Restorative Neurology and Neuroscience,
Год журнала:
2023,
Номер
41(3-4), С. 129 - 191
Опубликована: Янв. 1, 2023
Background:
Aphasia
is
a
debilitating
language
impairment,
affecting
millions
of
people
worldwide.
About
40%
stroke
survivors
develop
chronic
aphasia,
resulting
in
life-long
disability.
Objective:
This
review
examines
extrinsic
and
intrinsic
neuromodulation
techniques,
aimed
at
enhancing
the
effects
speech
therapies
with
aphasia.
Methods:
We
discuss
available
evidence
supporting
use
transcranial
direct
current
stimulation
(tDCS),
repetitive
magnetic
stimulation,
functional
MRI
(fMRI)
real-time
neurofeedback
aphasia
rehabilitation.
Results:
systematically
evaluates
studies
focusing
on
efficacy
implementation
specialized
methods
for
post-treatment
outcome
optimization
transfer
to
skills.
It
considers
target
determination
various
targeting
approaches.
The
translation
interventions
clinical
practice
explored,
emphasizing
generalization
communication.
also
covers
fMRI
neurofeedback,
discussing
essential
parameters.
Finally,
we
address
future
directions
research
Conclusions:
comprehensive
aims
serve
as
resource
broad
audience
researchers
clinicians
interested
incorporating
advancing
care.
Frontiers in Neuroscience,
Год журнала:
2021,
Номер
15
Опубликована: Авг. 19, 2021
Stroke
often
leaves
lasting
impairments
affecting
orofacial
function.
While
speech
therapy
is
able
to
enhance
function
after
stroke,
many
patients
see
only
modest
improvements
treatment.
This
partial
restoration
of
rehabilitation
suggests
that
there
a
need
for
further
intervention.
Rehabilitative
strategies
augment
the
effects
traditional
hold
promise
yield
greater
efficacy
and
reduce
disability
associated
with
motor
disorders.
Recent
studies
demonstrate
brief
bursts
vagus
nerve
stimulation
(VNS)
can
facilitate
benefits
rehabilitative
interventions.
VNS
paired
upper
limb
enhances
recovery
in
chronic
stroke.
Animal
reveal
these
are
driven
by
VNS-dependent
synaptic
plasticity
networks.
Moreover,
preclinical
evidence
demonstrates
similar
strategy
pairing
promote
reorganization
Building
on
findings,
we
postulate
VNS-directed
could
target
post-stroke
Here,
outline
rationale
context
stroke
We
also
explore
treatments
aim
during
therapy,
how
differs
from
existing
therapeutic
strategies.
Based
this
evidence,
posit
VNS-paired
shows
as
means
enhancing
Continued
development
necessary
comprehensively
establish
optimize
approach,
which
has
potential
increase
quality
life
individuals
suffering
common
impairments.
Brain and Language,
Год журнала:
2023,
Номер
239, С. 105242 - 105242
Опубликована: Март 15, 2023
Language,
or
the
diverse
set
of
dynamic
processes
through
which
symbolic,
perceptual
codes
are
linked
to
meaning
representations
in
memory,
has
long
been
assumed
be
lateralized
left
hemisphere
(LH).
However,
after
over
150
years
investigation,
we
still
lack
a
unifying
account
when,
and
for
whom,
particular
linguistic
process
relies
upon
LH
right
(RH)
computations,
both.
With
focus
on
individual
differences,
this
article
integrates
existing
theories
hemispheric
contributions
language
cognition
into
novel
proposed
framework
understanding
how,
whom
RH
contributes
processes.
We
use
evidence
from
first
second
learning
relearning
following
focal
brain
damage
highlight
critical
RH.
Brain Connectivity,
Год журнала:
2023,
Номер
13(8), С. 441 - 452
Опубликована: Апрель 25, 2023
Understanding
how
brain
function
and
language
skills
change
during
early
(acute
subacute)
stroke
phases
is
critical
for
maximizing
patient
recovery,
yet
functional
neuroimaging
studies
of
aphasia
are
scarce.
In
this
pilot
study,
we
used
near-infrared
spectroscopy
(fNIRS)
to
investigate
resting-state
connectivity
(rs-FC)
in
differs
from
neurologically
healthy
adults
related
deficits.
Restorative Neurology and Neuroscience,
Год журнала:
2023,
Номер
41(3-4), С. 129 - 191
Опубликована: Янв. 1, 2023
Background:
Aphasia
is
a
debilitating
language
impairment,
affecting
millions
of
people
worldwide.
About
40%
stroke
survivors
develop
chronic
aphasia,
resulting
in
life-long
disability.
Objective:
This
review
examines
extrinsic
and
intrinsic
neuromodulation
techniques,
aimed
at
enhancing
the
effects
speech
therapies
with
aphasia.
Methods:
We
discuss
available
evidence
supporting
use
transcranial
direct
current
stimulation
(tDCS),
repetitive
magnetic
stimulation,
functional
MRI
(fMRI)
real-time
neurofeedback
aphasia
rehabilitation.
Results:
systematically
evaluates
studies
focusing
on
efficacy
implementation
specialized
methods
for
post-treatment
outcome
optimization
transfer
to
skills.
It
considers
target
determination
various
targeting
approaches.
The
translation
interventions
clinical
practice
explored,
emphasizing
generalization
communication.
also
covers
fMRI
neurofeedback,
discussing
essential
parameters.
Finally,
we
address
future
directions
research
Conclusions:
comprehensive
aims
serve
as
resource
broad
audience
researchers
clinicians
interested
incorporating
advancing
care.