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Titre : | Add-on Effects of Repetitive Transcranial Magnetic Stimulation on Subacute Aphasia Therapy: Enhanced Improvement of Functional Communication and Basic Linguistic Skills. A Randomized Controlled Study (2015) |
Auteurs : | Ilona Rubi-Fessen ; Alexander Hartmann ; Walter Huber |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/11, 2015) |
Article en page(s) : | pp. 19351944 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Aphasie ; Rééducation et réadaptation ; Stimulation magnétique transcranienne |
Mots-clés: | Aphasia ; Language therapy ; Thérapie des troubles du langage ; Transcranial magnetic stimulation |
Résumé : |
Objective To determine to what extent repetitive transcranial magnetic stimulation (rTMS) combined with speech and language therapy improves functional communication and basic linguistic skills of individuals with subacute aphasia. Design Randomized, blinded, and sham-controlled study. Setting Neurologic rehabilitation hospital. Participants Participants (N=30) with subacute aphasia after stroke. Interventions During a 2-week treatment period, half of the participants received 10 sessions of 20-minute inhibitory 1-Hz rTMS over the right inferior frontal gyrus (Brodmann area 45), and the other half received sham stimulation. Directly thereafter, all the participants underwent 45 minutes of speech and language therapy. Main Outcome Measures Aachen Aphasia Test, Amsterdam-Nijmegen Everyday Language Test (ANELT), a naming screening, and subscales of the FIM, all assessed the day before and the day after treatment period. Results The participants who received real rTMS significantly improved with respect to all 10 measures of basic linguistic skills and functional communication, whereas sham-treated participants significantly improved in only 6 of 10 measures (paired t tests, P<.05 there was a significant difference in the gains made by groups on of measures including functional communication analysis variance p> Conclusions For the first time, this study has demonstrated that basic linguistic skills as well as functional communication are bolstered by combining rTMS and behavioral language therapy in patients with subacute aphasia. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315005596 |