中国神经再生研究(英文版) ›› 2023, Vol. 18 ›› Issue (3): 551-551.doi: 10.4103/1673-5374.346467

• 观点:脑损伤修复保护与再生 • 上一篇    下一篇

失语性卒中患者的运动康复:Rood 方法的可能性

  

  • 出版日期:2023-03-15 发布日期:2022-08-26

Motor rehabilitation of aphasic stroke patient: the possibility of Rood’s approach

Poonam Chaturvedi*, Anuradha Kalani   

  1. Lovely Professional University, Punjab, India (Chaturvedi P)
    Chhatrapati Shahu Ji Maharaj University, Kanpur, India (Kalani A)
  • Online:2023-03-15 Published:2022-08-26
  • Contact: Poonam Chaturvedi, PhD, poonam.26511@gmail.com.

摘要: https://orcid.org/0000-0001-8034-082X (Poonam Chaturvedi)

Abstract: Aphasia is an acquired neurogenic language disorder that makes patients unable to comprehend or formulate language. Along with language impairment, patients suffering from aphasia face difficulties in reading, writing, and expressing themselves. The causes of aphasia are stroke, trauma, brain tumors, infections, and injury, particularly to the left hemisphere. About 20% of acute stroke cases in the world account for aphasia. Aphasia is categorized into: non-fluent and fluent forms. Non-fluent is further classified based on language and comprehension into: 1) Broca’s aphasia, 2) transcortical motor aphasia, 3) global aphasia, and 4) transcortical mixed aphasia. In transcortical motor aphasia, the language and comprehension are intact, whereas, in global aphasia, they are distorted. Transcortical mixed aphasia is also called isolation aphasia and it is equivalent to global aphasia. Comprehension of spoken language is severely disturbed in patients having this syndrome. It is common in occlusion of the internal carotid artery. Like non-fluent aphasia, fluent aphasia is also classified according to language and comprehension into conduction aphasia, anomic aphasia, Wernicke’s aphasia, and transcortical sensory aphasia. The language and comprehension in anomic aphasia are intact, while they are impaired in Wernicke’s aphasia and transcortical sensory aphasia. Aphasias such as crossed aphasia and subcortical aphasia are considered “exceptional aphasias,” since they do not fit neatly into this or similar classification systems. A person with conduction aphasia demonstrates language impairment after a brain injury to the dominant hemisphere of the body instead of the alternate side. Therefore, an individual with right-handedness who has suffered a stroke in the right hemisphere would exhibit crossed aphasia. Likewise, damage to subcortical brain regions (e.g., the thalamus or basal ganglia) can lead to subcortical aphasia, and the symptoms can mimic those seen in cortical lesions (Goodglass and Kaplan, 1972; Rogers, 2004; Davis, 2007; Code, 2021) .