Evaluation of rTMS in patients with poststroke aphasia: a systematic review and focused meta-analysis

Gholami, Mehrnaz; Pourbaghi, Nooshin; Taghvatalab, Samaneh

doi:10.1007/s10072-022-06092-x

Cited by 12 publications

(4 citation statements)

References 48 publications

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“…Repetitive transcranial magnetic stimulation or transcranial direct current stimulation applied to the brain are neuromodulation treatments with the objective of enhancing neural pathways for different systems, including motor recovery, aphasia, and dysphagia. Their evidence is limited, 9,10 and they are not recommended by clinical guidelines for routine treatment, but research evaluating their efficacy and safety is growing. Given their complexity in administration, these treatments are typically delivered in person.…”

Section: Neuromodulationmentioning

confidence: 99%

Advances in Remote Monitoring for Stroke Recovery

Eng

Pastva

2022

Stroke

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Section: Neuromodulationmentioning

confidence: 99%

Advances in Remote Monitoring for Stroke Recovery

Eng

Pastva

2022

Stroke

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“…tDCS and repetitive TMS (rTMS) are the most commonly investigated methods of non-invasive brain stimulation in post-stroke aphasia, with only minimal investigation in motor speech disorders (e.g., [76]). Recent reviews and meta-analyses of tDCS and rTMS have shown accumulating evidence of positive effects on specific language targets, such as naming, but neither can be confidently labeled as effective/efficacious (tDCS: [23,77,78,79,80]; rTMS: [81,82,83,84]). Likewise, additional study of more functional outcomes and individuals in the subacute phase (particularly for tDCS) also is needed.…”

Section: Language Speech and Communicationmentioning

confidence: 99%

Reversing the Ruin: Rehabilitation, Recovery, and Restoration After Stroke

Stockbridge

Bunker

Hillis

2022

Curr Neurol Neurosci Rep

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Purpose of Review Stroke is a common cause of disability in aging adults. A given individual’s needs after stroke vary as a function of the stroke extent and location. The purpose of this review was to discuss recent clinical investigations addressing rehabilitation of an array of overlapping functional domains. Recent Findings Research is ongoing in the domains of movement, cognition, attention, speech, language, swallowing, and mental health. To best assist patients’ recovery, innovative research has sought to develop and evaluate behavioral approaches, identify and refine synergistic approaches that augment the response to behavioral therapy, and integrate technology where appropriate, particularly to introduce and titrate real-world complexity and improve the overall experience of therapy. Summary Recent and ongoing trials have increasingly adopted a multidisciplinary nature — augmenting refined behavioral therapy approaches with methods for increasing their potency, such as pharmaceutical or electrical interventions. The integration of virtual reality, robotics, and other technological advancements has generated immense excitement, but has not resulted in consistent improvements over more universally accessible, lower technology therapy.

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“…As a devastating condition to most stroke patients, aphasia affects nearly every social activity and interaction [4]. Current treatments focus on rehabilitation are reports of some improvement in language function, such as intensive speech and language therapy (iSLT) [5, 6], as well as low-frequency electrical stimulation therapy, repetitive transcranial magnetic stimulation (rTMS) [7], and transcranial direct current stimulation (tDCS) [8]. However, patients who reach the plateau stage have difficulty in further improving their language function [9].…”

Section: Introductionmentioning

confidence: 99%

Improvement of language function after C7 neurotomy at the intervertebral foramen in patients with chronic post-stroke aphasia: a phase I cohort study

Feng

et al. 2023

Preprint

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Background: Post-stroke aphasia is a common but intractable sequela which still needs new and more effective treatments. Evidence from follow-ups after contralateral seventh cervical nerve transfer surgery indicated that nerve transection leads to immediate language improvements in patients with right post stroke aphasia. Objective: Through a prospective cohort design, this study aims to prove that C7 neurotomy at the intervertebral foramen (NC7) combined with a 3-week intensive speech and language therapy (iSLT) can improve the language function in post-stroke aphasia patients. Methods: In this study, patients aged over 18 years old and had been diagnosed with post-stroke aphasia for 1 year or longer were included. Primary outcomes were the change in the ability to retrieve personally relevant words in Boston Naming Test (BNT) with follow-up assessment after three weeks' iSLT post operatively. As well as several secondary outcome measures including the Western Aphasia Battery (WAB), daily communication abilities (measured by the Communication Activities of Daily Living Third Edition [CADL 3]) and Fugl-Meyer of upper limb part (UEFM). Results: The average increase of BNT score was 11.2 points from baseline to 3 weeks post operatively (P=0.001, 95%CI: 8.1-14.1). The WAB and CADL-3 assessment showed 9.4, 10.4 points increasing in average (P<0.005, 95%CI: 4.6 to 14.1; P<0.001, 95%CI:6.7 to 14.1) from baseline to 4-week follow-up, respectively. The mean difference from baseline to 3 weeks post-operatively in UEFM score decreased 0.8 points (95% CI: -3.2 to 1.6; p<0.405). Conclusions: NC7 plus iSLT significantly improved the language function in patients with post-stroke aphasia, and did not significantly affect the motor function of the right limb. The mechanism of this surgery needs to be further explored.

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Evaluation of rTMS in patients with poststroke aphasia: a systematic review and focused meta-analysis

Cited by 12 publications

References 48 publications

Advances in Remote Monitoring for Stroke Recovery

Advances in Remote Monitoring for Stroke Recovery

Reversing the Ruin: Rehabilitation, Recovery, and Restoration After Stroke

Improvement of language function after C7 neurotomy at the intervertebral foramen in patients with chronic post-stroke aphasia: a phase I cohort study

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