Yoon Tae Hee, Han Soo Jeong, Yoon Tae Sik, Kim Joo Sup, Yi Tae Im
Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Department of Rehabilitation Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
NeuroRehabilitation. 2015;36(1):107-14. doi: 10.3233/NRE-141198.
To investigate the therapeutic effect of repetitive transcranial magnetic stimulation (rTMS) and speech and language therapy (SLT) on the improvement of performance on the Korean-version of the Western Aphasia Battery (K-WAB) in post-stroke non-fluent aphasic patients.
Twenty post-stroke, non-fluent aphasic patients were enrolled and assigned to one of two groups: a case group (n = 10) or a control group (n = 10). Participants were recruited from the inpatient clinic of the Physical and Rehabilitation Medicine Department of Bundang Jesaeng General Hospital from March 2011 to January 2012. The case group received rTMS and SLT and the control group received SLT; both groups received these therapies for four weeks. Language functioning was evaluated using K-WAB before and after treatment.
There were no significant differences between the groups' baseline characteristics and initial values (p > 0.05). After four weeks of therapy, there were significant improvements in repetition and naming in the case group (p < 0.05). However, there was no significant improvement in the control group (p > 0.05).
rTMS combined with SLT can be an effective therapeutic method for treating aphasia in post-stroke non-fluent aphasic patients, although additional controlled and more systemic studies should be conducted.
探讨重复经颅磁刺激（rTMS）和言语语言治疗（SLT）对改善脑卒中后非流利性失语患者韩语版西方失语成套测验（K-WAB）表现的治疗效果。
纳入20例脑卒中后非流利性失语患者，并将其分为两组：病例组（n = 10）和对照组（n = 10）。参与者于2011年3月至2012年1月从盆唐耶稣总医院物理医学与康复科住院部招募。病例组接受rTMS和SLT，对照组接受SLT；两组均接受为期四周的治疗。治疗前后使用K-WAB评估语言功能。
两组的基线特征和初始值之间无显著差异（p > 0.05）。治疗四周后，病例组的复述和命名有显著改善（p < 0.05）。然而，对照组无显著改善（p > 0.05）。
rTMS联合SLT可能是治疗脑卒中后非流利性失语患者失语症的有效治疗方法，尽管应进行更多的对照和更系统的研究。
