Aphasia improvement without logotherapy during motor neurorehabilitation of post-stroke hemiparesis using virtual reality or modified constraint-induced movement therapy: A retrospective cohort.
NeuroRehabilitation
; 53(4): 585-594, 2023.
Article
em En
| MEDLINE
| ID: mdl-37927287
ABSTRACT
BACKGROUND:
Some research suggests that post-stroke aphasia can recover "on its own", however, there is evidence of a common neural substrate for motor and language systems. We hypothesize, that motor neurorehabilitation of hemiparesis could be related to simultaneous improvement in aphasia.OBJECTIVE:
To measure changes in post-stroke aphasia and its relation with hemiparesis treated with different therapies.METHODS:
Database information (nâ=â32) on post-stroke hemiparesis (Fugl-Meyer Scale evaluated) managed with virtual reality (VR) versus modified constraint-induced movement therapy (mCIMT) or regular therapy (rPT/OT) was analyzed. None received logotherapy (LT) by appointment at four months. INCLUSION CRITERIA <â3 months after the stroke, aphasia severe (Boston Aphasia Intensity Scale), and all three evaluations.RESULTS:
Twenty-one patient records met inclusion criteria (71,4% women and mean age 66,67±3,13 years) who received VR, mCIMT, or rPT/OT (nâ=â6, 8, and 7, respectively). There was continuous intra-groups improvement in aphasia (pâ<â0.05), but inter-groups the greater aphasia recovery (pâ=â0.05) and hemiparesis (pâ=â0.02) were in VR, with a high correlation in evolution between them (râ=â0.73; pâ=â0.047).CONCLUSION:
High clinical correlation between aphasia, without LT, and hemiparesis evolution during motor neurorehabilitation would support common neural connections stimulation. We will conduct a clinical trial, with a larger sample size to contrast our hypothesis.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Afasia
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Acidente Vascular Cerebral
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Reabilitação Neurológica
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Reabilitação do Acidente Vascular Cerebral
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Realidade Virtual
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article