Yaşa İbrahim Can, Maviş İlknur, Şalçini Celal, Midi İpek
Bahçeşehir University, Faculty of Health Sciences, Speech and Language Therapy Department, İstanbul, Türkiye.
Anadolu University, Faculty of Health Sciences, Speech and Language Therapy Department, Eskişehir, Türkiye.
J Stroke Cerebrovasc Dis. 2023 Jun;32(6):107108. doi: 10.1016/j.jstrokecerebrovasdis.2023.107108. Epub 2023 Apr 15.
Aphasia is an acquired language-cognitive disorder that highly affects an individual's speech, language, and communication skills. Recovery from aphasia requires attentive treatment since it is a long and dynamic process. This study aimed to show interactive benefits of combining classical intervention strategies with new technological approaches and demonstrating their effectiveness.
A total of 40 individuals with Broca's aphasia were included in the study. The participants were divided into Application-1 Speech and Language Therapy, Application-2 Transcranial Magnetic Stimulation, Application-3 (consecutive Transcranial Magnetic Stimulation and Speech and Language Therapy), and Application-4 (Control Group) experimental groups, with 10 participants in each group.
Analysis indicated that individuals in the group in which Transcranial Magnetic Stimulation and Speech and Language Therapy were applied consecutively had further increases in speech fluency, repetition, and naming scores from pre-test to post-test (p<0.01). Picture naming and quality-of-life communication scores of individuals in the group in which Speech and Language Therapy was performed increased further from pre-test to post-test (p<0.01).
The results of the study showed a positive effect on language skills, naming scores, and participation in social life of Turkish-speaking aphasic individuals with the Speech and Language Therapy and Transcranial Magnetic Stimulation methods. The use of Transcranial Magnetic Stimulation alone is insufficient in this context. Although Speech and Language Therapy alone is effective in naming ability, Transcranial Magnetic Stimulation in addition to Speech and Language Therapy significantly increases the gain obtained with therapies.
失语症是一种后天获得的语言认知障碍,对个体的言语、语言和沟通能力有很大影响。失语症的恢复需要精心治疗,因为这是一个漫长而动态的过程。本研究旨在展示将经典干预策略与新技术方法相结合的交互效益,并证明其有效性。
本研究共纳入40例布罗卡失语症患者。参与者被分为应用1言语语言治疗组、应用2经颅磁刺激组、应用3(连续经颅磁刺激和言语语言治疗)组和应用4(对照组)实验组,每组10名参与者。
分析表明,连续应用经颅磁刺激和言语语言治疗的组中,个体从测试前到测试后的言语流畅性、复述和命名分数进一步提高(p<0.01)。进行言语语言治疗的组中,个体的图片命名和生活质量沟通分数从测试前到测试后进一步提高(p<0.01)。
研究结果表明,言语语言治疗和经颅磁刺激方法对说土耳其语的失语个体的语言技能、命名分数和社会生活参与度有积极影响。在这种情况下,单独使用经颅磁刺激是不够的。虽然单独的言语语言治疗在命名能力方面有效,但除言语语言治疗外,经颅磁刺激显著提高了治疗所获得的效果。