Aphasia improvement without logotherapy during motor neurorehabilitation of post-stroke hemiparesis using virtual reality or modified constraint-induced movement therapy: A retrospective cohort.

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. OBJECTI...

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Publicado en:NeuroRehabilitation Vol. 53; no. 4; pp. 585 - 595
Autores principales: Rojas-Sosa, María del Carmen, Zárate, José Antonio, de la Rosa-Peña, Norma, Olvera-Gómez, José Luis, Rojano-Mejía, David, Delgado-García, José, Garduño-Espinosa, Juan
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2023
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/NRE-230183
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        atl: Aphasia improvement without logotherapy during motor neurorehabilitation of post-stroke hemiparesis using virtual reality or modified constraint-induced movement therapy: A retrospective cohort.
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        au:
          Rojas-Sosa, María del Carmen
          Zárate, José Antonio
          de la Rosa-Peña, Norma
          Olvera-Gómez, José Luis
          Rojano-Mejía, David
          Delgado-García, José
          Garduño-Espinosa, Juan
        affil: Rehabilitation Units and Services Division, Mexican Institute of Social Security (IMSS), Mexico City, Mexico
      sug:
        subj:
          Stroke Complications
          Hemiplegia Rehabilitation
          Aphasia Rehabilitation
          Virtual Reality Exposure Therapy
          Motor Skills
          Rehabilitation, Cognitive Methods
          Kinesiotherapy Methods
          Psychotherapy, Group Methods
          Combined Modality Therapy
          Human
          Male
          Female
          Aged
          Middle Age
          Correlational Studies
          Retrospective Design
          Descriptive Statistics
          Recovery
          Stroke Patients
          Rehabilitation, Speech and Language
          Language Therapy
          Scales
          Patient Satisfaction
          Aged: 65+ years
          Middle Aged: 45-64 years
          Male
          Female
      ab: 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 (n = 32) 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: < 3 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 (n = 6, 8, and 7, respectively). There was continuous intra-groups improvement in aphasia (p < 0.05), but inter-groups the greater aphasia recovery (p = 0.05) and hemiparesis (p = 0.02) were in VR, with a high correlation in evolution between them (r = 0.73; p = 0.047). 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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