Vila-Nova Camila, Lucena Pedro H, Lucena Rita, Armani-Franceschi Giulia, Campbell Fernanda Q
União Metropolitana de Educação e Cultura-UNIME, Kroton and University of the State of Bahia, Avenida Luis Tarquínio Pontes, 600, Lauro de Freitas, BA, Brazil.
Bahiana School of Medicine and Public Health, Av. Dom João VI, 275, Brotas, Salvador, BA, Brazil.
Neurol Ther. 2019 Dec;8(2):411-424. doi: 10.1007/s40120-019-00149-4. Epub 2019 Aug 20.
Transcranial direct-current stimulation (tDCS) has been used to modulate and induce changes in brain function and excitability. tDCS is a promising tool for the treatment of aphasia.
To evaluate whether tDCS improves articulatory accuracy and speech production in patients with aphasia after stroke.
Twelve right-handed subjects participated in a double-blind, sham-controlled, crossover offline trial. We assessed (1) articulatory accuracy at a naming task, (2) number of words correctly produced, (3) number of syllables repeated correctly, and (4) qualitative assessment of speech. Articulatory accuracy improved when using tDCS over Broca's area in subjects with aphasia post-stroke (p ≤ 0.05). Qualitative improvement in the naming and syllable repetition tasks was observed, but the difference was not statistically significant (respectively, p = 0.15 and p = 0.79).
The current results corroborate the potential of tDCS to be used as an alternative and complementary treatment for individuals with aphasia.
经颅直流电刺激(tDCS)已被用于调节和诱导脑功能及兴奋性的变化。tDCS是一种有前景的失语症治疗工具。
评估tDCS是否能改善中风后失语症患者的发音准确性和言语产生能力。
12名右利手受试者参与了一项双盲、假刺激对照、交叉离线试验。我们评估了:(1)命名任务中的发音准确性;(2)正确说出的单词数量;(3)正确重复的音节数量;以及(4)言语的定性评估。对中风后失语症患者在布洛卡区使用tDCS时,发音准确性有所提高(p≤0.05)。在命名和音节重复任务中观察到了定性改善,但差异无统计学意义(分别为p = 0.15和p = 0.79)。
目前的结果证实了tDCS作为失语症患者替代和补充治疗方法的潜力。