Nora Weiduschat, Alexander Thiel Stroke,2011

EFFECTS OF REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION IN APHASIC STROKE

only limited evidence is available on the efficacy of noninvasive brain stimulation such as repetitive trans cranial magnetic stimulation aimed at suppression of contralateral over activation. .Background and Purpose  Functional imaging studies suggest that recruitment of contra lesional areas hinders optimal functional re-organization in patients with aphasic stroke.

. patients received. in addition to conventional speech and language therapy. multiple sessions of repetitive transcranial magnetic stimulation either over the right-hemispheric inferior frontal gyrus (intervention group) or over the vertex (control group).Methods  The effect of 1-Hz repetitive transcranial magnetic stimulation over right-hemispheric Broca homolog in subjects with poststroke aphasia in the subacute stage was examined.  According to their group allocation.

 The clinical efficacy was evaluated with the Aachen Aphasia Test . The primary outcome parameter was the change in laterality indices as quantified by activation positron emission tomography before and after the 2-week intervention period.

the latter improved significantly clinically by a mean of 19.0165).002). .8 points in the Aachen Aphasia Test total score (P=0. which was absent in the intervention group.Results  At baseline. Furthermore. or mean Aachen Aphasia Test scores. laterality indices.  Positron emission tomography revealed an activation shift toward the right hemisphere in the control group (P=0. no group differences were discovered for age. whereas the control group did not.

 There was however no clear linear relationship between the extent of laterality shift and clinical improvement (r=0.193. P=nonsignificant). safe. and feasible complementary therapy for poststroke aphasia. .  Conclusions Repetitive transcranial magnetic stimulation might be an effective.

Julie M Baker. sham-controlled study. Issue: 3.Transcranial direct current stimulation improves naming reaction time in fluent aphasia: a double-blind. Jessica D Richardson. Julius Fridriksson. Chris RordenStroke: A Journal of Cerebral Circulation (2011) Volume: 42. Pages: 819-821 .

The current study further examined this issue in a more tightly controlled experiment in participants with fluent aphasia .Background and purpose  Previous suggest that anodal transcranial direct current stimulation (A-tDCS) applied to the left hemisphere can improve aphasic participants ability to name common objects.

. Anode electric placement targeted perilesional brain regions that showed the greatest activation on a pre treatment functional MRI scan administered during overt picture naming . 5 sessions included A-tDCS and 5 included S-tDCS.method  They examined the effect of A-tDCS on reaction time during overt picture naming in 8 chronic stroke participants. Participants received 10 sessions of computerized anomia treatment .

results  Coupling A-tDCS with behavioral language treatment reduced reaction time during naming of trained items immediately post treatment .

with behavioral language therapy are recommended. . an expensive method with no reported serious side effects.conclusion  A-tDCS adminstered during language treatment decreased processing time during picture naming by fluent aphasic participants. Additional studies combining A-tDCS .

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