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ObjectiveTo explore the effect of low frequency or high frequency repetitive transcranial magnetic stimulation (rTMS) on right Broca's homologue in stroke patients with nonfluent aphasia. MethodsFrom January, 2019 to August, 2022, 80 inpatients in Beijing Bo'ai Hospital were randomly divided into control group (n = 20), sham stimulation group (n = 20), low-frequency (1 Hz) rTMS (LF-rTMS) group (n = 20) and high-frequency (10 Hz) rTMS (HF-rTMS) group (n = 20). All the patients received routine language therapy. LF-rTMS group and HF-rTMS group received ten days of rTMS (1 Hz or 10 Hz), and the sham group received ten days of sham rTMS. The Western Aphasia Battery (WAB) was used to evaluate the language function before, after treatment, and two months after treatment. ResultsBefore treatment, there was no significant difference in the scores of WAB among four groups (P > 0.05). All the scores improved in the four groups immediately after treatment and two months after treatment (P < 0.05). Compared with immediately after treatment, all the scores of WAB improved in LF-rTMS group (P < 0.05), and the scores of recall, name and aphasia quotient (AQ) improved in HF-rTMS group (P < 0.05) two months after treatment. Immediately after treatment, the scores of content and fluency, auditory comprehension and AQ were higher in LF-rTMS group than in HF-rTMS group (P < 0.05). Two months after treatment, the scores of content and fluency were higher in LF-rTMS group than in HF-rTMS group (P < 0.05). ConclusionBoth 1 Hz and 10 Hz rTMS could improve the language function of stroke patients with nonfluent aphasia, especially 1 Hz.
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Female , Humans , Male , Electroencephalography , Epilepsy , Language Tests , Neuroimaging , Neurologic Examination , Problem SolvingABSTRACT
Objective To compare the therapeutic effect of conventional dental prosthesis and implant repair in the treatment of dentition defect.Methods From March 2016 to December 2017,110 patients with dental defects in the First People＇s Hospital of Yongkang were selected and divided into control group and observation group according to different treatment methods,with 55 cases in each group.The control group received oral routine repair,and the observation group was treated with implant repair.The therapeutic effect of the two groups was analyzed.Results The total effective rate of the observation group was 96.36%,which was significantly higher than 81.82% of the control group (χ2＝3.168,P＜0.05).After treatment,the scores of fixation function,chewing function,language function,degree of comfort,degree of aesthetics in the observation group were (18.06 ±1.32)points,(17.97 ±1.12) points,(18.41 ±1.06) points,(18.24 ±1.03) points and (18.37 ±1.21) points,respectively,which in the control group were (12.51 ±2.43) points,(13.19 ±2.55) points,(13.76 ±2.46) points,(11.64 ±2.12) points,(13.16 ± 2.45)points,respectively,the differences between the two groups were statistically significant (t＝8.957,11.235,10.369,11.036,13.554,all P＜0.05).After treatment for 1 week,the denture plaque index,gingival index and gingival bleeding index in the observation group were (0.81 ±0.11) points,(0.92 ±0.14 ) points,(1.33 ± 0.17) points,respectively,which in the control group were (1.58 ±0.49) points,(1.65 ±0.58) points and (2.67 ±0.62) points,respectively,and the differences between the two groups were statistically significant ( t ＝14.512,10.647,11.354,all P＜0.05).Conclusion The effect of implant repair in the treatment of dentition defect better than conventional dental prosthesis,which can improve the repair effect of patients and maintain the healthy periodontal health,it is worthy of clinical application.
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ObjectiveTo observe the effect of acupuncture plus language function training on the recovery of language function in patients with post-stroke aphasia.MethodNinety patients were divided into an acupuncture-rehabilitation group (intervened by acupuncture plus language function training) of 30 cases, an acupuncture group (intervened by acupuncture alone) of 30 cases, and a control group (intervened by language function training alone) of 30 cases. The Western Aphasia Battery (WAB) was adopted to evaluate the language function, and also taken as criteria for diagnosis and therapeutic efficacy. The aphasia quotient (AQ), and the 4 basic language functions including spontaneous speech, auditory comprehension, repetition and nomination were observed. ResultAfter intervention, AQ, and scores of spontaneous speech, auditory comprehension, repetition and nomination increased significantly in the three groups (P0.05).ConclusionAcupuncture plus language function training can produce a positive effect on patients with post-stroke aphasia, showing therapeutic advantage in improvingspontaneous speech, repetition, and nomination.
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Objective To revise the standards of the Language Function Evaluation for Hearing-impaired Children and to study the characteristics of language functions in hearing-impaired children.Methods A total of 741 normal hearing children at the age of 3~7 year old from 15 provinces in China were assessed using the Language Function Evaluation for Hearing-impaired Children.A total of 90 hearing-impaired children also completed the e-valuation.The scores of Representation Function,Tool Function,Coordination Function,Expression Function, Entertainment Function and Comprehensive Function of all the children were collected.ResuIts The regression e-quations of the language function were established:Representation Function score=3.34 +0.81 ×children's age, Tool Function score =6.00+0.51×children's age,Coordination Function score =5.72 +0.52 ×children's age,Ex-pression Function score =4.44+0.67×children's age,Entertainment Function score =6.34+0.47×children's age, Comprehensive Function score =4.96+0.62×children's age;Through the regression analysis,the reference stand-ards of the tool for children at the age of 3~6 year old were set down.Five-year-old hearing-impaired children's Tool Function and Expression Function were better than those of three or four-year-old ones(P<0.05).Five-year-old hearing-impaired children's Comprehensive Function were better than those of three-year-old ones(P<0.05).The language function scores had a big gap between the hearing-impaired children and the hearing-nor-mal children at the same ages.ConcIusion The new reference standards of the Language Function Evaluation for Hearing-impaired Children provides the Expectation values and Minimum values of language function from children at the age of 3 -6.They are rehabilitation criterions for hearing-impaired children.The older the hearing-im-paired children are,the higher their scores of language function evaluation.But their scores are much lower than those of the normal hearing children at the same age.
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@#Objective To study the characteristics of language function development and establish the reference standards in children of4~6 years old. Methods 616 hearing normal children at the age of 3~7 from 13 provinces in China were assessed with Language FunctionEvaluation for Hearing-impaired Children. 583 usable data were analyzed via SPSS 17.0. Results The older the children were, the highertheir scores of language function evaluation were (P<0.001). The differences between boys and girls on coordination function and relaxationfunction were significant (P<0.01). The girls were better than the boys. The reference standards of children of 4~6 years old were set downbased on the regression analysis. Conclusion There are some laws on children's language function development. The reference standards ofchildren by 4~6 years old has been developed.
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Dominant hemisphere for language function is the left hemisphere, however patients experiencing aphasia followed by damage to language areas often shows good recovery in the days to weeks to even years after brain injury. According to the duration from brain injury, recovery period of language function in aphasia can be divided into three overlapping periods (acute, subacute, and chronic phase) with different underlying neural mechanisms. During subacute period of weeks to months following brain injury, reorganization of neural network through brain plasticity occurring in the both hemisphere plays a crucial role in recovery of language function. Recently, the potential use of functional neuroimaging has been raised to explain the underlying neural mechanism for language recovery, however, the brain areas and various factors affecting brain reorganization are still controversial. This article reviews the clinical evidence for recovery of language function through brain plasticity and reorganization and the factors affecting the recovery of language function in aphasic patients following brain injury.
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@#Objective To explore the effect of scalp acupuncture combined with speech therapy on the patients with ischemic stroke.Methods 96 patients with Broca aphasia of ischemic stroke were divided into the treatment group(scalp acupuncture and speech therapy) and the control group (only speech therapy). The China Rehabilitation Research Center Aphasia Examination(CRRCAE) was used to assess the language function. All the patients were observed in basic language features such as the auditory comprehension, repetition, speech, and reading.Results The scores of composite language ability of the two groups were all raised significantly after two treatment courses, but it was more significantly in the treatment group than in the control group (P＜0.01). Conclusion Scalp acupuncture combined with speech therapy can improve the basic language skills of the patients with ischemic stroke following Broca aphasia.