中风后失语症治疗中的神经调节
Neuromodulation in post-stroke aphasia treatment.
作者信息
Breining Bonnie L, Sebastian Rajani
机构信息
Department of Neurology, Johns Hopkins University School of Medicine.
Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine.
出版信息
Curr Phys Med Rehabil Rep. 2020 Jun;8(2):44-56. doi: 10.1007/s40141-020-00257-5. Epub 2020 Feb 22.
Abstract
PURPOSE OF REVIEW
This paper aims to review non-invasive brain stimulation (NIBS) methods to augment speech and language therapy (SLT) for patients with post-stroke aphasia.
RECENT FINDINGS
In the past five years there have been more than 30 published studies assessing the effect of transcranial direct current stimulation (tDCS) and transcranial magnetic stimulation (TMS) for improving aphasia in people who have had a stroke. Different approaches to NIBS treatment have been used in post-stroke aphasia treatment including different stimulation locations, stimulation intensity, number of treatment sessions, outcome measures, type of aphasia treatment, and time post-stroke.
SUMMARY
This review of NIBS for post-stroke aphasia shows that both tDCS and TMS can be beneficial for improving speech and language outcomes for patients with stroke. Prior to translating NIBS to clinical practice, further studies are needed to determine optimal tDCS and TMS parameters as well as the mechanisms underlying tDCS and TMS treatment outcomes.
摘要
综述目的
本文旨在回顾非侵入性脑刺激（NIBS）方法，以增强中风后失语症患者的言语和语言治疗（SLT）效果。
最新研究结果
在过去五年中，已有30多项已发表的研究评估经颅直流电刺激（tDCS）和经颅磁刺激（TMS）对改善中风患者失语症的效果。在中风后失语症治疗中使用了不同的NIBS治疗方法，包括不同的刺激部位、刺激强度、治疗次数、结局指标、失语症治疗类型以及中风后的时间。
总结
对中风后失语症的NIBS综述表明，tDCS和TMS都有助于改善中风患者的言语和语言结局。在将NIBS应用于临床实践之前，需要进一步研究以确定最佳的tDCS和TMS参数以及tDCS和TMS治疗效果的潜在机制。
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