Transcranial magnetic stimulation and aphasia rehabilitation.

Abstract

Repetitive transcranial magnetic stimulation (rTMS) has been reported to improve naming in chronic stroke patients with nonfluent aphasia since 2005. In part 1, we review the rationale for applying slow, 1-Hz, rTMS to the undamaged right hemisphere in chronic nonfluent aphasia patients after a left hemisphere stroke; and we present a transcranial magnetic stimulation (TMS) protocol used with these patients that is associated with long-term, improved naming post-TMS. In part 2, we present results from a case study with chronic nonfluent aphasia where TMS treatments were followed immediately by speech therapy (constraint-induced language therapy). In part 3, some possible mechanisms associated with improvement after a series of TMS treatments in stroke patients with aphasia are discussed.

• Authors: Margaret A Naeser, Paula I Martin, Michael Ho, Ethan Treglia, Elina Kaplan, Shahid Bashir, Alvaro Pascual-Leone
• Journal: Archives of physical medicine and rehabilitation (Arch Phys Med Rehabil) Vol. 93 Issue 1 Suppl Pg. S26-34 (Jan 2012) ISSN: 1532-821X [Electronic] United States
• PMID: 22202188 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, U.S. Gov't, Non-P.H.S.)
• Copyright: Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Topics

• Acute Disease
• Aphasia (etiology, rehabilitation)
• Brain (physiopathology)
• Chronic Disease
• Clinical Trials as Topic
• Humans
• Speech
• Stroke (complications, physiopathology)
• Transcranial Magnetic Stimulation (methods)