de Boissezon X, Raboyeau G, Simonetta-Moreau M, Puel M, Démonet J F, Cardebat D
CHU Toulouse, Hôpital Rangeuil, Service de Médecine Physique et Réadaptation, Toulouse, France.
Rev Neurol (Paris). 2008 May;164 Suppl 3:S45-8. doi: 10.1016/S0035-3787(08)73290-9.
Functional imaging has provided new evidence of the neurobiological impact of the treatment of aphasia, including speech therapy, through the alteration of the activated language neural network. In such a way, speech therapy has proved its impact. The role of each hemisphere is still very unclear. Some of the authors link the left-lateralisation of activations to the therapeutic improvement of language and the right-activated network to a maladaptative strategy, whereas others consider the latter as a useful compensatory network for speech disorders. Repetitive trans-cranial magnetic stimulation (rTMS), first used to determine cortical activity, is now used to directly interfere with cerebral activity. In the years to come, rTMS should be developed as an adjuvant therapy for aphasia.
功能成像通过改变激活的语言神经网络，为失语症治疗（包括言语治疗）的神经生物学影响提供了新证据。通过这种方式，言语治疗已证明其效果。每个半球的作用仍非常不清楚。一些作者将激活的左侧化与语言治疗改善联系起来，而将右侧激活网络与适应不良策略联系起来，而另一些人则认为后者是言语障碍的有用补偿网络。重复经颅磁刺激（rTMS）最初用于确定皮层活动，现在用于直接干预大脑活动。在未来几年，rTMS应发展成为失语症的辅助治疗方法。
