Effects of repetitive transcranial magnetic stimulation combined with music therapy in non-fluent aphasia after stroke: A randomised controlled study
Liu Q, Li W, Chen Y, Zhang S, Sun Z, Yang Y, Lv P, Yin Y
International journal of language & communication disorders · 8 citas
Etiquetas de revisión
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Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2023-12-13 · Int J Lang Commun Disord · vol. 59 · número 3 · págs. 1211–1222
- Editorial
- Wiley
- Citado
- 12 citas · más que el 76% de estudios similares · 1.0× el promedio de su campo
- Referencias
- 55 trabajos
- Acceso
- Lectura gratuita
- Áreas de investigación
- Transcranial Magnetic Stimulation Studies · Neurobiology of Language and Bilingualism · Stroke Rehabilitation and Recovery
- Palabras clave
- non-fluent aphasia, stroke, repetitive transcranial magnetic stimulation, low-frequency rTMS, music therapy, combination therapy, aphasia rehabilitation, depression, language functions, auditory comprehension, speech repetition, aphasia quotient, treatment safety, adverse events, dizziness, Western Aphasia Battery, Boston Diagnostic Aphasia Examination
- MeSH
- humans, aphasia, aphasia, broca, treatment outcome, combined modality therapy, music therapy, single-blind method, depression, adult, aged, middle aged, female, male, transcranial magnetic stimulation, stroke, stroke rehabilitation
8 autores
- Qingqing Liu🇨🇳Hebei General Hospital
- Weibo Li🇨🇳 · autor de correspondenciaHebei Medical University; Second Hospital of Hebei Medical University
- Yuanwu Chen🇨🇳Hebei General Hospital
- Shaohua Zhang🇨🇳Hospital of Hebei Province
- Zengxin Sun🇨🇳Hebei General Hospital
- Yuhui Yang🇨🇳Hebei General Hospital
- Peiyuan Lv🇨🇳Hebei General Hospital
- Yu Yin🇨🇳 · autor de correspondenciaHebei General Hospital
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Although existing studies have shown that both repetitive transcranial magnetic stimulation (rTMS) and music therapy have advantages in the treatment of non-fluent aphasia, the efficacy of the combination of these two methods remains to be investigated.
Aims
To investigate the clinical efficacy of low-frequency rTMS combined with music therapy on language function and depression in patients with non-fluent aphasia after stroke.
Methods & procedures
A single-blind parallel randomised controlled trial was conducted. Sixty patients (mean duration = 93.78 days) with non-fluent aphasia after stroke were randomly divided into a traditional therapy group (n = 20), a music therapy group (n = 20) and a combined therapy group (n = 20, 1 Hz). The language function and depression were evaluated before and 3 weeks after treatment with the Chinese version of the Western Aphasia Battery scale, Boston Diagnostic Aphasia Examination scale and Stroke Aphasic Depression Questionnaire Hospital Version scale.
Outcomes & results
The combined therapy group was significantly better in all outcomes than the traditional therapy group and was significantly better in depression than the music therapy group. The music therapy group was significantly better in repetition and depression than the traditional therapy group. Language improvement was positively correlated with depression improvement. For adverse events, only two patients in the combined therapy group showed slight dizziness during rTMS treatment and their symptoms improved after rest.
Conclusions & implications
Our preliminary randomised controlled study indicates that low-frequency rTMS combined with music therapy is feasible and safe in improving language function and depression in non-fluent aphasia patients after stroke.
What this paper adds
What is already known on this subject Repetitive transcranial magnetic stimulation (rTMS) and music therapy respectively have advantages in the treatment of non-fluent aphasia after stroke, but whether the combination of the two methods is more effective is still unknown. What this paper adds to the existing knowledge This is one of the first randomised control trials to investigate whether the clinical efficacy of low-frequency rTMS combined music therapy for non-fluent aphasia is better. The findings show that low-frequency rTMS combined music therapy is superior to traditional therapy in spontaneous speech, auditory comprehension, repetition, naming, aphasia quotient, functional language level and depression, and superior to music therapy in depression, while music therapy is superior to traditional therapy in repetition and depression. What are the potential or actual clinical implications of this work? Low-frequency rTMS combined music therapy may be a better method for treatment of non-fluent aphasia.
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