Improved Language in a Chronic Nonfluent Aphasia Patient After Treatment With CPAP and TMS
- UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
- Kristine Lundgren, Associate Professor (Creator)
- Institution
- The University of North Carolina at Greensboro (UNCG )
- Web Site: http://library.uncg.edu/
Abstract: Objective: To present pretreatment and post-treatment language data for a nonfluent aphasia patient who received 2 treatment modalities: (1) continuous positive airway pressure (CPAP) for his sleep apnea, starting 1-year poststroke; and (2) repetitive transcranial magnetic brain stimulation (TMS), starting 2 years poststroke. Background: Language data were acquired beyond the spontaneous recovery period of 3 to 6 months poststroke onset. CPAP restores adequate oxygen flow throughout all stages of sleep, and may improve cognition. A series of slow, 1 Hz repetitive TMS treatments to suppress a posterior portion of right pars triangularis has been shown to improve phrase length and naming in chronic nonfluent aphasia. Method: The Boston Diagnostic Aphasia Examination and Boston Naming Test were administered pre-CPAP, and after 2 to 5 months of CPAP. These same tests were administered pre-TMS, and at 3 and 6 months post-TMS, and again 2.4 years later. Results: Post-CPAP testing showed increased Phrase Length, Auditory Comprehension, and naming Animals and Tools/Implements (Boston Diagnostic Aphasia Examination). Testing at 3 and 6 months post-TMS showed significant increase in Phrase Length, Auditory Comprehension, and Boston Naming Test compared with pre-TMS. These gains were retained at 2.4 years post-TMS. CPAP use continued throughout.Conclusions: Physiologic treatment interventions may promote language recovery in chronic aphasia.
Improved Language in a Chronic Nonfluent Aphasia Patient After Treatment With CPAP and TMS
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Created on 3/4/2015
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Additional Information
- Publication
- Cognitive and Behavioral Neurology, 23 (1), 29-38
- Language: English
- Date: 2010
- Keywords
- aphasia, CPAP, TMS, speech, language, stroke rehabilitation