摘要
卒中后语言功能恢复的神经机制仍不明确,目前认为左侧大面积脑损伤的失语患者语言功能恢复主要通过激活右侧半球的同源脑区进而改善言语功能。旋律音调疗法(MIT)可以通过旋律音调和左手拍击激活右侧半球的额颞叶脑区,特别适用于左侧大面积脑损伤的非流利性失语患者的语言康复。非侵入性脑刺激技术(NBS)通过刺激病灶侧或病灶对侧改变脑电活动,已被用于促进卒中后语言功能恢复。兴奋性经颅刺激作用于右侧半球同源性语言功能区联合MIT可一定程度上促进左侧大面积脑损伤的卒中后严重失语患者的语言恢复。未来可尝试将传统的言语治疗联合MIT及外部的经颅刺激(包括经颅直流电刺激及经颅磁刺激)促进语言相关功能区域的激活,从而更大限度地改善脑卒中患者言语功能。
The neuromechanism of language function recovery in patients with aphasia after stroke is still unclear. It is supported that the language function of aphasia after extensive damage of left hemisphere mainly recovered through activating the right hemisphere of homologous regions to improve the function of speech. Melodic intonation therapy（MIT） can be achieved by melody tone and left hand clap to activate the right hemisphere of the frontal temporal lobe, which is particularly applicable to improve language function of non- fluent aphasia patients with large left hemisphere lesion. Non-invasive brain stimulation techniques（NBS） changes brain activity through stimulating affected or contralateral side, which has been used to facilitate language functional recovery after stroke. Excitatory transcranial stimulation on the right hemisphere homology combined with melodic intonation therapy can promote language recovery of patients with extensive damage of left hemisphere after stroke. It is valuable to combine traditional speech training with MIT and NBS to activate related language functional areas to maximum improvement of language recovery after stroke.
出处
《中国康复理论与实践》
CSCD
北大核心
2015年第12期1415-1419,共5页
Chinese Journal of Rehabilitation Theory and Practice
基金
"十二五"国家科技支撑计划项目(No.2011BAI08B11)
关键词
脑卒中
失语
康复
旋律音调疗法
非侵入性脑刺激技术
经颅磁刺激
经颅直流电刺激
综述
stroke
aphasia
rehabilitation
melodic intonation therapy
non-invasive brain stimulation techniques
transcranial magnet-ic stimulation
transcranial direct current stimulation
review
