지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 460 - 469 (10page)
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초록· 키워드
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Objective To determine factors associated with good responses to speech therapy combined with transcranial direct current stimulation (tDCS) in aphasic patients after stroke.
Method The language function was evaluated using Korean version of Western aphasia battery (K-WAB) before and after speech therapy with tDCS in 37 stroke patients. Patients received speech therapy for 30 minutes over 2 to 3 weeks (10 sessions) while the cathodal tDCS was performed to the Brodmann area 45 with 1 mA for 20 minutes. We compared the improvement of aphasia quotient % (AQ%) between two evaluation times according to age, sex, days after onset, stroke type, aphasia type, brain lesion confi rmed by magnetic resonance image and initial severity of aphasia. The factors related with good responses were also checked.
Results AQ% improved from pre- to post-therapy (14.94±6.73%, p<0.001). AQ% improvement was greater in patients with less severe, fluent type of aphasia who received treatment before 30 days since stroke was developed (p<0.05). The adjusted logistic regression model revealed that patients with hemorrhagic stroke were more likely to achieve good responses (odds ratio=4.897, p<0.05) relative to infarction. Initial severity over 10% in AQ% was also found to be signifi cantly associated with good improvement (odds ratio=8.618, p<0.05).
Conclusion Speech therapy with tDCS was established as a treatment tool for aphasic patients after stroke. Lower initial severity was associated with good responses.
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참고문헌 (27)
참고문헌 신청
Aftonomos LB / 1999 / Improvin
Bakheit AM / 2007 / The rate and extent of improvement with therapy from the diff erent types of aphasia in the fi rst year after stroke / Clin Rehabil 21 : 941 ~ 949
Bennett MR / 2006 / Language and cortical function: conceptual developments / Prog Neurobiol 80 : 20 ~ 52
Bersano A / 2009 / Aphasia burden to hospitalised acute stroke patients: need for an early rehabilitation programme / Int J Stroke 4 : 443 ~ 447
Breier JI / 2009 / Behavioral and neurophysiologic response to therapy for chronic aphasia / Arch Phys Med Rehabil 90 : 2026 ~ 2033
Bakheit AM / 2007 / The rate and extent of improvement with therapy from the diff erent types of aphasia in the fi rst year after stroke / Clin Rehabil 21 : 941 ~ 949
Bennett MR / 2006 / Language and cortical function: conceptual developments / Prog Neurobiol 80 : 20 ~ 52
Bersano A / 2009 / Aphasia burden to hospitalised acute stroke patients: need for an early rehabilitation programme / Int J Stroke 4 : 443 ~ 447
Breier JI / 2009 / Behavioral and neurophysiologic response to therapy for chronic aphasia / Arch Phys Med Rehabil 90 : 2026 ~ 2033
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