incorporated into group standard person;
(ii) clouded in mind or cognition dysfunction person;
(iii) hemorrhagic disease and high fever patient is had;
(iv) acute infectious disease stage of attack person;
V () suffers from cancer or malignant tumour person;
(vi) women is period of gestation person;
(vii) other can not tolerate and use this system person;
Rejecting standard (13), for rejecting selected patient, namely selected patient is in this systematic training process of use, meets following condition person, then must stop at once using this systematic training:
I (), at training period, does not use this system by regulation, cannot judge effect, or effect or security judgement person are tested in the not congruent impact of data;
(ii) there is blood pressure, heart rate, adnormal respiration and can not resistance to receptor during test;
(iii) a variety of causes causes other systemic disease of whole body and is not suitable for the person of proceeding;
(iv) diagnosis is not suitable with the patient of this systematic training in the training process.
3. system according to claim 1, is characterized in that, described effect assessment module (2) comprises further:
Initial consonant evaluates (21), by the pronunciation evaluation to patient's initial consonant, determines the coordinated movement of various economic factors situation of patient's lips and teeth tongue position;
Simple or compound vowel of a Chinese syllable evaluates (22), by the pronunciation evaluation to patient's simple or compound vowel of a Chinese syllable, determines coordinated movement of various economic factors situation and the sympathetic response situation of patient's lips and teeth tongue position;
Tone evaluates (23), by the pronunciation evaluation to patient's tone, determines that patient is to current-controlled situation.
4. system according to claim 1, is characterized in that, described training module (3) comprises further:
Elementary training (31), for dysarthrosis severe patient, train from the most basic Chinese speech pronunciation, reinvent vocal organs function, this elementary training (31) comprises the pronunciation correction training of single vowel, simple two simple or compound vowel of a Chinese syllable, simple initial consonant;
Intermediate training (32), for the heavier patient of dysarthrosis, this intermediate training (32) comprises composite vowel pronunciation training, as big uncork simple or compound vowel of a Chinese syllable such as forward and backward nasal sound, and obscures the training of initial consonant pronunciation correction, as flat tongue sticking up initial consonant;
Advanced training (33), for the lighter patient of dysarthrosis, this advanced training (33) comprises composite vowel training, as little opening composite vowel ia, iang, ian etc., initial consonant j, q, x, r, and training tone;
Combined training (34), for dysarthric patient pronunciation combined training, to train patient to speak continuously the coordinated movement of various economic factors of the organ in process, this combined training (34) comprising: the training patient root of the tongue lifts pronunciation; The pronunciation that training patient lip is closed; Training Hypernasality patient reduces the number of times pronounced through the nose; Train multiple nasal sound.
5. system according to claim 4, it is characterized in that, after carrying out the elementary training (31) of training module (3) described in single, intermediate training (32), advanced training (33) or combined training (34), evaluated by described effect assessment module (2), to judge whether to carry out refreshment or train across level.
6. system according to claim 5, is characterized in that, the refreshment number of times of described single training is no more than 5 times.
7. system according to claim 5, is characterized in that, the time of described single training is no more than 30 minutes.
8. a device for the training of post-stroke dysarthric patient speech rehabilitation and curative effect evaluation, is characterized in that, described device comprises the system of post-stroke dysarthric patient speech rehabilitation according to claim 1 training and curative effect evaluation.
9. the method for a post-stroke dysarthric patient speech rehabilitation training and curative effect evaluation, it is characterized in that, said method comprising the steps of: the dysarthric patient of post-stroke selects, instruct front assessment, speech training, instruction later evaluation, evaluation of clinical curative effect; Wherein,
The dysarthric patient of described post-stroke selects to comprise: enter group standard (11), exclusion standard (12) as defined above, reject standard (13);
The quantum evaluation of assessment before described instruction, instruction later evaluation comprises: initial consonant evaluation (21) as defined above, simple or compound vowel of a Chinese syllable evaluation (22), tone evaluation (23);
Described speech training comprises: elementary training (31) as defined above, intermediate training (32), advanced training (33) or combined training (34);
The score data of described evaluation of clinical curative effect to the quantum evaluation of assessment before described instruction, instruction later evaluation carries out analyzing and processing, and to judge rehabilitation effect, this rehabilitation effect is divided into effective, effective, invalid:
Effective: in statistical significance, assess accuracy before training later evaluation accuracy and training and compare, be greater than 15%;
Effective: in statistical significance, assess accuracy before training later evaluation accuracy and training and compare, between 5%-15%;
Invalid: to assess accuracy before training later evaluation accuracy and training and compare, no statistical significance result, or be less than 5%.
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