Clinical study of melodic intonation therapy combined with transcranial direct current stimulation for post-stroke aphasia: a single-blind, randomized controlled trial
BackgroundGlobally, more than 10 million new stroke cases occur annually, of which aphasia accounts for about one-third. Aphasia has become an independent predictor of functional dependence and death for the stroke population. The closed-loop rehabilitation of combining behavioral therapy with centr...
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Neuroscience |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnins.2023.1088218/full |
| _version_ | 1797803831922262016 |
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| author | Zhijie Yan Zhijie Yan Xinyuan He Xinyuan He Mangmang Cheng Xiaoqing Fan Dongshuai Wei Dongshuai Wei Shuo Xu Chong Li Xiaofang Li Hongxia Xing Jie Jia Jie Jia Jie Jia |
| author_facet | Zhijie Yan Zhijie Yan Xinyuan He Xinyuan He Mangmang Cheng Xiaoqing Fan Dongshuai Wei Dongshuai Wei Shuo Xu Chong Li Xiaofang Li Hongxia Xing Jie Jia Jie Jia Jie Jia |
| author_sort | Zhijie Yan |
| collection | DOAJ |
| description | BackgroundGlobally, more than 10 million new stroke cases occur annually, of which aphasia accounts for about one-third. Aphasia has become an independent predictor of functional dependence and death for the stroke population. The closed-loop rehabilitation of combining behavioral therapy with central nerve stimulation seems to be the research trend of post-stroke aphasia (PSA) due to its advantages in improving linguistic deficits.ObjectiveTo verify the clinical efficacy of a closed-loop rehabilitation program combining melodic intonation therapy (MIT) with transcranial direct current stimulation (tDCS) for PSA.MethodsThis was a single-center, assessor-blinded, randomized controlled clinical trial, which screened 179 patients and included 39 PSA subjects, with the registration number ChiCTR2200056393 in China. Demographic and clinical data were documented. The primary outcome was the Western Aphasia Battery (WAB) used to assess language function, and the secondary outcomes included Montreal Cognitive Assessment (MoCA), Fugl-Meyer Assessment (FMA), and Barthel Index (BI) for evaluating cognition, motor, and activities of daily living, respectively. With the computer-generated randomization sequence, subjects were randomly divided into the conventional group (CG), MIT combined with sham stimulation group (SG), and MIT combined with tDCS group (TG). After the three-week intervention, the functional changes in each group were analyzed by the paired sample T-test, and the functional difference between the three groups was analyzed by ANOVA.ResultsThere was no statistical difference on the baseline. After the intervention, the WAB’s aphasia quotient (WAB-AQ), MoCA, FMA, and BI were statistically different in SG and TG, including all the sub-items in WAB and FMA, while only listening comprehension, FMA, and BI were statistically different in CG. The differences of WAB-AQ, MoCA, and FMA were statistically different among the three groups, but BI was not. The post hoc test results revealed that the changes of WAB-AQ and MoCA in TG were more significant than the others.ConclusionMIT combined with tDCS can augment the positive effect on language and cognitive recovery in PSA. |
| first_indexed | 2024-03-13T05:27:56Z |
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| institution | Directory Open Access Journal |
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| language | English |
| last_indexed | 2024-03-13T05:27:56Z |
| publishDate | 2023-06-01 |
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| series | Frontiers in Neuroscience |
| spelling | doaj.art-edb65ec32b3244458595bf39e4ec4a582023-06-15T05:18:06ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-06-011710.3389/fnins.2023.10882181088218Clinical study of melodic intonation therapy combined with transcranial direct current stimulation for post-stroke aphasia: a single-blind, randomized controlled trialZhijie Yan0Zhijie Yan1Xinyuan He2Xinyuan He3Mangmang Cheng4Xiaoqing Fan5Dongshuai Wei6Dongshuai Wei7Shuo Xu8Chong Li9Xiaofang Li10Hongxia Xing11Jie Jia12Jie Jia13Jie Jia14Department of Rehabilitation Medicine, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, ChinaDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, ChinaDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, ChinaDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, ChinaDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, ChinaDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, ChinaNational Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, ChinaBackgroundGlobally, more than 10 million new stroke cases occur annually, of which aphasia accounts for about one-third. Aphasia has become an independent predictor of functional dependence and death for the stroke population. The closed-loop rehabilitation of combining behavioral therapy with central nerve stimulation seems to be the research trend of post-stroke aphasia (PSA) due to its advantages in improving linguistic deficits.ObjectiveTo verify the clinical efficacy of a closed-loop rehabilitation program combining melodic intonation therapy (MIT) with transcranial direct current stimulation (tDCS) for PSA.MethodsThis was a single-center, assessor-blinded, randomized controlled clinical trial, which screened 179 patients and included 39 PSA subjects, with the registration number ChiCTR2200056393 in China. Demographic and clinical data were documented. The primary outcome was the Western Aphasia Battery (WAB) used to assess language function, and the secondary outcomes included Montreal Cognitive Assessment (MoCA), Fugl-Meyer Assessment (FMA), and Barthel Index (BI) for evaluating cognition, motor, and activities of daily living, respectively. With the computer-generated randomization sequence, subjects were randomly divided into the conventional group (CG), MIT combined with sham stimulation group (SG), and MIT combined with tDCS group (TG). After the three-week intervention, the functional changes in each group were analyzed by the paired sample T-test, and the functional difference between the three groups was analyzed by ANOVA.ResultsThere was no statistical difference on the baseline. After the intervention, the WAB’s aphasia quotient (WAB-AQ), MoCA, FMA, and BI were statistically different in SG and TG, including all the sub-items in WAB and FMA, while only listening comprehension, FMA, and BI were statistically different in CG. The differences of WAB-AQ, MoCA, and FMA were statistically different among the three groups, but BI was not. The post hoc test results revealed that the changes of WAB-AQ and MoCA in TG were more significant than the others.ConclusionMIT combined with tDCS can augment the positive effect on language and cognitive recovery in PSA.https://www.frontiersin.org/articles/10.3389/fnins.2023.1088218/fullstrokeaphasiatDCSmelodic intonation therapyclosed-loop rehabilitation |
| spellingShingle | Zhijie Yan Zhijie Yan Xinyuan He Xinyuan He Mangmang Cheng Xiaoqing Fan Dongshuai Wei Dongshuai Wei Shuo Xu Chong Li Xiaofang Li Hongxia Xing Jie Jia Jie Jia Jie Jia Clinical study of melodic intonation therapy combined with transcranial direct current stimulation for post-stroke aphasia: a single-blind, randomized controlled trial Frontiers in Neuroscience stroke aphasia tDCS melodic intonation therapy closed-loop rehabilitation |
| title | Clinical study of melodic intonation therapy combined with transcranial direct current stimulation for post-stroke aphasia: a single-blind, randomized controlled trial |
| title_full | Clinical study of melodic intonation therapy combined with transcranial direct current stimulation for post-stroke aphasia: a single-blind, randomized controlled trial |
| title_fullStr | Clinical study of melodic intonation therapy combined with transcranial direct current stimulation for post-stroke aphasia: a single-blind, randomized controlled trial |
| title_full_unstemmed | Clinical study of melodic intonation therapy combined with transcranial direct current stimulation for post-stroke aphasia: a single-blind, randomized controlled trial |
| title_short | Clinical study of melodic intonation therapy combined with transcranial direct current stimulation for post-stroke aphasia: a single-blind, randomized controlled trial |
| title_sort | clinical study of melodic intonation therapy combined with transcranial direct current stimulation for post stroke aphasia a single blind randomized controlled trial |
| topic | stroke aphasia tDCS melodic intonation therapy closed-loop rehabilitation |
| url | https://www.frontiersin.org/articles/10.3389/fnins.2023.1088218/full |
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