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Semin Speech Lang 2004; 25(2): 181-191
DOI: 10.1055/s-2004-825654
DOI: 10.1055/s-2004-825654
Transcranial Magnetic Stimulation as a Complementary Treatment for Aphasia
Further Information
Publication History
Publication Date:
07 May 2004 (online)
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
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Paula Martin
VA Boston Healthcare System (12-A)
150 So. Huntington Ave., Boston, MA, 02130
Email: paulak@bu.edu