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SLT 联合神经肌肉电刺激是否能提高脑卒中后失语症患者的命名恢复?一项荟萃分析和系统评价。

Does SLT combined with NIBS enhance naming recovery in post-stroke aphasia? A meta-analysis and systematic review.

机构信息

College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China.

National-Local Joint Engineering Research Center of Rehabilitation Medicine Technology, Fujian University of Traditional Chinese Medicine, Fuzhou, China.

出版信息

NeuroRehabilitation. 2024;54(4):543-561. doi: 10.3233/NRE-240065.

DOI:10.3233/NRE-240065
PMID:38875053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11307008/
Abstract

BACKGROUND

Non-invasive brain stimulation has been widely used as an adjunctive treatment for aphasia following stroke.

OBJECTIVE

The aim of this study was to investigate the effect of non-invasive brain stimulation as an adjunctive treatment on naming function in aphasia following stroke.

METHODS

This review included randomized controlled trials (RCTs) involving 5 databases (Web of Science, Embase, Cochrane Library, OVID and PubMed) that investigated the effects of electrical stimulation on stroke patients. The search included literature published up to November 2023.

RESULTS

We identified 18 studies, and the standardized mean differences (SMDs) showed that the effect sizes of TMS and tDCS were small to medium. Moreover, the treatment effects persisted over time, indicating long-term efficacy.

CONCLUSION

This study suggested that NIBS combined with speech and language therapy can effectively promote the recovery of naming function in patients with post-stroke aphasia (PSA) and that the effects are long lasting.

摘要

背景

非侵入性脑刺激已被广泛用作中风后失语症的辅助治疗方法。

目的

本研究旨在探讨非侵入性脑刺激作为辅助治疗对中风后失语症命名功能的影响。

方法

本综述纳入了涉及 5 个数据库(Web of Science、Embase、Cochrane Library、OVID 和 PubMed)的随机对照试验(RCT),研究了电刺激对中风患者的影响。检索范围包括截至 2023 年 11 月发表的文献。

结果

我们共确定了 18 项研究,标准化均数差(SMD)表明 TMS 和 tDCS 的效应量为小至中等。此外,治疗效果随时间持续存在,表明具有长期疗效。

结论

本研究表明,NIBS 联合语言治疗可有效促进中风后失语症(PSA)患者命名功能的恢复,且疗效持久。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338e/11307008/af08c6ea02d2/nre-54-nre240065-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338e/11307008/b62909734e6e/nre-54-nre240065-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338e/11307008/6c59ad9fcec0/nre-54-nre240065-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338e/11307008/bd65b3ca2269/nre-54-nre240065-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338e/11307008/65fd2e4c24b8/nre-54-nre240065-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338e/11307008/6bb7ca562874/nre-54-nre240065-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338e/11307008/af08c6ea02d2/nre-54-nre240065-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338e/11307008/b62909734e6e/nre-54-nre240065-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338e/11307008/6c59ad9fcec0/nre-54-nre240065-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338e/11307008/bd65b3ca2269/nre-54-nre240065-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338e/11307008/65fd2e4c24b8/nre-54-nre240065-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338e/11307008/6bb7ca562874/nre-54-nre240065-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/338e/11307008/af08c6ea02d2/nre-54-nre240065-g006.jpg

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