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Corresponding Author:: We Must Not Forget That Language and Movement Are Interrelated

1) Aphasia is a language disorder that occurs in up to 38% of stroke survivors, often leaving them with lifelong deficits. It is caused most commonly by a stroke affecting the left cerebral hemisphere. 2) The rehabilitation of aphasic patients combines psychotherapeutic methods with language-focused methods and speech language therapy. Several studies have shown that intensive intervention is not necessary in the first three weeks post-stroke. 3) Effective rehabilitation techniques for aphasia include speech language therapy, melodic intonation therapy for severe non-fluent aphasia, repetitive transcranial magnetic stimulation, and transcranial direct current stimulation. Acupuncture and therapies that link language and movement can also positively influence

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Valerica Zarnescu Creanga
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55 views2 pages

Corresponding Author:: We Must Not Forget That Language and Movement Are Interrelated

1) Aphasia is a language disorder that occurs in up to 38% of stroke survivors, often leaving them with lifelong deficits. It is caused most commonly by a stroke affecting the left cerebral hemisphere. 2) The rehabilitation of aphasic patients combines psychotherapeutic methods with language-focused methods and speech language therapy. Several studies have shown that intensive intervention is not necessary in the first three weeks post-stroke. 3) Effective rehabilitation techniques for aphasia include speech language therapy, melodic intonation therapy for severe non-fluent aphasia, repetitive transcranial magnetic stimulation, and transcranial direct current stimulation. Acupuncture and therapies that link language and movement can also positively influence

Uploaded by

Valerica Zarnescu Creanga
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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REHABILITATION POSSIBILITIES OF APHASIC PATIENT

Valerica Creanga-Zarnescu1, Ana-Maria Fatu2 , Mihaela Lungu3, Violeta Sapira4, Anamaria


Ciubara5

 1,2 -PhD student, Faculty of Medicine and Farmacy “Dunarea de Jos” University of Galati
, 47 Domnească Street, RO-800008, Galati, Romania
 3- Assoc. Prof., Head of Neurological Department, Clinical Emergency Hospital Galati,
Faculty of Medicine and Farmacy “Dunarea de Jos” University of Galati, Galati, Romania
 4- Assit. Prof., Neurological Department, Clinical Emergency Hospital Galati, Faculty of
Medicine and Farmacy “Dunarea de Jos” University of Galati , Romania
 5- Prof., Head of Neurological Department of Psychiaty, Faculty of Medicine and
Pharmacy, “Dunarea de Jos”,Galati, Romania.
 Corresponding author: [email protected]

Introduction:
Aphasia is a language disorder which occurs in up to 38% of stroke survivors, often leaving
them with lifelong residual deficits. The most common cause of aphasia is a stroke affecting the
left cerebral hemisphere.
Material and method:
The first step in the management of aphasia requires the initial diagnosis of the disorder. In the
simplest classification, aphasia is divided into two main categories: motor aphasia (expressive
aphasia) and sensory aphasia (receptive aphasia). Speech pathologists are typically responsible
for diagnosis of aphasia resulting from stroke. A first issue that is to be clarified is that of the
importance they have in treating aphasics, in therapeutic intervention and spontaneous recovery.
The treatment of aphasic patients combines psychotherapeutic methods with semantico-
syntagmatic methods, this summing speech-language therapy (SLP). It is very important that the
therapist adapts the rehabilitation program to the patient and their comorbidities. Several studies
have shown that it is not necessary to intervene intensively in the first three weeks after the
stroke, but, recently, Cochrane reviews have made significant strides toward establishing SLT as
effective, supporting the neuroplasticity process. Besides the SLP, another therapeutic method
accepted for severe non-fluent aphasia is melodic intonation therapy (MIT)- a treatment that uses
the musical elements of speech.We have found little evidence that patients were more likely to
have improved on any language measure at the end of the trial if they had received treatment
with piracetam, donepezil or memantine.Another noninvasive technique based is repetitive
transcranial magnetic stimulation (rTMS), it should be implemented in aphasia rehabilitation
program for subacute post-stroke patients. Reduction of the excitabilityof the right peri-sylvian
area in a non-fluent aphasia can lead to significant improvements. At the turn of this century, a
new form of non-invasive brain stimulation emerged in the field of stroke recovery: transcranial
direct current stimulation (tDCS). It has been explored in stroke rehabilitation as a method for
encouraging brain plasticity, with results often lasting beyond the initial period of stimulation.
tDCS also has the advantage of being portable, with built-in remote control, making it suitable
for clinical experimentation during behavioral therapies.In addition to the therapies mentioned,
acupuncture ("XingnaoKaiyin acupuncture”) is effective in improving functional communication
in post-stroke.We must not forget that language and movement are interrelated, designing the
recovery program according to the hand-arm-languageparadigm can favorably influence the
recovery of the aphasia.
Conclusion:
Aphasia is sometimes more invalidating than the motor or sensory deficiency and the
team consisting of rehabilitation medicine specialist, neurologist, speech-therapist and
physiotherapist should adapt the growing knowledge into clinical practice.

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