Abstract
Effects of transcranial direct current stimulation on motor aphasia after stroke and depression
  
DOI:
EN KeyWords: stroke  motor aphasia  transcranial direct current stimulation  depression
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作者单位
潘巍一 深圳市大鹏新区南澳人民医院康复科广东 深圳 518121 
葛俊胜 深圳市大鹏新区南澳人民医院康复科广东 深圳 518121 
张捷洪 深圳市大鹏新区南澳人民医院康复科广东 深圳 518121 
谷涛 深圳市大鹏新区南澳人民医院康复科广东 深圳 518121 
王玉龙 深圳大学第一附属医院康复中心广东 深圳 518000 
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EN Abstract:
  Objective:To investigate the curative effectiveness of transcranial direct current stimulation (tDCS) for motor aphasia after stroke and its effect on depression.Methods: Totally, 96 stroke patients with motor aphasia were selected and divided into 2 groups by the random number table method, 48 cases in each group. The control group received routine treatment in the department of neurology and was given aphasia stimulation therapy (Schuell stimulation). The treatment group was given tDCS on the basis of treatment in the control group. Both groups were treated for 6 weeks. The language function score before and after the treatment (including speech expressing ability, comprehension, reading and writing), Boston diagnostic aphasia examination classification (BDAE), functional speech communication skills (CFCP) score, aphasia depression scale (ADRS) and aphasia after stroke depression questionnaire scale (SADQ-H) were compared between two groups. The clinical efficacy of the two groups was also compared. Results: After 6 weeks of treatment, the scores of speech expression, comprehension, reading ability, writing ability and CFCP in the two groups were significantly improved as compared with those before treatment (all P<0.05), and those in the treatment group were significantly higher than those in the control group (all P<0.05); the scores of ADRs and SADQ-H in the two groups were significantly decreased (all P<0.05), and those in the treatment group were lower than those in the control group (both P<0.05); the BDAE grade in the two groups was significantly higher than that before treatment (both P<0.05), and that in the treatment group was significantly higher than that in the control group (P<0.05). The total effective rate in the treatment group was significantly higher than that in the control group (P<0.05).Conclusion: The tDCS is conducive to promoting the recovery of language function, improving the depression of patients, and treating motor aphasia after stroke.
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