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Neuroplasticity and aphasia treatments: new approaches for an old problem
- Source :
- J Neurol Neurosurg Psychiatry
- Publication Year :
- 2019
-
Abstract
- Given the profound impact of language impairment after stroke (aphasia), neuroplasticity research is garnering considerable attention as means for eventually improving aphasia treatments and how they are delivered. Functional and structural neuroimaging studies indicate that aphasia treatments can recruit both residual and new neural mechanisms to improve language function and that neuroimaging modalities may hold promise in predicting treatment outcome. In relatively small clinical trials, both non-invasive brain stimulation and behavioural manipulations targeting activation or suppression of specific cortices can improve aphasia treatment outcomes. Recent language interventions that employ principles consistent with inducing neuroplasticity also are showing improved performance for both trained and novel items and contexts. While knowledge is rapidly accumulating, larger trials emphasising how to select optimal paradigms for individualised aphasia treatment are needed. Finally, a model of how to incorporate the growing knowledge into clinical practice could help to focus future research.
- Subjects :
- Transcranial Direct Current Stimulation
Brain mapping
050105 experimental psychology
Article
03 medical and health sciences
0302 clinical medicine
Neuroimaging
Aphasia
Neuroplasticity
medicine
Humans
0501 psychology and cognitive sciences
Modalities
Neuronal Plasticity
Functional Neuroimaging
05 social sciences
Stroke Rehabilitation
Brain
Transcranial Magnetic Stimulation
Functional imaging
Clinical trial
Stroke
Psychiatry and Mental health
Brain stimulation
Language Therapy
Surgery
Neurology (clinical)
medicine.symptom
Psychology
030217 neurology & neurosurgery
Cognitive psychology
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- J Neurol Neurosurg Psychiatry
- Accession number :
- edsair.doi.dedup.....1e948ba66f5623e2ac21299d6ce86b90