Arya Kamal Narayan, Pandian Shanta
Department of Occupational Therapy, Pandit Deen Dayal Upadhyaya Institute for the Physically Handicapped, 4 VD Marg, New Delhi 110002, India.
Department of Occupational Therapy, Pandit Deen Dayal Upadhyaya Institute for the Physically Handicapped, 4 VD Marg, New Delhi 110002, India.
J Bodyw Mov Ther. 2014 Oct;18(4):566-8. doi: 10.1016/j.jbmt.2014.02.005. Epub 2014 Mar 2.
Broca's aphasia is the most challenging communication deficit in stroke. Left inferior frontal gyrus (IFG), a key region of the mirror-neuron system, gets lesioned in Broca's aphasia. Mirror therapy (MT), a form of action-observation, may trigger the mirror neurons. The aim of this study was to report a case of poststroke subject with Broca's aphasia, who exhibited an inadvertent and significant improvement in speech after MT for the paretic upper limb. The 20-month old stroke patient underwent MT through goal-directed tasks. He received a total absence of spontaneous speech, writing, and naming. After 45 sessions of task-based MT for the upper limb, he showed tremendous recovery in expressive communication. He had fluent and comprehensive communication; however, with a low pitch and minor pronunciation errors. He showed a substantial change (from 18/100 to 79/100) on the Communicative Effective Index, particularly, on items such as expressing emotions, one-to-one conversation, naming, and spontaneous conversation.
布罗卡失语症是中风中最具挑战性的沟通障碍。左额下回（IFG）是镜像神经元系统的关键区域，在布罗卡失语症中会受到损伤。镜像疗法（MT）是一种动作观察形式，可能会触发镜像神经元。本研究的目的是报告一例中风后患有布罗卡失语症的患者，该患者在对瘫痪上肢进行镜像疗法后，言语能力出现了意外且显著的改善。这位20个月大的中风患者通过目标导向任务接受了镜像疗法。他完全没有自发言语、书写和命名能力。在对上肢进行了45次基于任务的镜像疗法后，他在表达性沟通方面有了巨大恢复。他能够流畅且全面地交流；然而，语调较低且有轻微发音错误。他在沟通有效性指数上有了显著变化（从18/100提高到79/100），特别是在表达情感、一对一对话、命名和自发对话等项目上。
