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Article
Transcranial Magnetic Stimulation as a Complementary Treatment for Aphasia
Seminars in Speech and Language (2004)
  • Jacquie Kurland, University of Massachusetts - Amherst
Abstract
Functional brain imaging with nonfluent aphasia patients has shown increased cortical activation (perhaps "overactivation") in right (R) hemisphere language homologues. These areas of overactivation may represent a maladaptive strategy that interferes with, rather than promotes, aphasia recovery. Repetitive transcranial magnetic stimulation (rTMS) is a painless, noninvasive procedure that utilizes magnetic fields to create electric currents in discrete brain areas affecting about a 1-cm square area of cortex. Slow frequency, 1 Hz rTMS reduces cortical excitability. When rTMS is applied to an appropriate cortical region, it may suppress the possible overactivation and thus modulate a distributed neural network for language. We provide information on rTMS and report preliminary results following rTMS application to R Broca's area (posterior, R pars triangularis) in four stroke patients with nonfluent aphasia (5-11 years after left hemisphere stroke). Following 10 rTMS treatments, significant improvement in naming pictures was observed. This form of rTMS may provide a novel, complementary treatment for aphasia.
Keywords
  • Aphasia treatment,
  • naming,
  • transcranial magnetic stimulation
Publication Date
2004
Publisher Statement
Publisher's version is located at http://www.ncbi.nlm.nih.gov/pubmed/15118944
Citation Information
Jacquie Kurland. "Transcranial Magnetic Stimulation as a Complementary Treatment for Aphasia" Seminars in Speech and Language Iss. 25 (2004)
Available at: http://works.bepress.com/jacquie_kurland/5/